患者健康问卷-9的内部结构:系统性审查和元分析
Duckhee Chae1, Jiyeon Lee2, Eun-Hyun Lee3
1College of Nursing, Chonnam National University, Republic of Korea.
Asian nursing research
|December 26, 2024
概括
一因素患者健康问卷-9 (PHQ-9) 和PHQ-8显示出强大的内部结构,支持它们用于抑郁症评估. 证据证实了它们在不同的人口群体的可靠性和有效性.
科学领域:
- 心理测量 心理测量 心理测量
- 心理健康评估 心理健康评估
- 临床心理学 临床心理学
背景情况:
- 患者健康问卷-9 (PHQ-9) 是一种广泛使用的自我管理工具,用于抑郁症查.
- 评估健康仪器的心理测量特性对于可靠的评估至关重要.
研究的目的:
- 系统地审查和评估PHQ-9的内部结构.
- 评估PHQ-9的结构有效性,内部一致性和测量不变性.
主要方法:
- 使用更新的基于共识的健康测量仪器选择标准 (COSMIN) 方法的系统审查.
- 在2023年2月28日之前搜索了主要的数据库 (PubMed,Embase,CINAHL,PsycINFO,Cochrane图书馆).
- 包括来自40个国家的90份报告中的98项心理测量研究.
主要成果:
- 审查的研究确定了各种PHQ-9因子结构,而单因子模型显示了强有力的证据.
- 足够的高质量的证据支持一个因素结构的有效性,内部一致性 (克朗巴赫的α = .85),以及跨人口群体的测量不变性.
- PHQ-8 (不包括第9项) 还显示出良好的结构有效性,内部一致性 (α = .76-.92),以及跨性别测量不变性.
结论:
- 一个因素的PHQ-9和PHQ-8,使用四点的利克特等级,根据目前的证据显示出最佳的内部结构.
- 单因子PHQ-9和PHQ-8的总积分在实践和研究中使用是合理的.
- 由于已建立的测量不变性,PHQ-9的总得分适合在不同人口群体中比较抑郁症水平.
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