Structural validation of The Patient Health Questionnaire-9 (PHQ-9) among Filipina and Indonesian female migrant domestic workers in Macao

Hall, Brian J.; Patel, Anushka; Lao, Lorris; Liem, Andrian; Mayawati, Elisabeth Haksi; Susana, Tjipto

doi:10.1016/j.psychres.2020.113575

Cited by 13 publications

(10 citation statements)

References 65 publications

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“…However, using samples of patients with somatic conditions might increase endorsement rates of MDD somatic symptoms, and thus might influence the factor structure of MDD. Our findings were consistent with results of previous studies used medical patients [15,16,25,27,28] and used other samples [17,29,30], and support separating the MDD into a somatic factor and cognitive/affective factor. In the current sample, the correlation between two MDD factors was 0.92, this might be criticized for lacking of discriminant validity.…”

Section: Discussionsupporting

confidence: 92%

“…However, high correlation between factors cannot be enough to prove that the model lacks discriminant validity. First, the current study and many previous studies have found that the two-factor MDD model had significantly better fitting statistics than the one-factor MDD model [17,[28][29][30]49]. In addition, the results yielded from bootstrap analysis showed that the 95%CI of correlation coefficient between somatic and non-somatic factors did not include 1 (0.890-0.953), further justified separating these two factors.…”

Section: Discussionsupporting

confidence: 55%

“…Model 2b was based on a CFA study of coronary heart disease patients [16]. Model 2c was proposed in EFA and CFA studies among spinal cord injury patients [25,27], and was confirmed by the CFA studies in soldiers [17], primary care patients in Germany [28], Filipino and Indonesian female domestic workers in China [29,30], mental health patients [31] and university students in Colombia [22]. Model 2d was first described in the sample of spinal cord injury patients at 30 months after injury [25].…”

Section: Introductionmentioning

confidence: 91%

“…Model 2d was first described in the sample of spinal cord injury patients at 30 months after injury [25]. Notably, Model 2c has been confirmed in more studies than the other competing models [17,[28][29][30], and this may be attributed to type of populations, demographics, health condition, and history of trauma exposure [29].…”

Section: Introductionmentioning

confidence: 93%

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The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

Wang

Cao

et al. 2021

BMC Psychiatry

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Background Experiencing natural disasters is associated with common mental disorders including major depressive disorder (MDD). However, the latent structure of MDD is widely debated, and few studies tested the MDD factor structure in Chinese natural disaster survivors. Therefore, the aim of the current study was to evaluate the factorial validity of the Patient Health Questionnaire-9 (PHQ-9) for DSM-5 major depressive disorder (MDD) symptoms in Chinese earthquake survivors. Method Participants were 1058 Chinese earthquake survivors. Self-reported measures included the PHQ-9 and the Short-Form Health Survey (SF-36). Confirmatory factor analysis (CFA) and structural equation modelling (SEM) was used to examine the latent structure of MDD and the associations between latent factors of MDD and different domains of health-related quality of life (HRQoL), respectively. Results In the current sample, the model consisted of somatic and cognitive/affective (non-somatic) factors demonstrated significantly better fit than the other competing MDD models (χ2 = 173.89, df = 26, CFI = 0.986, TLI = 0.981, RMSEA = 0.073, BIC = 18,091.13). Further SEM analyses indicated that the non-somatic factor was significantly related to both physical (β = − 0.362, p < .01) and psychosocial HRQoL (β = − 0.773, p < .01), while the somatic factor was a uniquely predictor of physical HRQoL (β = − 0.336, p < .01). Furthermore, we found the somatic factor partially mediated the relationship between the cognitive/affective factor and physical HRQoL (all ps < .05). Conclusions The MDD symptoms was best captured by a two-factor model comprised of somatic and cognitive/affective factors in Chinese natural disaster survivors. The two MDD factors were differentially associated with physical and psychosocial HRQoL, and the cognitive/affective factor associated physical HRQoL partially through the somatic factor. The current findings increase our understanding of latent structure of MDD symptoms, and carry implications for assessment and intervention of post-disaster mental health problems.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 93%

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The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

Wang

Cao

et al. 2021

BMC Psychiatry

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“…In this model, one factor included items of "sleep change", "fatigue", "appetite change", "psychomotor agitation/retardation", and "concentration difficulties". In another study, one factor included somatic items of "sleep change", "fatigue", "appetite change", the other factor including Nonsomatic items (Hall et al, 2021;Keum et al, 2018). Using both patients with psychiatric issues and non-clinical populations, Doi et al (2018) asserted that the two-factor bifactor model best fit the data.…”

Section: Introductionmentioning

confidence: 99%

The Patient Health Questionnaire-9 among First-Trimester Pregnant Women in Japan: Factor Structure and Measurement and Structural Invariance between Nulliparas and Multiparas and across Perinatal Measurement Time Points

Wakamatsu¹,

Minatani²,

Hada³

et al. 2021

OJD

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Background: Depression is frequently seen among pregnant women. The PHQ-9 is a diagnostic criteria-based screening instrument. Objective: The objective is to identify the factor structure of the Patient Health Questionnaire-9 (PHQ-9) and to confirm its measurement and structural invariance regarding parity and observation time, as well as to examine reliability by calculating omega indices in a population of pregnant Japanese women. Methods: The PHQ-9 was distributed to 382 pregnant women with a gestational age of 10 to 13 weeks who were attending antenatal clinics. Of these women, 129 were tested again with the PHQ-9 one week later. Results: Exploratory factor analyses (EFAs) of the PHQ-9 items were conducted using a halved sample. Confirmatory factor analyses (CFAs) among the other halved sample compared the single-, two-factor models derived from the EFAs, literature model and bifactor model. The bifactor model was significantly better in terms of goodness-of-fit indices: χ 2 /df = 1.030 (18), CFI = 0.999, RMSEA = 0.012. ECV suggested multidimensionality.

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Patient Health Questionnaire-9 (PHQ-9)

Cheung

2023

Handbook of Assessment in Mindfulness Research

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Structural validation of The Patient Health Questionnaire-9 (PHQ-9) among Filipina and Indonesian female migrant domestic workers in Macao

Cited by 13 publications

References 65 publications

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

The factor structure of major depressive symptoms in a sample of Chinese earthquake survivors

The Patient Health Questionnaire-9 among First-Trimester Pregnant Women in Japan: Factor Structure and Measurement and Structural Invariance between Nulliparas and Multiparas and across Perinatal Measurement Time Points

Patient Health Questionnaire-9 (PHQ-9)

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