Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population.

Autor: Caycho-Rodríguez T; Facultad de Psicología, Universidad Científica del Sur, Campus Villa II, Ctra. Panamericana S 19, Villa EL Salvador, Lima, Peru. tcaycho@cientifica.edu.pem., Travezaño-Cabrera A; Escuela de Psicología, Universidad Peruana Unión, Lima, Perú., Torales J; Cátedra de Psicología Médica, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, San Lorenzo, Paraguay.; Instituto Regional de Investigación en Salud, Universidad Nacional de Caaguazú, Coronel Oviedo, Paraguay.; Facultad de Ciencias Médicas, Universidad Sudamericana, Pedro Juan Caballero, Paraguay., Barrios I; Instituto Regional de Investigación en Salud, Universidad Nacional de Caaguazú, Coronel Oviedo, Paraguay.; Cátedra de Bioestadística, Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Santa Rosa del Aguaray Campus, Santa Rosa del Aguaray, Paraguay., Vilca LW; South American Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, Peru., Samaniego-Pinho A; Carrera de Psicología, Facultad de Filosofía, Universidad Nacional de Asunción, Asunción, Paraguay., Moreta-Herrera R; Escuela de Psicología, Pontificia Universidad Católica del Ecuador, Ambato, Ecuador., Reyes-Bossio M; Facultad de Psicología, Universidad Peruana de Ciencias Aplicadas, Lima, Peru., Barria-Asenjo NA; Departamento de Ciencias Sociales, Universidad de Los Lagos, Osorno, Chile., Ayala-Colqui J; Universidad Tecnólogica del Perú, Lima, Peru., Garcia-Cadena CH; Facultad de Psicología, Universidad Autónoma de Nuevo León, Monterrey, Mexico.
Jazyk: angličtina
Zdroj: Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS [Psicol Reflex Crit] 2024 Apr 15; Vol. 37 (1), pp. 15. Date of Electronic Publication: 2024 Apr 15.
DOI: 10.1186/s41155-024-00299-x
Abstrakt: Background: Depression and anxiety are two of the most prevalent and disabling mental disorders worldwide, both in the general population and in outpatient clinical settings.
Objective: This study aimed to analyze the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) based on network analysis metrics.
Methods: A total of 911 Paraguayans (23.71% women and 76.29% men; mean age 31.25 years, SD = 10.63), selected by non-probabilistic convenience sampling, participated in the study. Network analysis was used to evaluate the internal structure, reliability, and measurement invariance between men and women.
Results: The results revealed that the PHQ-4 is a unidimensional measure through Exploratory Graph Analysis (EGA). Reliability, through structural consistency, identified that 100% of the time, only a single dimension was obtained, and all items remained stable, as they were always replicated within the empirical dimension. The unidimensional structure has shown evidence of configural invariance; therefore, the network structure functioned equally among the different sex groups.
Conclusion: The PHQ-4 presented optimal preliminary evidence of validity based on its internal structure, reliability, and invariance between sexes. Therefore, it may be useful as an accurate and brief measure of anxiety and depressive symptoms in the Paraguayan context.
(© 2024. The Author(s).)
Databáze: MEDLINE
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