Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
Abstract 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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-04-01
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| Series: | Psicologia: Reflexão e Crítica |
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| Online Access: | https://doi.org/10.1186/s41155-024-00299-x |
| _version_ | 1797199294224138240 |
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| author | Tomás Caycho-Rodríguez Aaron Travezaño-Cabrera Julio Torales Iván Barrios Lindsey W. Vilca Antonio Samaniego-Pinho Rodrigo Moreta-Herrera Mario Reyes-Bossio Nicol A. Barria-Asenjo Jesús Ayala-Colqui Cirilo H. Garcia-Cadena |
| author_facet | Tomás Caycho-Rodríguez Aaron Travezaño-Cabrera Julio Torales Iván Barrios Lindsey W. Vilca Antonio Samaniego-Pinho Rodrigo Moreta-Herrera Mario Reyes-Bossio Nicol A. Barria-Asenjo Jesús Ayala-Colqui Cirilo H. Garcia-Cadena |
| author_sort | Tomás Caycho-Rodríguez |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-24T07:13:28Z |
| format | Article |
| id | doaj.art-d8914cc29e7c4bb0acc2b783c6763aaf |
| institution | Directory Open Access Journal |
| issn | 1678-7153 |
| language | English |
| last_indexed | 2024-04-24T07:13:28Z |
| publishDate | 2024-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Psicologia: Reflexão e Crítica |
| spelling | doaj.art-d8914cc29e7c4bb0acc2b783c6763aaf2024-04-21T11:27:58ZengSpringerOpenPsicologia: Reflexão e Crítica1678-71532024-04-0137111310.1186/s41155-024-00299-xPsychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general populationTomás Caycho-Rodríguez0Aaron Travezaño-Cabrera1Julio Torales2Iván Barrios3Lindsey W. Vilca4Antonio Samaniego-Pinho5Rodrigo Moreta-Herrera6Mario Reyes-Bossio7Nicol A. Barria-Asenjo8Jesús Ayala-Colqui9Cirilo H. Garcia-Cadena10Facultad de Psicología, Universidad Científica del SurEscuela de Psicología, Universidad Peruana UniónCátedra de Psicología Médica, Facultad de Ciencias Médicas, Universidad Nacional de AsunciónInstituto Regional de Investigación en Salud, Universidad Nacional de CaaguazúSouth American Center for Education and Research in Public Health, Universidad Norbert WienerCarrera de Psicología, Facultad de Filosofía, Universidad Nacional de AsunciónEscuela de Psicología, Pontificia Universidad Católica del EcuadorFacultad de Psicología, Universidad Peruana de Ciencias AplicadasDepartamento de Ciencias Sociales, Universidad de Los LagosUniversidad Tecnólogica del PerúFacultad de Psicología, Universidad Autónoma de Nuevo LeónAbstract 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.https://doi.org/10.1186/s41155-024-00299-xNetwork psychometric analysisReliabilityInvariancePatient Health Questionnaire-4Validity |
| spellingShingle | Tomás Caycho-Rodríguez Aaron Travezaño-Cabrera Julio Torales Iván Barrios Lindsey W. Vilca Antonio Samaniego-Pinho Rodrigo Moreta-Herrera Mario Reyes-Bossio Nicol A. Barria-Asenjo Jesús Ayala-Colqui Cirilo H. Garcia-Cadena Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population Psicologia: Reflexão e Crítica Network psychometric analysis Reliability Invariance Patient Health Questionnaire-4 Validity |
| title | Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population |
| title_full | Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population |
| title_fullStr | Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population |
| title_full_unstemmed | Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population |
| title_short | Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population |
| title_sort | psychometric network analysis of the patient health questionnaire 4 phq 4 in paraguayan general population |
| topic | Network psychometric analysis Reliability Invariance Patient Health Questionnaire-4 Validity |
| url | https://doi.org/10.1186/s41155-024-00299-x |
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