Latent structure and factor invariance of somatic symptoms in the patient health questionnaire (PHQ-15)

Background. To create efficacious interventions for military family caregivers (MFCs), it is important to understand the characteristics and predictors of completers and dropouts of newly developed supportive interventions. Aim. The purpose of this study was to examine completion patterns in MFCs enrolled in an educational intervention feasibility study. Method. Baseline data are presented from MFC completers ( n = 64) and dropouts ( n = 60) of a national feasibility study for an innovative intervention. Measures include depression (Patient Health Questionnaire–2), anxiety (Generalized Anxiety Disorder–7), somatic symptoms (Patient Health Questionnaire–15), quality of life (World Health Organization Quality of Life–Brief), relationship satisfaction (Relationship Assessment Scale), and military care recipient number of injuries. Analysis of variance was used to evaluate differences between completers and dropouts and logistic regression was used to identify predictors of intervention completion. Results. Results indicated that MFCs with greater anxiety, χ2(3) = 10.33, p = .02; depression, χ2(1) = 8.18, p = .004; somatic symptoms, F(1, 106) = 6.26, p = .01; care recipient number of injuries, F(1, 118) = 16.31, p < .001; lower general satisfaction with treatment, F(1, 96) = 4.34, p = .04; and lower satisfaction with accessibility and convenience with treatment, F(1, 89) = 4.18, p = .04, were significantly more likely to complete the intervention. After multivariate analysis, the sole predictor of intervention completion was the number of care recipients’ injuries, χ2(6) = 14.89, N = 77, p < .05. Conclusions. Overall, findings indicate that MFCs who were more “at risk” were more likely to complete the intervention. Findings present patterns of intervention completion and provide insight on areas in need of further investigation on intervention development supporting the needs of MFCs.

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Using the Patient Health Questionnaire to estimate prevalence and gender differences of somatic symptoms and psychological co-morbidity in a secondary inpatient population with abdominal pain

Australian & New Zealand Journal of Psychiatry ◽

10.1177/00048674211044639 ◽

2021 ◽

pp. 000486742110446

Author(s):

Melissa Stieler ◽

Peter Pockney ◽

Cassidy Campbell ◽

Vaisnavi Thirugnanasundralingam ◽

Lachlan Gan ◽

...

Keyword(s):

Gender Differences ◽

Abdominal Pain ◽

Somatic Symptom ◽

Somatic Symptoms ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Cut Points ◽

Co Morbidity ◽

Female Predominance ◽

Patient Health

Background: Somatic disorders and somatic symptoms are common in primary care populations; however, little is known about the prevalence in surgical populations. Identification of inpatients with high somatic symptom burden and psychological co-morbidity could improve access to effective psychological therapies. Methods: Cross-sectional analysis ( n = 465) from a prospective longitudinal cohort study of consecutive adult admissions with non-traumatic abdominal pain, at a tertiary hospital in New South Wales, Australia. We estimated somatic symptom prevalence with the Patient Health Questionnaire-15 at three cut-points: moderate (⩾10), severe (⩾15) and ‘bothered a lot’ on ⩾3 symptoms; and psychological co-morbidity with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 at standard (⩾10) cut-points. We also examined gender differences for somatic symptoms and psychological co-morbidity. Results: Prevalence was moderate (52%), female predominance (odds ratio = 1.71; 95% confidence interval = [1.18, 2.48]), severe (20%), no gender difference (1.32; [0.83, 2.10]) and ‘bothered a lot’ on ⩾3 symptoms (53%), female predominance (2.07; [1.42, 3.03]). Co-morbidity of depressive, anxiety and somatic symptoms ranged from 8.2% to 15.9% with no gender differences. Conclusion: Somatic symptoms were common and psychological triple co-morbidity occurred in one-sixth of a clinical population admitted for abdominal pain. Co-ordinated surgical and psychological clinical intervention and changes in clinical service organisation may be warranted to provide optimal care.

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Comparison of the Factor Structure of the Patient Health Questionnaire for Somatic Symptoms (PHQ-15) in Germany, the Netherlands, and China. A Transcultural Structural Equation Modeling (SEM) Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2018.00240 ◽

2018 ◽

Vol 9 ◽

Cited By ~ 5

Author(s):

Rainer Leonhart ◽

Lars de Vroege ◽

Lan Zhang ◽

Yang Liu ◽

Zaiquan Dong ◽

...

Keyword(s):

Structural Equation Modeling ◽

The Netherlands ◽

Factor Structure ◽

Structural Equation ◽

Somatic Symptoms ◽

Patient Health Questionnaire ◽

Equation Modeling ◽

Health Questionnaire ◽

Sem Study ◽

Patient Health

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Validation of patient health questionnaire (PHQ) for major depression in Chinese outpatients with multiple somatic symptoms: A multicenter cross-sectional study

Journal of Affective Disorders ◽

10.1016/j.jad.2014.12.042 ◽

2015 ◽

Vol 174 ◽

pp. 636-643 ◽

Cited By ~ 29

Author(s):

Nana Xiong ◽

Kurt Fritzsche ◽

Jing Wei ◽

Xia Hong ◽

Rainer Leonhart ◽

...

Keyword(s):

Major Depression ◽

Somatic Symptoms ◽

Cross Sectional Study ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Sectional Study ◽

Cross Sectional ◽

Patient Health

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Psychometric Properties of the Patient Health Questionnaire–15 (PHQ–15) for Measuring the Somatic Symptoms of Psychiatric Outpatients

Psychosomatics ◽

10.1016/s0033-3182(09)70859-x ◽

2009 ◽

Vol 50 (6) ◽

pp. 580-585 ◽

Cited By ~ 8

Author(s):

Changsu Han ◽

Chi-Un Pae ◽

Ashwin A. Patkar ◽

Prakash S. Masand ◽

Ki Woong Kim ◽

...

Keyword(s):

Psychometric Properties ◽

Somatic Symptoms ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Psychiatric Outpatients ◽

Patient Health

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Acute psychological impact on COVID-19 patients in Hubei: a multicenter observational study

Translational Psychiatry ◽

10.1038/s41398-021-01259-0 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Minghuan Wang ◽

Caihong Hu ◽

Qian Zhao ◽

Renjie Feng ◽

Qing Wang ◽

...

Keyword(s):

Psychological Impact ◽

Family Members ◽

Somatic Symptoms ◽

Psychological Problems ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Cross Sectional Survey ◽

Suicidal Thoughts ◽

Education Levels ◽

Patient Health

AbstractWe conducted a multicentre cross-sectional survey of COVID-19 patients to evaluate the acute psychological impact on the patients with coronavirus disease 2019 (COVID-19) during isolation treatment based on online questionnaires from 2 February to 5 March 2020. A total of 460 COVID-19 patients from 13 medical centers in Hubei province were investigated for their mental health status using online questionnaires (including Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Patient Health Questionnaire-15, and Insomnia Severity Index scales). Among all 460 COVID-19 patients, 187 (40.65%) of them were healthcare workers (HCWs). 297 (64.57%) of them were females. The most common psychological problems were somatization symptoms (66.09%, n = 304), followed by depression (53.48%, n = 246), anxiety (46.30%, n = 213), problems of insomnia (42.01%, n = 171), and then self-mutilating or suicidal thoughts (23.26%, n = 107). Of all the patients, 15.65% (n = 72) had severe somatization symptoms, and 2.83% (n = 13) had severe (almost every day) self-mutilating or suicidal thoughts. The most common psychological problems for HCWs were somatization symptoms (67.84%, n = 125), followed by depression (51.87%, n = 97), anxiety (44.92%, n = 84), problems of insomnia (36.18%, n = 55), and then self-mutilating or suicidal thoughts (20.86%, n = 39). Patients with lower education levels were found to be associated with higher incidence of self-mutilating or suicidal thoughts (odds ratio [OR], 2.68, 95% confidence interval [95% CI], 1.66–4.33 [P < 0.001]). Patients with abnormal body temperature were found to be associated with higher incidence of self-mutilating or suicidal thoughts (OR, 3.97, 95% CI, 2.07–7.63 [P < 0.001]), somatic symptoms (OR, 2.06, 95% CI, 1.20–3.55 [P = 0.009]) and insomnia (OR, 1.66, 95% CI, 1.04–2.65 [P = 0.033]). Those with suspected infected family members displayed a higher prevalence of anxiety than those without infected family members (OR, 1.61, 95% CI, 1.1–2.37 [P = 0.015]). Patients at the age of 18–44 years old had fewer somatic symptoms than those aged over 45 years old (OR, 1.91, 95% CI, 1.3–2.81 [P = 0.001]). In conclusion, COVID-19 patients tended to have a high prevalence of adverse psychological events. Early identification and intervention should be conducted to avoid extreme events such as self-mutilating or suicidal impulsivity for COVID-19 patients, especially for those with low education levels and females who have undergone divorce or bereavement.

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