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Measurement invariance of the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) across four European countries during the COVID-19 pandemic

Authors: Mark Shevlin; Sarah Butter; Orla McBride; Jamie Murphy; Jilly Gibson Miller; Todd K. Hartman; Liat Levita; +20 Authors

Measurement invariance of the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) across four European countries during the COVID-19 pandemic

Abstract

Abstract Background The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) are self-report measures of major depressive disorder and generalised anxiety disorder. The primary aim of this study was to test for differential item functioning (DIF) on the PHQ-9 and GAD-7 items based on age, sex (males and females), and country. Method Data from nationally representative surveys in UK, Ireland, Spain, and Italy (combined N = 6,054) were used to fit confirmatory factor analytic and multiple-indictor multiple-causes models. Results Spain and Italy had higher latent variable means than the UK and Ireland for both anxiety and depression, but there was no evidence for differential items functioning. Conclusions The PHQ-9 and GAD-7 scores were found to be unidimensional, reliable, and largely free of DIF in data from four large nationally representative samples of the general population in the UK, Ireland, Italy and Spain.

Keywords

Male, Psychometrics, 150, RC435-571, 610, Anxiety, Patient Health Questionnaire, Depressive Disorder, Major/diagnosis, Surveys and Questionnaires, Humans, Pandemics, GAD-7, COVID-19/epidemiology, Measurement invariance, Psychiatry, Depressive Disorder, Depressive Disorder, Major, Depression, SARS-CoV-2, Research, Major, COVID-19, PHQ-9, Anxiety; Depression; GAD-7; Measurement invariance; PHQ-9; Anxiety; Depression; Female; Humans; Male; Pandemics; Patient Health Questionnaire; Psychometrics; SARS-CoV-2; Surveys and Questionnaires; COVID-19; Depressive Disorder, Major, Major/diagnosis, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
89
Top 1%
Top 10%
Top 1%
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gold