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Comprehensive Psychiatry
Article . 2012 . Peer-reviewed
License: Elsevier TDM
Data sources: Crossref
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Patient Health Questionnaire: Greek language validation and subscale factor structure

Authors: Karekla, Maria; Pilipenko, Nataliya; Feldman, Jonathan; Karekla, Maria; Pilipenko, Nataliya; Feldman, Jonathan;

Patient Health Questionnaire: Greek language validation and subscale factor structure

Abstract

This study aimed to assess the reliability, validity, and factor structure of the Greek translation of the Patient Health Questionnaire (PHQ) in a sample of Cypriot, Greek-speaking university students. This is the first study to examine PHQ psychometric properties in Greek and to investigate the factor structure of the PHQ subscales. A total of 520 participants (73.9% women; M(Age) = 21.57; SD, 4.94) completed the PHQ and assessment tools used for convergent validity analysis. Patient Health Questionnaire was translated and culturally adapted according to international standards. Overall, PHQ subscales in Greek language demonstrated good internal consistency (mean Cronbach α = .75, P < .001) and convergent validity with the following: Alcohol Use Disorders Identification Test, Beck Depression Inventory, Psychiatric Diagnostic Screening Questionnaire (panic disorder, somatization, bulimia, and binge eating), and Anxiety Sensitivity Index (overall mean, r = 0.52; P < .001). The relation between the PHQ subscale diagnoses and functional impairment, as assessed by the 12-item Health Survey 12, was comparable with the original validation results for all subscales except alcohol. The depression, alcohol, and anxiety subscales exhibited single-factor structures. Subscales assessing eating disorders, panic disorder, and somatization difficulties exhibited 2-, 3-, and 4-factor structures, respectively. Overall, PHQ subscales demonstrated good psychometric properties, with the exception of the subscale examining problematic alcohol use. Overall, PHQ demonstrates good reliability, validity, and appropriate factor structure in a Greek-speaking college population. Psychometric research is needed on the Greek PHQ in primary care settings.

Country
Cyprus
Related Organizations
Keywords

Adult, Cross-Cultural Comparison, Male, Adolescent, Primary Health Care, Psychometrics, Mental Disorders, Reproducibility of Results, Health Surveys, Alcoholism, Cross-Sectional Studies, Diagnosis, Dual (Psychiatry), Reference Values, Surveys and Questionnaires, Cyprus, Humans, Mass Screening, Female, Students, Language

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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!
46
Top 10%
Top 10%
Average
gold