Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample: Results from the PSY-COVID study

Juan P. Sanabria-Mazo; Andrés Gómez-Acosta; John Alexander Castro-Muñoz; Yonatan Ferney Rojas; Albert Feliu-Soler; Juan V. Luciano; Antoni Sanz

doi:10.1007/s12144-023-05180-1

Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample: Results from the PSY-COVID study

Juan P. Sanabria-Mazo^*, Andrés Gómez-Acosta, John Alexander Castro-Muñoz, Yonatan Ferney Rojas, Albert Feliu-Soler, Juan V. Luciano, Antoni Sanz

^*Autor corresponent d’aquest treball

Producció científica: Contribució a revista › Article › Recerca › Avaluat per experts

8 Cites (Scopus)

1 Descàrregues (Pure)

Resum

El Qüestionari de Salut del Pacient-4 (QSP-4) és un instrument d'avaluació ultrabreu per mesurar símptomes depressius i d'ansietat. Aquest estudi va avaluar la dimensionalitat i fiabilitat de la versió en línia del QSP-4 en una mostra àmplia de població general a Colòmbia. Es van recollir dades durant la primera fase de les mesures de confinament arran de la pandèmia COVID-19. Un total de 18,061 participants adults va completar la versió en línia del QSP-4. Es van explorar les característiques dels ítems i subescales. La dimensionalitat es va examinar usant anàlisi factorial confirmatòria (CFA), incloent un examen d'invariància (configural, mètrica, i escalar) a través de característiques sociodemogràfiques. Es van calcular els índexs de fiabilitat i la validesa dels grups coneguts s'abordà estimant les associacions entre puntuacions del QSP-4 i característiques sociodemogràfiques. El CFA va mostrar uns valors d'ajust significativament adequats per a l'estructura esperada bifactorial, sent invariant en termes de gènere, edat, nivell d'ingressos, educació i regió. La consistència interna era satisfactòria pel QSP-2 (α = 0.83), el GAD-2 (α = 0.79) i el QSP-4 (α = 0.86). Es van observar puntuacions més elevades en símptomes depressius (QSP-2), d'ansietat (GAD-2) i psicològics (QSP-4) entre dones, joves i persones amb baixos ingressos, atur o nivell educatiu inferior. Les troballes indiquen que el QSP-4 és una escala fiable per a símptomes depressius i d'ansietat en adults colombians, recomanable com a eina per a enquestes online.

Idioma original	Anglès
Nombre de pàgines	11
Revista	Current Psychology
Data online anticipada	de set. 2023
DOIs	https://doi.org/10.1007/s12144-023-05180-1
Estat de la publicació	Publicada - 28 de set. 2023

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10.1007/s12144-023-05180-1Llicència: Creative Commons Reconeixement

https://ddd.uab.cat/record/284704

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Projecte: Projectes i Ajuts a la Recerca

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@article{aaacad2dca2a43bc94efbf0a5d868578,

title = "Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample: Results from the PSY-COVID study",

abstract = "The Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief screening instrument to measure depressive and anxiety symptoms. This study evaluated the dimensionality and reliability of the online version of the PHQ-4 in a large sample of the general population in Colombia. Data were collected during the first phase of lockdown measures occasioned by the COVID-19 pandemic. A total of 18,061 adult participants completed the online version of the PHQ-4. The characteristics of the items and subscales were explored. Dimensionality was examined using confirmatory factor analysis (CFA), including an examination of invariance (configural, metric, and scalar) across socio-demographic characteristics. Reliability indices were computed and known-groups validity was addressed by estimating associations between PHQ-4 scores and socio-demographic characteristics. The CFA showed significantly adequate fit indices for the expected two-factor structure, being invariant across gender, age, income level, education level, and region. Internal consistency was satisfactory for the PHQ-2 (α =.83), the GAD-2 (α =.79), and the PHQ-4 (α =.86). Higher scores on depressive (PHQ-2), anxiety (GAD-2), and psychological distress (PHQ-4) symptoms in females and young people, and those respondents with lower income, unemployed, and lower level of education were observed. The findings indicate that the PHQ-4 is a reliable scale for depressive and anxiety symptoms among adult Colombian people, being recommendable this tool for online surveys.",

keywords = "Anxiety, COVID-19 pandemic, Depression, Patient Health Questionnaire-4, Psychometric properties",

author = "Sanabria-Mazo, \{Juan P.\} and Andr{\'e}s G{\'o}mez-Acosta and Castro-Mu{\~n}oz, \{John Alexander\} and Rojas, \{Yonatan Ferney\} and Albert Feliu-Soler and Luciano, \{Juan V.\} and Antoni Sanz",

note = "Funding Information: JPS-M has a PFIS predoctoral contract from the Institute of Health Carlos III (ISCIII; FI20/00034). AF-S acknowledges the funding from the Serra H{\'u}nter program (Generalitat de Catalunya; reference number UAB-LE-8015). The authors are grateful to the CIBER of Epidemiology and Public Health (CIBERESP CB22/02/00052; ISCIII) for its support. Funding Information: Open Access Funding provided by Autonomous University of Barcelona. This research was funded by the Agency for Management of University and Research Grants (AGAUR; 2020PANDE00025). Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = sep,

day = "28",

doi = "10.1007/s12144-023-05180-1",

language = "English",

journal = "Current Psychology",

issn = "1046-1310",

publisher = "Springer",

}

Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample: Results from the PSY-COVID study. / Sanabria-Mazo, Juan P.; Gómez-Acosta, Andrés; Castro-Muñoz, John Alexander et al.
In: Current Psychology, 28.09.2023.

Producció científica: Contribució a revista › Article › Recerca › Avaluat per experts

TY - JOUR

T1 - Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample

T2 - Results from the PSY-COVID study

AU - Sanabria-Mazo, Juan P.

AU - Gómez-Acosta, Andrés

AU - Castro-Muñoz, John Alexander

AU - Rojas, Yonatan Ferney

AU - Feliu-Soler, Albert

AU - Luciano, Juan V.

AU - Sanz, Antoni

N1 - Funding Information: JPS-M has a PFIS predoctoral contract from the Institute of Health Carlos III (ISCIII; FI20/00034). AF-S acknowledges the funding from the Serra Húnter program (Generalitat de Catalunya; reference number UAB-LE-8015). The authors are grateful to the CIBER of Epidemiology and Public Health (CIBERESP CB22/02/00052; ISCIII) for its support. Funding Information: Open Access Funding provided by Autonomous University of Barcelona. This research was funded by the Agency for Management of University and Research Grants (AGAUR; 2020PANDE00025). Publisher Copyright: © 2023, The Author(s).

PY - 2023/9/28

Y1 - 2023/9/28

N2 - The Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief screening instrument to measure depressive and anxiety symptoms. This study evaluated the dimensionality and reliability of the online version of the PHQ-4 in a large sample of the general population in Colombia. Data were collected during the first phase of lockdown measures occasioned by the COVID-19 pandemic. A total of 18,061 adult participants completed the online version of the PHQ-4. The characteristics of the items and subscales were explored. Dimensionality was examined using confirmatory factor analysis (CFA), including an examination of invariance (configural, metric, and scalar) across socio-demographic characteristics. Reliability indices were computed and known-groups validity was addressed by estimating associations between PHQ-4 scores and socio-demographic characteristics. The CFA showed significantly adequate fit indices for the expected two-factor structure, being invariant across gender, age, income level, education level, and region. Internal consistency was satisfactory for the PHQ-2 (α =.83), the GAD-2 (α =.79), and the PHQ-4 (α =.86). Higher scores on depressive (PHQ-2), anxiety (GAD-2), and psychological distress (PHQ-4) symptoms in females and young people, and those respondents with lower income, unemployed, and lower level of education were observed. The findings indicate that the PHQ-4 is a reliable scale for depressive and anxiety symptoms among adult Colombian people, being recommendable this tool for online surveys.

AB - The Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief screening instrument to measure depressive and anxiety symptoms. This study evaluated the dimensionality and reliability of the online version of the PHQ-4 in a large sample of the general population in Colombia. Data were collected during the first phase of lockdown measures occasioned by the COVID-19 pandemic. A total of 18,061 adult participants completed the online version of the PHQ-4. The characteristics of the items and subscales were explored. Dimensionality was examined using confirmatory factor analysis (CFA), including an examination of invariance (configural, metric, and scalar) across socio-demographic characteristics. Reliability indices were computed and known-groups validity was addressed by estimating associations between PHQ-4 scores and socio-demographic characteristics. The CFA showed significantly adequate fit indices for the expected two-factor structure, being invariant across gender, age, income level, education level, and region. Internal consistency was satisfactory for the PHQ-2 (α =.83), the GAD-2 (α =.79), and the PHQ-4 (α =.86). Higher scores on depressive (PHQ-2), anxiety (GAD-2), and psychological distress (PHQ-4) symptoms in females and young people, and those respondents with lower income, unemployed, and lower level of education were observed. The findings indicate that the PHQ-4 is a reliable scale for depressive and anxiety symptoms among adult Colombian people, being recommendable this tool for online surveys.

KW - Anxiety

KW - COVID-19 pandemic

KW - Depression

KW - Patient Health Questionnaire-4

KW - Psychometric properties

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U2 - 10.1007/s12144-023-05180-1

DO - 10.1007/s12144-023-05180-1

M3 - Article

AN - SCOPUS:85173014106

SN - 1046-1310

JO - Current Psychology

JF - Current Psychology

ER -

Dimensionality and reliability of the online version of the Patient Health Questionnaire-4 (PHQ-4) in a large Colombian sample: Results from the PSY-COVID study

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