Author:
Shevlin Mark,Butter Sarah,McBride Orla,Murphy Jamie,Gibson-Miller Jilly,Hartman Todd K.,Levita Liat,Mason Liam,Martinez Anton P.,McKay Ryan,Stocks Thomas VA,Bennett Kate M,Hyland Philip,Vallieres Frédérique,Valiente Carmen,Vazquez Carmelo,Contreras Alba,Peinado Vanesa,Trucharte Almudena,Bertamini Marco,Panzeri Anna,Bruno Giovanni,Granziol Umberto,Mignemi Giuseppe,Spoto Andrea,Vidotto Giulio,Bentall Richard P.
Abstract
Abstract
Background
The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7) are self-report measures of major depressive disorder and generalised anxiety disorder. The primary aim of this study was to test for differential item functioning (DIF) on the PHQ-9 and GAD-7 items based on age, sex (males and females), and country.
Method
Data from nationally representative surveys in UK, Ireland, Spain, and Italy (combined N = 6,054) were used to fit confirmatory factor analytic and multiple-indictor multiple-causes models.
Results
Spain and Italy had higher latent variable means than the UK and Ireland for both anxiety and depression, but there was no evidence for differential items functioning.
Conclusions
The PHQ-9 and GAD-7 scores were found to be unidimensional, reliable, and largely free of DIF in data from four large nationally representative samples of the general population in the UK, Ireland, Italy and Spain.
Funder
Economic and Social Research Council
Ulster University
University of Sheffield
Health Research Board and the Irish Research Council
Ministry of Science and Innovation
Instituto de Salud Carlos III
Universidad Complutense de Madrid
University “La Sapienza” of Roma
University of Padua
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Cited by
44 articles.
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