在全国代表性的基于人口的样本中测量患者健康问卷-9抑郁度的测量不变性
Eun-Hyun Lee1, Eun Hee Kang1, Hyun-Jung Kang1
1Graduate School of Public Health, Ajou University, Suwon, Republic of Korea.
Frontiers in psychology
|September 18, 2023
概括
患者健康问卷-9 (PHQ-9) 在不同年龄,性别,教育和医疗群体中证明了可靠的测量不变性. 这证实了它在研究和临床实践中用于比较抑郁症状严重程度的有效性.
科学领域:
- 心理评估 心理评估
- 心理测量 心理测量 心理测量
- 公共卫生 公共卫生
背景情况:
- 患者健康问卷-9 (PHQ-9) 是评估抑郁症状的关键工具.
- 关于PHQ-9在不同人群中的测量不变性的研究有限.
- 确保不变性对于工具在不同群体中可靠应用至关重要.
研究的目的:
- 评估PHQ-9在社会人口统计和医疗状况组的测量不变性.
- 评估PHQ-9的结构有效性和内部一致性,作为不变性测试的先决条件.
主要方法:
- 利用了5,347名韩国成年人 (19岁以上) 的数据.
- 使用探索图分析 (EGA) 和确认因素分析 (CFA) 进行结构有效性.
- 使用omega系数评估内部的一致性.
- 通过多组确认因子分析 (MGCFA) 评估测量不变性 (配置,度量,标量).
主要成果:
- PHQ-9的单因素结构显示了令人满意的有效性 (CFI=0.944,SRMR=0.040,RMSEA=0.076) 和内部一致性 (ω=0.812).
- 测量不变性在各年龄组中得到支持.
- 对于性别和婚姻状况发现了部分标量不变.
- 部分度量和标量不变性被支持用于教育.
- 在所有测试的疾病 (高血压,糖尿病,癌症,关节炎,喘,心脏病) 中证实了标尺不变.
结论:
- PHQ-9在各种社会人口和医疗群体中表现出强大的测量不变性.
- 这些发现支持可靠使用PHQ-9来比较不同人群中抑郁症状严重程度.
- 这提高了PHQ-9在研究和临床环境中的实用性.
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