A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas.

Abstract

Depression is a significant problem for ethnic minorities that remains understudied partly due to a lack of strong measures with established psychometric properties. One screening tool, the Patient Health Questionnaire-9 (PHQ-9), which was developed for use in primary care has also gained popularity in research settings. The reliability and validity of the PHQ-9 has been well established among predominantly Caucasian samples, in addition to many minority groups. However, there is little evidence regarding its utility among Hispanic Americans, a large and growing cultural group in the United States. In this study, we investigated the reliability and structural validity of the PHQ-9 in Hispanic American women. A community sample of 479 Latina women from southern California completed the PHQ-9 in their preferred language of English or Spanish. Cronbach’s alphas suggested that there was good internal consistency for both the English- and Spanish-language versions. Structural validity was investigated using multigroup confirmatory factor analysis (CFA). Results support a similar one-factor structure with equivalent response patterns and variances among English- and Spanish-speaking Latinas. These results suggest that the PHQ-9 can be used with confidence in both English and Spanish versions to screen Latinas for depression.

Psychological Distress Mediates the Association between Food Insecurity and Suboptimal Sleep Quality in Latinos with Type 2 Diabetes Mellitus

“…The validated Spanish version of the Personal Health Questionnaire Depression Scale (PHQ-8, i.e., the PHQ-9 without the suicidality item) (35,36) measures depressive symptoms during the past 2 wk, with higher scores indicating more depressive symptoms. We omitted the suicidality item so that community health workers performing assessments in the field would not be placed in a position of responding to suicidality.…”

Association between body image dissatisfaction and depressive symptoms in adolescents

“…Exploratory factor analysis was also performed for the BSQ and PHQ-9 (data not shown), and yielded structures similar to those already reported, i.e., a one-factor solution. 28,31,32 Analysis of the percentage of lost data for the exposure (9%) (data not shown) did not show any association with the age and sex distribution of participants (p 4 0.05).…”

The Spanish version of the Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR16): A psychometric analysis in a clinical sample

“…Such unidimensional configuration resembles the factor structure that commonly characterizes other self-reports covering the DSM-IV symptoms of MDD (e.g., CUDOS (Kocalevent et al, 2013;Merz et al, 2011) andPHQ-9 (Agüera-Ortiz et al, 2013;Trujols et al, 2013a)). Symptom criteria for major depressive disorder are virtually identical in DSM-IV and DSM-V (Uher et al, 2014).…”