scholarly journals The general health questionnaire as a measure of emotional wellbeing in pregnant women

2019 ◽  
Vol 14 (6) ◽  
pp. 447-456
Author(s):  
Yvonne Kuipers ◽  
Julie Jomeen ◽  
Tinne Dilles ◽  
Bart Van Rompaey

Purpose The purpose of this paper is to measure reliability, validity and accuracy of the 12-item General Health Questionnaire (GHQ-12) as a measure of emotional wellbeing in pregnant women; utility and threshold in particular. Design/methodology/approach The authors measured self-reported emotional wellbeing responses of 164 low-risk pregnant Dutch women with the GHQ-12 and a dichotomous case-finding item (Gold standard). The authors established internal consistency of the 12 GHQ-items (Cronbach’s coefficient α); construct validity: factor analysis using Oblimin rotation; convergent validity (Pearson’s correlation) and discriminatory ability (area under the receiver operating characteristics curve and index of union); and external validity of the dichotomous criterion standard against the GHQ-12 responses (sensitivity, specificity, likelihood ratios and predictive values), applying a cut-off value of ⩾ 12 and ⩾ 17, respectively. Findings A coefficient of 0.85 showed construct reliability. The GHQ-12 items in the pattern matrix showed a three-dimensional factorial model: factor 1, anxiety and depression; factor 2, coping; and factor 3, significance/effect on life, with a total variance of 59 per cent. The GHQ-12 showed good accuracy (0.84; p=<0.001) and external validity (r=0.57; p=<0.001) when the cut-off value was set at the ⩾ 17 value. Using a cut-off value of ⩾ 17 demonstrated higher sensitivity (72.32 vs 41.07 per cent) but lower specificity (32.69 vs 55.77 per cent) compared to the commonly used cut-off value of ⩾ 12. Research limitations/implications Findings generally support the reliability, validity and accuracy of the Dutch version of the GHQ-12. Further evaluation of the measure, at more than one timepoint during pregnancy, is recommended. Practical implications The GHQ-12 holds the potential to measure antenatal emotional wellbeing and women’s emotional responses and coping mechanisms with reduced antenatal emotional wellbeing. Social implications Adapting the GHQ-12 cut-off value enables effective identification of reduced emotional wellbeing to provide adequate care and allows potential reduction of anxiety among healthy pregnant women who are incorrectly screened as positive. Originality/value A novel aspect is adapting the threshold of the GHQ-12 to ⩾ 17 in antenatal care.

2015 ◽  
Vol 29 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Salvatore Fadda ◽  
Gabriele Giorgi ◽  
Juan Luis Benitez Muñoz ◽  
Fernando Justicia Justicia ◽  
Giuliana Solinas

Purpose – The purpose of this paper is to investigate the prevalence of workplace bullying in an Italian university. Design/methodology/approach – More than 200 workers have completed the Italian version of the Negative Acts Questionnaire and the General Health Questionnaire. Findings – The results show a spread of low to medium negative actions in the specific setting. In addition, the effects of negative actions on health are less serious than believed by most of the studies on workplace bullying. Originality/value – In particular, a quadratic regression model appears to be more appropriate than a linear model.


1994 ◽  
Vol 24 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Toshinori Kitamura ◽  
Mari A. Toda ◽  
Satoru Shima ◽  
Masumi Sugawara

Objective: The authors examined the variability of the validity of the General Health Questionnaire (GHQ) on two different occasions. Method: The subjects were 120 pregnant women attending an antenatal clinic of a general hospital in Japan. The GHQ was distributed twice—in the first and third trimesters. They were then interviewed by a psychiatrist blind to the GHQ scores using the standard and the “change” version of the Schedule for Affective Disorders and Schizophrenia (SADS). Results: Of the 120 women, 108 and ninety-eight completed the GHQ and were successfully interviewed in the first and third trimesters, respectively. Seventeen percent (18/108) and 13 percent (13/98) women were given RDC diagnoses in the first and third trimesters, respectively: They were designated as cases. Despite a satisfactory discriminatory power of the GHQ on the first occasion [1], the validity measures of the GHQ on the second occasion were generally poor. Thus, the sensitivity was 39 percent and specificity 82 percent for the cut-off point of 7/8. Conclusions: The GHQ should be validated separately when distributed repeatedly to the same subjects.


2006 ◽  
Vol 21 (7) ◽  
pp. 478-486 ◽  
Author(s):  
J.D. Molina ◽  
C. Andrade-Rosa ◽  
S. González-Parra ◽  
H. Blasco-Fontecilla ◽  
M.A. Real ◽  
...  

AbstractBackgroundThe 28-item version of the General Health Questionnaire (GHQ-28) developed by Goldberg and Hillier in 1979 is constructed on the basis of a principal components analysis of the GHQ-60. When used on a Spanish population, a translation of the GHQ-28 developed for an English population may lead to worse predictive values.MethodsWe used our Spanish sample to replicate the entire process of construction of the GHQ-28 administered in a primary-care setting.ResultsTwo shorter versions were proposed: one with six scales and 30 items, and the other with four scales and 28 items.ConclusionsThe resulting GHQ-28 was a successful adaptation for use on the Spanish sample. When compared with the original version, only 21 items were the same. Moreover, contrary to the English version, which groups sleep problems and anxiety in the same scale, a scale with items related exclusively to ‘Sleep disturbances’ was found.


Author(s):  
Ahmad ALIPOUR ◽  
Abolfazl GHADAMI ◽  
Aida FARSHAM ◽  
Negin DORRI

Background: Given the epidemic of Corona disease and its associated anxiety, it is necessary to develop a tool to measure anxiety. This study was conducted to instruct Corona Disease Anxiety Scale (CDAS) to measure the level of anxiety, during the prevalence of the COVID-19 in Iran. Methods: The present study was considered as applied research in terms of purpose and descriptivecorrelational research in terms of methodological. 318 individuals (aged from 18 to 60 years old) completed the Corona Disease Anxiety Scale (CDAS) and the General Health Questionnaire (GHQ) online. Results: Corona Disease Anxiety Scale had a good internal consistency (α=0.91) and good convergent validity, correlating with the GHQ-28 (r=0.49, P>0.01). Exploratory analysis revealed psychological and physical factors. These 2 factor account for 51% of the total variance and 9 items were loaded on every factor. Conclusion: This scale is reliable and valid scale for measuring Corona anxiety in non-clinical Iranian population.    


1995 ◽  
Vol 76 (1) ◽  
pp. 137-138 ◽  
Author(s):  
Julie Walsh ◽  
Stephen Joseph ◽  
Christopher Alan Lewis

The aim of this study was to investigate the internal reliability and convergent validity of the 1993 McGreal and Joseph Depression-Happiness Scale. Internal reliability was satisfactory and higher scores on the scale were associated with lower scores of 60 working adults on the General Health Questionnaire of Goldberg and Williams.


2021 ◽  
Vol 30 (3) ◽  
pp. 573-590
Author(s):  
Rodrigo Moreta-Herrera ◽  
Daniela Bonilla ◽  
Erika Ruperti-Lucero ◽  
Daniel Gavilanes-Gómez ◽  
Joselyn Zambrano-Estrella ◽  
...  

Objective: To analyse the internal structure of the 28-item version of the General Health Questionnaire (GHQ-28), as well as its reliability and validity in relation to other variables in a sample of Ecuadorian university students. Method: Instrumental design with confirmatory factor analysis using weighted least square mean and variance adjusted (WLSMV) estimator, reliability and convergence and discrimination validity of the GHQ-28. Sample: 495 students (56.6% women), between 18 to 35 years old (M = 24.1 years; SD = 2.1), from three universities (59.6% public) in Ecuador. Results: The bifactor model of the GHQ-28 test has an adequate fit with χ2 = 357.81; p &gt; .05; df = 322; χ2/df = 1.11; CFI = .991; TLI = .989; SRMR = .059; RMSEA = .015 [.000 – .023]; ωH = .93; ECV = .90; PUC = .78. The GHQ-28 is reliable and in terms of convergent validity, it correlates significantly and negatively with mental health, assessed by MHC-SF, and it is discriminant between risk and non-risk cases. Conclusion: The GHQ-28 bifactor model is replicable in Ecuadorian college students.


2014 ◽  
Vol 23 (6) ◽  
pp. 953-957 ◽  
Author(s):  
Dorota Jakubiec ◽  
Katarzyna Jagielska ◽  
Mikołaj Karmowski ◽  
Katarzyna Kubicka ◽  
Andrzej Karmowski ◽  
...  

2021 ◽  
Vol 11 (5) ◽  
pp. 243
Author(s):  
Boram Lee ◽  
Yang-Eun Kim

The 12-item General Health Questionnaire (GHQ-12) is designed to detect a diagnosable psychiatric disorder and has demonstrated positive psychometric properties in adult populations. Despite these findings, the psychometric properties of the GHQ-12 have hardly been examined with regard to early childhood teachers. This study purposed to examine the factor structure of the GHQ-12 and to assess its psychometric properties vis-à-vis a sample of Korean early childhood teachers. An aggregate of 252 participants completed the Korean version of the GHQ-12 in tandem with other psychiatric measures, including the Patient Health Questionnaire-9 (PHQ-9) and the Beck Depression Inventory (BDI). The resulting data were subjected to confirmatory factor analyses to compare the goodness-of-fit of the previously proposed models of the GHQ-12. The three-factor model comprising anhedonia/sleep disturbance, social performance and loss of confidence was found by the goodness-of-fit indices to excellently fit our study sample. The average variance extracted and all factor loadings exceeded the recommended threshold of 0.50; hence, convergent validity was established. The criterion posited by Fornell and Larcker verified the discriminant validity. The instrument evidenced superior reliability evinced by its adequate internal consistency and composite reliability. This evidence allows the assertion that the GHQ-12 may be deployed as a screening tool for the evaluation of general symptoms of psychiatric disorders in Korean early childhood teachers.


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