Internal consistency and factor structure of the Chinese Health Questionnaire

Cheng, Tai Ann; Wu, Jenn-Rong; Chong, Mian‐Yoon; Williams, Paul

doi:10.1111/j.1600-0447.1990.tb01389.x

Cited by 136 publications

(119 citation statements)

References 15 publications

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“…10 The CHQ-12 also had high test-retest reliability (Pearson r = 0.77), good sensitivity (78% to 79.7%), and specificity (77% to 83.6%) in earlier studies. 8,12 Although we did not find any study that directly used the CHQ-12 to test distress level in adolescent popula-tion, the CHQ (both the English and Chinese versions) has demonstrated high validity in assessing psychological distress with young and older adolescents in the UK and Hong Kong.…”

Section: Instrumentmentioning

confidence: 73%

“…9,12 A previous study 10 showed that CHQ-12 had good internal consistency (Cronbach ␣ = 0.83-0.84). 10 The CHQ-12 also had high test-retest reliability (Pearson r = 0.77), good sensitivity (78% to 79.7%), and specificity (77% to 83.6%) in earlier studies.…”

Section: Instrumentmentioning

confidence: 93%

“…A translated version of the MSQ is presented in Appendix. The MSQ's test-retest reliability was tested in a previous pilot study 10 with a random sample of 24 high school students. The between-test time was 1 week and the results of the 2 administrations of the same questionnaire were identical.…”

Section: Instrumentmentioning

confidence: 99%

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The Association Between Psychological Distress and Musculoskeletal Symptoms Experienced by Chinese High School Students

Cho¹,

Hwang²,

Chen³

2003

J Orthop Sports Phys Ther

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Study Design: A cross-sectional nonexperimental study. Objectives: To determine the prevalence of musculoskeletal symptoms during a 6-month period and explore the contributing factors associated with these symptoms in Chinese senior class high school students. We also explored the relationship between psychological distress and musculoskeletal symptoms in this population. Background: Musculoskeletal symptoms with no underlying identifiable pathology are a management puzzle to medical professionals. Finding the prevalence of musculoskeletal symptoms is the first step in the prevention of further chronic pain syndromes in young adults. No study, however, has directly measured the prevalence of musculoskeletal symptoms in this population. Investigations of the contributing factors to these symptoms, though rare, can provide information to assist in the prevention of further injuries. Methods: The Musculoskeletal Symptom Questionnaire (MSQ) and the 12-question version of the Chinese Health Questionnaire (CHQ-12) were randomly distributed to students (n = 550) in 4 different high schools in the Tainan area of Taiwan. Of these, 471 students returned the questionnaires for analysis. Descriptive statistics were computed for means, standard deviations, and frequencies. Chi-square statistics were used for analysis of the association between psychological distress and musculoskeletal symptoms. Results:The most frequent complaints of musculoskeletal symptoms among the adolescent Chinese student population were reported as being located in the following anatomical areas: neck (56%), shoulder (45%), and back (37%). Based on the results from the CHQ-12, all of the participants were divided into 2 groups: a high psychological (CHQ-12 score Ն5) and a low psychological (CHQ-12 score <5) distress group. There were significant differences of prevalence of musculoskeletal symptoms between these 2 groups (P<.05), especially for the neck region (P = .003). Conclusion:The results showed that the prevalence of musculoskeletal symptoms was high in this adolescent population and demonstrated a certain association with psychological distress. We suggest that surveys of this type may serve as preclinical detectors of future musculoskeletal disorders and may permit early interventions. Developing an intervention that addresses both physical and psychological problems may be beneficial for this population. J Orthop Sports Phys Ther 2003;33:344-353.

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Section: Instrumentmentioning

confidence: 73%

Section: Instrumentmentioning

confidence: 93%

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The Association Between Psychological Distress and Musculoskeletal Symptoms Experienced by Chinese High School Students

Cho¹,

Hwang²,

Chen³

2003

J Orthop Sports Phys Ther

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“…Then, the potential cases (CHQ+) and non-cases (CHQ–) were categorized by the optimum cutoff point (the best compromise between high sensitivity and a low false-positive rate) of 2/3, which was based on the receiver operating characteristic curves. The consistency of the Cronbach alpha was 0.79 [24]. …”

Section: Methodsmentioning

confidence: 99%

The Mental Health of Hospital Workers Dealing with Severe Acute Respiratory Syndrome

Shu

Chang

et al. 2006

Psychother Psychosom

176

162

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Background: The aim of this study was to explore the impact of the severe acute respiratory syndrome (SARS) on health care workers in Taiwan. The possible predisposing and perpetuating factors in developing mental symptoms were investigated. Methods: Participantsconsisted of 135 health care workers who had had contact with or took care of patients who were probable or suspected SARS cases, during the SARS outbreak, at a teaching hospital in southern Taiwan. All participants completed questionnaires, including the Chinese Health Questionnaire, Eysenck Personality Questionnaire and Parental Bonding Instrument. Results: Twenty-two participants (17.3%) developed significant mental symptoms, and 105 participants (82.7%) showed no obvious symptoms. The structural equation model showed that maternal care (β = –0.18, p = 0.011) and neuroticism (β = 0.54, p < 10^–6) directly influenced the ability of health care workers to deal with the impact of SARS. Maternal overprotection (β = 0.30, p < 10^–4) had an indirect influence on the ability to cope with the impact of SARS. Conclusion: Both neuroticism and maternal attachment influenced the mental health of health care workers during the SARS epidemic. The results can be a helpful reference for intervention and prevention programs for health care workers facing disasters in the future.

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“…This is a self-assessment tool created as a simple discriminative questionnaire to detect non-psychotic disorders, but some psychometric studies have led to the conclusion that the GHQ can measure distress as well. [11][12][13] The Polish version of the GHQ-30 has been adapted for the purpose of the present study. 14,15 The GAF scale is a unidimentional scale, used to measure general functioning and it is attached to DSM-IV classification.…”

Section: Methodsmentioning

confidence: 99%

Distress and functioning in mixed anxiety and depressive disorder

Małyszczak

Pawłowski

2006

Psychiatry Clin Neurosci

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The aim of the present study was to evaluate the validity of mixed anxiety and depressive disorder (MADD) with reference to functional characteristics and symptomatic characteristics in comparison with anxiety disorders, depressive disorders, and groups showing subthreshold symptoms (exclusively depressive or anxiety related). The present study was carried out in the following three medical settings: two psychiatric and one primary care. Patients seeking care in psychiatric institutions due to anxiety and depressive symptoms and attending primary medical settings for any reason were taken into account. A total of 104 patients (65 women and 39 men, mean age 41.1 years) were given a General Health Questionnaire (GHQ-30), Global Assessment of Functioning (GAF) and Present State Examination questionnaire, a part of Schedules for Clinical Assessment in Neuropsychiatry, Version 2.0. There were no statistically relevant differences between MADD and anxiety disorders in median GHQ score (19 vs 16) and median GAF score (median 68.5 vs 65). When considering depressive disorders the median GHQ score (28) was higher, and median GAF score (59) was lower than that in MADD. In groups with separated subthreshold anxiety or depressive symptoms, median GHQ scores (12) were lower and median GAF scores (75) were higher than that in MADD. The most frequent symptoms of MADD are symptoms of generalized anxiety disorder (GAD) and depression. Mixed anxiety and depressive disorder differs significantly from GAD only in higher rates of depressed mood and lower rates of somatic anxiety symptoms. Distinction from depression was clearer; six of 10 depressive symptoms are more minor in severity in MADD than in the case of depression. Distress and interference with personal functions in MADD are similar to that of other anxiety disorders. A pattern of MADD symptoms locates this disorder between depression and GAD.

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Internal consistency and factor structure of the Chinese Health Questionnaire

Cited by 136 publications

References 15 publications

The Association Between Psychological Distress and Musculoskeletal Symptoms Experienced by Chinese High School Students

The Association Between Psychological Distress and Musculoskeletal Symptoms Experienced by Chinese High School Students

The Mental Health of Hospital Workers Dealing with Severe Acute Respiratory Syndrome

Distress and functioning in mixed anxiety and depressive disorder

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