General Health Questionnaire-12 validity in Colombia and factorial equivalence between clinical and nonclinical participants

General Health Questionnaire-12 validity in Colombia and factorial equivalence between clinical and nonclinical participants
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DOI:
10.1016/j.psychres.2017.06.020
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发表时间:
2017-10-01
影响因子:
11.3
通讯作者:
Suarez-Falcon, Juan C.
Suarez-Falcon, Juan C.
中科院分区:
医学2区
文献类型:
--
作者:
Ruiz, Francisco J.;Garcia-Beltran, Diana M.;Suarez-Falcon, Juan C.

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一般健康问卷-12(GHQ-12)是一种广泛使用的成人情绪障碍筛查自我报告。然而,几乎没有证据表明GHQ-12在哥伦比亚的有效性及其在非临床和临床样本之间的因子不变性。因此,目前的研究旨在探索GHQ-12在哥伦比亚非临床和临床样本中的有效性。GHQ-12被管理到总共1641参与者,包括本科生的样本,一般人群之一,和临床样本。所有样本的GHQ-12内部一致性良好(总体α为0.90)。单因素模型显示出良好的拟合数据,并被认为在理论上更连贯的双因素模型与正负项目加载在单独的因素。在非临床和临床样本中观察到度量和标量不变性。GHQ-12评分与情绪症状和经验回避呈显著正相关,与生活满意度呈显著负相关。根据受试者工作特征(ROC)曲线,阈值得分为11/12是最佳的识别情绪障碍。总之,GHQ-12是哥伦比亚有效的筛查自我报告,提供了可在临床和非临床参与者之间进行比较的评分。
The General Health Questionnaire - 12 (GHQ-12) is a widely used screening self-report for emotional disorders among adults. However, there is little evidence concerning the validity of the GHQ-12 in Colombia and its factorial invariance between nonclinical and clinical samples. Accordingly, the current study aims to explore the GHQ-12 validity in Colombian nonclinical and clinical samples. The GHQ-12 was administered to a total of 1641 participants, including a sample of undergraduates, one of general population, and a clinical sample. The internal consistency of the GHQ-12 across samples was good (overall alpha of .90). The one-factor model showed a good fit to the data and was considered theoretically more coherent than the two-factor model with positive and negative items loading in separate factors. Metric and scalar invariance were observed across nonclinical and clinical samples. The GHQ-12 scores were strongly and positively related to emotional symptoms and experiential avoidance, and negatively related to life satisfaction. According to the receiver operating characteristic (ROC) curves, a threshold score of 11/12 was optimal to identify emotional disorders. In conclusion, the GHQ-12 is a valid screening self-report in Colombia that provides scores that can be compared across clinical and non clinical participants.