Psychometric Evaluation of the Patient Health Questionnaire–4 in Hispanic Americans
The present study evaluated the psychometric properties of the Patient Health Questionnaire–4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults (N = 436) completed the PHQ-4, which yields two subscales (Anxiety and Depression...
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| Published in | Hispanic journal of behavioral sciences Vol. 37; no. 4; pp. 560 - 571 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Los Angeles, CA
SAGE Publications
01.11.2015
SAGE PUBLICATIONS, INC |
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| Abstract | The present study evaluated the psychometric properties of the Patient Health Questionnaire–4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults (N = 436) completed the PHQ-4, which yields two subscales (Anxiety and Depression) that can be summed to create a total score. Multiple-group confirmatory factor analysis was used to evaluate structural validity. The two-factor structure was the best fit to the data for both English- and Spanish-speaking Hispanic Americans, and items loaded equivalently across groups, demonstrating measurement invariance. Internal consistency reliability was good as measured by coefficient alpha. Construct validity was evidenced by significant expected relationships with perceived stress. These findings provide support for the reliability and validity of the PHQ-4 as a brief measure of psychological distress for English- or Spanish-speaking Hispanic Americans. |
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| AbstractList | The present study evaluated the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults (
N
= 436) completed the PHQ-4, which yields two subscales (anxiety and depression) that can be summed to create a total score. Multiple-group confirmatory factor analysis was used to evaluate structural validity. The two-factor structure was the best fit to the data for both English- and Spanish-speaking Hispanic Americans and items loaded equivalently across groups, demonstrating measurement invariance. Internal consistency reliability was good as measured by coefficient alpha. Construct validity was evidenced by significant expected relationships with perceived stress. These findings provide support for the reliability and validity of the PHQ-4 as a brief measure of psychological distress for English- or Spanish-speaking Hispanic Americans. The present study evaluated the psychometric properties of the Patient Health Questionnaire–4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults ( N = 436) completed the PHQ-4, which yields two subscales (Anxiety and Depression) that can be summed to create a total score. Multiple-group confirmatory factor analysis was used to evaluate structural validity. The two-factor structure was the best fit to the data for both English- and Spanish-speaking Hispanic Americans, and items loaded equivalently across groups, demonstrating measurement invariance. Internal consistency reliability was good as measured by coefficient alpha. Construct validity was evidenced by significant expected relationships with perceived stress. These findings provide support for the reliability and validity of the PHQ-4 as a brief measure of psychological distress for English- or Spanish-speaking Hispanic Americans. The present study evaluated the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults ( = 436) completed the PHQ-4, which yields two subscales (anxiety and depression) that can be summed to create a total score. Multiple-group confirmatory factor analysis was used to evaluate structural validity. The two-factor structure was the best fit to the data for both English- and Spanish-speaking Hispanic Americans and items loaded equivalently across groups, demonstrating measurement invariance. Internal consistency reliability was good as measured by coefficient alpha. Construct validity was evidenced by significant expected relationships with perceived stress. These findings provide support for the reliability and validity of the PHQ-4 as a brief measure of psychological distress for English- or Spanish-speaking Hispanic Americans. |
| Author | Pan, Tonya M. Malcarne, Vanessa L. Roesch, Scott C. Fox, Rina S. Mills, Sarah D. Sadler, Georgia Robins |
| AuthorAffiliation | b San Diego State University a SDSU/UCSD Joint Doctoral Program in Clinical Psychology c UCSD Moores Cancer Center |
| AuthorAffiliation_xml | – name: c UCSD Moores Cancer Center – name: a SDSU/UCSD Joint Doctoral Program in Clinical Psychology – name: b San Diego State University |
| Author_xml | – sequence: 1 givenname: Sarah D. surname: Mills fullname: Mills, Sarah D. – sequence: 2 givenname: Rina S. surname: Fox fullname: Fox, Rina S. – sequence: 3 givenname: Tonya M. surname: Pan fullname: Pan, Tonya M. – sequence: 4 givenname: Vanessa L. surname: Malcarne fullname: Malcarne, Vanessa L. email: vmalcarne@mail.sdsu.edu – sequence: 5 givenname: Scott C. surname: Roesch fullname: Roesch, Scott C. – sequence: 6 givenname: Georgia Robins surname: Sadler fullname: Sadler, Georgia Robins |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29097834$$D View this record in MEDLINE/PubMed |
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| References | Floyd, Widaman 1995; 7 Satorra, Bentler 2001; 66 Cohen, Kamarck, Mermelstein 1983; 24 Henrich, Herschbach 2000; 16 Schumacher, Leppert, Gunzelmann, Stauß, Brahler 2005; 53 Gerbing, Anderson 1992; 21 Kerper, Spies, Tillinger, Wegscheider, Salz, Weiss-Garlach, Krampe 2014; 4 Wells, Stewart, Hays, Burnam, Rogers, Daniels, Ware 1987; 262 Lowe, Wahl, Rose, Spitzer, Glaesmer, Wingeneld, Brahler 2010; 122 Hu, Bentler 1999; 6 Steiger 1990; 25 Kroenke, Spitzer, Williams, Monahan, Lowe 2007; 164 García-Campayo, Zamorano, Ruiz, Pardo, Pérez-Páramo, López-Gómez, Rejas 2010; 8 Kroenke, Spitzer, Williams, Lowe 2009; 50 Vandenberg, Lance 2000; 3 Bentler 1990; 107 Kroenke, Spitzer, Williams 2003; 41 bibr9-0739986315608126 bibr21-0739986315608126 bibr4-0739986315608126 Derogatis L. R. (bibr3-0739986315608126) 1993 bibr2-0739986315608126 bibr23-0739986315608126 Kroenke K. (bibr12-0739986315608126) 2009; 50 bibr17-0739986315608126 bibr11-0739986315608126 bibr6-0739986315608126 Kerper L. (bibr10-0739986315608126) 2014; 4 bibr13-0739986315608126 bibr8-0739986315608126 Muthén L. K. (bibr15-0739986315608126) 1998 bibr14-0739986315608126 bibr5-0739986315608126 Schumacher J. (bibr19-0739986315608126) 2005; 53 bibr20-0739986315608126 bibr1-0739986315608126 bibr22-0739986315608126 bibr7-0739986315608126 bibr18-0739986315608126 bibr16-0739986315608126 |
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| Title | Psychometric Evaluation of the Patient Health Questionnaire–4 in Hispanic Americans |
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