scholarly journals Factor Structure and Validity of the Korean Version of the Patient Health Questionnaire-9 Among Early Childhood Teachers

2021 ◽  
Vol 14 (1) ◽  
pp. 69-75
Author(s):  
Boram Lee

Background: Depression is prevalent among teachers, particularly those in early childhood education. Thus, their depressive symptoms’ accurate assessment is important in both research and practice, and, for this purpose, the nine-item Patient Health Questionnaire (PHQ-9) has shown considerable promise in depression screening and diagnosis. Although the PHQ-9 has been widely employed in both clinical and nonclinical settings, its validity among early childhood teachers in Korea is questionable, and its dimensionality remains controversial. This study’s purposes were thus to provide data on the factorial structure and psychometric properties of the PHQ-9’s Korean version and to investigate associations between the PHQ-9 and a corresponding psychiatric instrument, the Beck Depression Inventory-II (BDI-II). Methods: For this study, 252 early childhood teachers completed both the PHQ-9’s Korean version and the BDI-II. Confirmatory factor analysis was used to compare goodness-of-fit for four distinct factor models suggested by extant literature. Convergent validity was assessed by examining correlations between the PHQ-9 and the BDI-II. Results: A two-factor model with three items labeled “somatic” and six labeled “affective” provided the best fit. The scale’s convergent validity was supported by significant correlations with theoretically related measures, and its internal consistency was adequate. Conclusion: Overall, the results suggest that the PHQ-9’s Korean version is best conceptualized as a multidimensional measure of depression and confirms the PHQ-9 as a reliable assessment of depression among Korean early childhood teachers.

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.


Psicologia ◽  
2019 ◽  
Vol 33 (2) ◽  
pp. 1-8
Author(s):  
Sara Monteiro ◽  
Ana Bártolo ◽  
Ana Torres ◽  
Anabela Pereira ◽  
Emília Albuquerque

The present study examines a new factor structure and the convergent validity of the Portuguese version of the Patient Health Questionnaire-9 (PHQ-9) with college students. This measure has been used to evaluate depressive symptoms in adults. The total sample included 958 college students. Data were collected from a Web-based survey carried out in schools forming the Polytechnic Institute of Coimbra. Students completed the PHQ-9 and Hospital Anxiety and Depression Scale (HADS) and Brief Symptom Inventory (BSI) subscales as convergent measures. Results pointed to good fit of a second-order factor model with three first-order factors (somatic, cognitive and affective dimensions of depression). Strong positive correlations were found between PHQ-9 scores and HADS depression and BSI depression subscales. Our findings reinforce the PHQ-9 as a valid tool in higher education settings. Future studies should re-examine the dimensional structure of the tool considering its implications for the clinical interpretation of the measure.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
María Urtasun ◽  
Federico Manuel Daray ◽  
Germán Leandro Teti ◽  
Fernando Coppolillo ◽  
Gabriela Herlax ◽  
...  

Abstract Background The Patient Health Questionnaire-9 (PHQ-9) is a brief tool to assess the presence and severity of depressive symptoms. This study aimed to validate and calibrate the PHQ-9 to determine appropriate cut-off points for different degrees of severity of depression in Argentina. Methods We conducted a cross-sectional study on an intentional sample of adult ambulatory care patients with different degrees of severity of depression. All patients who completed the PHQ-9 were further interviewed by a trained clinician with the Mini International Neuropsychiatric Interview (MINI) and the Beck Depression Inventory-II (BDI-II). Reliability and validity tests, including receiver operating curve analysis, were performed. Results One hundred sixty-nine patients were recruited with a mean age of 47.4 years (SD = 14.8), of whom 102 were females (60.4%). The local PHQ-9 had high internal consistency (Cronbach’s alpha = 0.87) and satisfactory convergent validity with the BDI-II scale [Pearson’s correlation = 0.88 (p < 0.01)]. For the diagnosis of Major Depressive Episode (MDE) according to the MINI, a PHQ-9 ≥ 8 was the optimal cut-off point found (sensitivity 88.2%, specificity 86.6%, PPV 90.91%). The local version of PHQ-9 showed good ability to discriminate among depression severity categories according to the BDI-II scale. The best cut off points were 6–8 for mild cases, 9–14 for moderate and 15 or more for severe depressive symptoms respectively. Conclusions The Argentine version of the PHQ-9 questionnaire has shown acceptable validity and reliability for both screening and severity assessment of depressive symptoms.


2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Saman Maroufizadeh ◽  
Reza Omani-Samani ◽  
Amir Almasi-Hashiani ◽  
Payam Amini ◽  
Mahdi Sepidarkish

Abstract Background Depression in patients with infertility often goes undiagnosed and untreated. The Patient Health Questionnaire-9 (PHQ-9) and its ultra-brief version (i.e. PHQ-2) are widely used measures of depressive symptoms. These scales have not been validated in patients with infertility. The aim of the present study was to examine the reliability and validity of the PHQ-9 and PHQ-2 in patients with infertility. Methods In this cross-sectional study, a total of 539 patients with infertility from a referral infertility clinic in Tehran, Iran completed the PHQ-9, along with other relevant scales: the WHO-five Well-being Index (WHO-5), the Hospital Anxiety and Depression Scale (HADS), and the Generalized Anxiety Disorder-7 (GAD-7). Factor structure and internal consistency of PHQ-9 were examined via confirmatory factor analysis (CFA) and Cronbach’s alpha, respectively. Convergent validity was evaluated by relationship with WHO-5, HADS and GAD-7. Results The mean total PHQ-9 and PHQ-2 scores were 8.47 ± 6.17 and 2.42 ± 1.86, respectively, and using a cut-off value of 10 (for PHQ-9) and 3 (for PHQ-2), the prevalence of depressive symptoms was 38.6 and 43.6%, respectively. The Cronbach’s alphas for PHQ-9 and PHQ-2 were, respectively, 0.851 and 0.767, indicating good internal consistency. The CFA results confirmed the one-factor model of the PHQ-9 (χ2/df = 4.29; CFI = 0.98; RMSEA = 0.078 and SRMR = 0.044). Both PHQ-9 and PHQ-2 showed moderate to strong correlation with the measures of WHO-5, HADS-depression, HADS-anxiety, and the GAD-7, confirming convergent validity. In univariate analysis, female sex, long infertility duration, and unsuccessful treatment were significantly associated with depression symptoms. Conclusion Both PHQ-9 and PHQ-2 are brief and easy to use measures of depressive symptoms with good psychometric properties that appear suitable for routine use in patients with infertility.


2013 ◽  
Vol 52 (3) ◽  
pp. 115 ◽  
Author(s):  
Jae-Hyun Shin ◽  
Hee-Cheol Kim ◽  
Chul-Ho Jung ◽  
Jung-Bum Kim ◽  
Sung-Won Jung ◽  
...  

2008 ◽  
Vol 49 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Changsu Han ◽  
Sangmee Ahn Jo ◽  
Ji-Hyun Kwak ◽  
Chi-Un Pae ◽  
David Steffens ◽  
...  

Author(s):  
Changsu Han ◽  
Sangmee Ahn Jo ◽  
Ji-Hyun Kwak ◽  
Chi-Un Pae ◽  
David Steffens ◽  
...  

2020 ◽  
Vol 40 (12) ◽  
pp. 1373-1380 ◽  
Author(s):  
Emily A Spataro ◽  
Cherian K Kandathil ◽  
Mikhail Saltychev ◽  
Cristen E Olds ◽  
Sam P Most

Abstract Background Identifying mental health disorders, including body dysmorphic disorder (BDD), is important prior to rhinoplasty surgery; however, these disorders are underdiagnosed, and screening tools are underutilized in clinical settings. Objectives The authors sought to evaluate the correlation of a rhinoplasty outcomes tool (Standardized Cosmesis and Health Nasal Outcomes Survey [SCHNOS]) with psychiatric screening tools. Methods Patients presenting for rhinoplasty consultation were prospectively enrolled and administered mental health instruments to assess depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), and BDD (BDD Questionnaire-Aesthetic Surgery [BDDQ-AS]) as well as the SCHNOS rhinoplasty outcomes scale. Convergent validity of SCHNOS scores with these mental health instruments was assessed as well as calculation of an optimal SCHNOS-C score to screen for BDD. Results A total 76 patients were enrolled in the study. The average SCHNOS-O score (standard deviation) was 46.1 (34.0) and the average SCHNOS-C score was 61.1 (27.0). Five (7%) patients screened positive for depression, and 24 (32%) patients screened positive for mild, 5 (7%) for moderate, and 4 (5%) for severe anxiety. Twenty-four (32%) patients screened positive for BDD by BDDQ-AS scores. SCHNOS-O and SCHNOS-C did not correlate with Patient Health Questionnaire-9 or Generalized Anxiety Disorder-7 scores; SCHNOS-C did correlate with BDDQ-AS. A score of 73 or greater on SCHNOS-C maximized the sensitivity and specificity of also screening positive for BDD with BDDQ-AS. This score correlated with a sensitivity of 62.5%, specificity of 80.8%, and number needed to diagnose of 2.3, meaning for every 2 patients with a score of ≥73 on SCHNOS-C, 1 will have a positive BDDQ-AS score. Conclusions SCHNOS-C correlates with BDDQ-AS and may help screen rhinoplasty patients at higher risk for BDD. Level of Evidence: 2


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