Validation of the Polish language  version of the Patient Health Questionnaire-9 in a population of adults aged 35–64

Ślusarska, Barbara; Nowicki, Grzegorz; Piasecka, Honorata; Zarzycka, Danuta; Mazur, Anna; Saran, Tomasz; Bednarek, Anna

doi:10.26444/aaem/99246

Cited by 15 publications

(12 citation statements)

References 11 publications

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“…Items were then summed to create a composite score. The PHQ-9 has demonstrated good internal reliability with α ranging from .77 to .87 (Kocalevent et al, 2013 ; Löwe, Kroenke, Herzog, & Gräfe, 2004 ; Ślusarska et al, 2019 ; Urtasun et al, 2019 ; Villarreal-Zegarra, Copez-Lonzoy, Bernabé-Ortiz, Melendez-Torres, & Bazo-Alvarez, 2019 ). Construct validity has also been demonstrated by comparing the PHQ-9 to scales of quality of life, life satisfaction, emotional well-being, psychological well-being, and mental health (Keum, Miller, & Inkelas, 2018 ; Kocalevent et al, 2013 ); convergent validity has been established by comparing the scale to other measures of depression (Löwe et al, 2004 ; Maroufizadeh, Omani-Samani, Almasi-Hashiani, Amini, & Sepidarkish, 2019 ).…”

Section: Methodsmentioning

confidence: 99%

Measuring psychological pain: psychometric analysis of the Orbach and Mikulincer Mental Pain Scale

Casanova

Nelson

Pickering

et al. 2021

Meas Instrum Soc Sci

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Background Suicide is a public health concern, with an estimated 1 million individuals dying each year worldwide. Individual psychological pain is believed to be a contributing motivating factor. Therefore, establishing a psychometrically sound tool to adequately measure psychological pain is important. The Orbach and Mikulincer Mental Pain Scale (OMMP) has been proposed; however, previous psychometric analysis on the OMMP has not yielded a consistent scale structure, and the internal consistency of the subscales has not met recommended values. Therefore, the primary purpose of this study was to assess the psychometric properties of the OMMP in a diverse sample. Methods A confirmatory factor analysis (CFA) on the 9-factor, 44-item OMMP was conducted on the full sample (n = 1151). Because model fit indices were not met, an exploratory factor analysis (EFA) was conducted on a random subset of the data (n = 576) to identify a more parsimonious structure. The EFA structure was then tested in a covariance model in the remaining subset of participants (n = 575). Multigroup invariance testing was subsequently performed to examine psychometric properties of the refined scale. Results The CFA of the original 9-factor, 44-item OMMP did not meet recommended model fit recommendations. The EFA analysis results revealed a 3-factor, 9-item scale (i.e., OMMP-9). The covariance model of the OMMP-9 indicated further refinement was necessary. Multigroup invariance testing conducted on the final 3-factor, 8-item scale (i.e., OMMP-8) across mental health diagnoses, sex, injury status, age, activity level, and athlete classification met all criteria for invariance. Conclusions The 9-factor, 44-item OMMP does not meet recommended measurement criteria and should not be recommended for use in research and clinical practice in its current form. The refined OMMP-8 may be a more viable option to use; however, more research should be completed prior to adoption.

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Section: Methodsmentioning

confidence: 99%

Measuring psychological pain: psychometric analysis of the Orbach and Mikulincer Mental Pain Scale

Casanova

Nelson

Pickering

et al. 2021

Meas Instrum Soc Sci

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“…baseline depressive and anxiety symptoms—assessed with the use of Polish versions of the Patient Health Questionnaire-9 (PHQ-9) scale ( 78 , 79 ) and the Generalized Anxiety Disorder-7 (GAD-7) scale ( 80 , 81 ), respectively; the questionnaires could be validly applied on-line ( 82 ); PHQ-9 and GAD-7 assess mental health symptoms based on nine- and seven-symptom lists, respectively; the participants indicate frequency of experiencing each of the symptoms within previous 2 weeks with a 4-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

“…• physical activity-assessed as a general habit with the use of single-item 5-point semantic differential scale partially • baseline depressive and anxiety symptoms-assessed with the use of Polish versions of the Patient Health Questionnaire-9 (PHQ-9) scale (78,79) and the Generalized Anxiety Disorder-7 (GAD-7) scale (80,81), respectively; the questionnaires could be validly applied on-line (82); PHQ- Step B…”

Section: Procedures and Research Instrumentsmentioning

confidence: 99%

Association Between Consumption of Fermented Food and Food-Derived Prebiotics With Cognitive Performance, Depressive, and Anxiety Symptoms in Psychiatrically Healthy Medical Students Under Psychological Stress: A Prospective Cohort Study

et al. 2022

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BackgroundGut microbiota-based therapeutic strategies, such as probiotic and prebiotic preparations, may benefit mental health. However, commonly consumed fermented and prebiotic-containing foods have not been well-tested. The aim of the present study was to determine whether consumption of fermented food and food-derived prebiotics is associated with cognitive performance, depressive, and anxiety symptoms in psychiatrically healthy medical students under psychological stress.MethodsThe study protocol with data analysis plan was prospectively registered. Food consumption was evaluated with a 7-day dietary record. Cognitive performance was modeled with academic examination performance in relation to subject knowledge. Pre-exam depressive and anxiety symptoms were assessed with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively.ResultsIn total, 372 medical students (22.7 ± 1.1 years of age, 66% female) completed the study. No relationship was observed between cognitive performance under stress and either fermented food (adjusted β 0.02, 95% CI −0.07–0.11, p = 0.63) or food-derived prebiotics consumption (adjusted β −0.00, 95% CI −0.09–0.09, p = 0.99). High intake of fermented food was associated with more severe depressive (adjusted β 0.11, 95% CI 0.01–0.20, p = 0.032) and anxiety symptoms under stress (adjusted β 0.13, 95% CI 0.04–0.22, p = 0.0065); however, no such link was observed for food-derived prebiotics (adjusted β 0.03, 95% CI −0.07–0.13, p = 0.50 and −0.01, 95% CI −0.11–0.08, p = 0.83, for depression and anxiety, respectively).ConclusionsUnder psychological stress in medical students, consumption of fermented food and food-derived prebiotics appears to be not associated with cognitive performance. High intake of fermented food, but not food-derived prebiotics, may be associated with severity of depressive and anxiety symptoms. The safety of fermented food in this regard therefore requires further clarification.

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“…The other collected baseline characteristics included personality traits (assessed with the Polish version of the Big Five Inventory-Short, BFI-S [ 19 , 20 ]), the overall quality of diet (Polish version of the Starting the Conversation scale, STC [ 21 , 22 ]), mode of eating, physical activity (a measure partially validated [ 22 ] against the Polish version of the International Physical Activity Questionnaire Short form [ 23 , 24 ]), and cigarette smoking/use. In the same survey, at baseline, participants were questioned about their depressive symptoms (Polish version of the Patient Health Questionnaire-9, PHQ-9 scale [ 25 , 26 ]) and anxiety symptoms (Polish version of the Generalized Anxiety Disorder-7, GAD-7 scale [ 27 , 28 ]). PHQ-9 and GAD-7 assess mental health symptoms based on nine- and seven-symptom lists, respectively, and the participants indicate the frequency of experiencing each of the symptoms within the previous two weeks with a four-point Likert scale.…”

Section: Methodsmentioning

confidence: 99%

Who Benefits from Fermented Food Consumption? A Comparative Analysis between Psychiatrically Ill and Psychiatrically Healthy Medical Students

Karbownik

Mokros

Kowalczyk

2022

IJERPH

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Probiotic therapies and fermented food diets hold promise for improving mental health. Although in this regard psychiatric patients appear to benefit more than healthy individuals, no research has been performed to directly evaluate this hypothesis. The present study examined a cohort of medical students facing a stressful event, and some of the students reported suffering from chronic psychiatric diseases. The amount of fermented food consumption was calculated with the use of seven-day dietary records, while depressive and anxiety symptoms were assessed with the use of the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. In psychiatrically healthy medical students under psychological stress (n = 372), higher fermented food consumption was associated with more depressive and anxiety symptoms. In contrast, psychiatrically ill medical students (n = 25, 6.3% of all the participants) were found to present a negative association between the amount of fermented food consumed and the severity of depressive symptoms (adjusted β −0.52, 95% CI −0.85 to −0.19, p = 0.0042); however, this relationship was insignificant for anxiety symptoms (adjusted β −0.22, 95% CI −0.59 to 0.15, p = 0.22). A significant interaction was found between the consumption of fermented food and psychiatric diagnosis in predicting depressive symptoms (p = 0.0001), and a borderline significant interaction for anxiety symptoms (p = 0.053). In conclusion, psychiatrically ill people, but not healthy ones, may benefit from fermented food consumption in terms of alleviation of depressive symptoms. Our findings require cautious interpretation and further investigation.

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Validation of the Polish language version of the Patient Health Questionnaire-9 in a population of adults aged 35–64

Cited by 15 publications

References 11 publications

Measuring psychological pain: psychometric analysis of the Orbach and Mikulincer Mental Pain Scale

Measuring psychological pain: psychometric analysis of the Orbach and Mikulincer Mental Pain Scale

Association Between Consumption of Fermented Food and Food-Derived Prebiotics With Cognitive Performance, Depressive, and Anxiety Symptoms in Psychiatrically Healthy Medical Students Under Psychological Stress: A Prospective Cohort Study

Who Benefits from Fermented Food Consumption? A Comparative Analysis between Psychiatrically Ill and Psychiatrically Healthy Medical Students

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