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Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study

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Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study. / Kazlauskas, Evaldas; Gelezelyte, Odeta; Kvedaraite, Monika; Ajdukovic, Dean; Johannesson, Kerstin Bergh; Böttche, Maria; Bondjers, Kristina; Dragan, Małgorzata; Figueiredo-Braga, Margarida; Grajewski, Piotr; Anastassiou-Hadjicharalambous, Xenia; Javakhishvili, Jana Darejan; Lioupi, Chrysanthi; Lueger-Schuster, Brigitte; Mouthaan, Joanne; Bagaric, Ines Rezo; Sales, Luisa; Schäfer, Ingo; Soydas, Suzan; Tsiskarishvili, Lela; Zrnic Novakovic, Irina; Lotzin, Annett.

In: J AFFECT DISORDERS, Vol. 335, 15.08.2023, p. 18-23.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kazlauskas, E, Gelezelyte, O, Kvedaraite, M, Ajdukovic, D, Johannesson, KB, Böttche, M, Bondjers, K, Dragan, M, Figueiredo-Braga, M, Grajewski, P, Anastassiou-Hadjicharalambous, X, Javakhishvili, JD, Lioupi, C, Lueger-Schuster, B, Mouthaan, J, Bagaric, IR, Sales, L, Schäfer, I, Soydas, S, Tsiskarishvili, L, Zrnic Novakovic, I & Lotzin, A 2023, 'Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study', J AFFECT DISORDERS, vol. 335, pp. 18-23. https://doi.org/10.1016/j.jad.2023.05.007

APA

Kazlauskas, E., Gelezelyte, O., Kvedaraite, M., Ajdukovic, D., Johannesson, K. B., Böttche, M., Bondjers, K., Dragan, M., Figueiredo-Braga, M., Grajewski, P., Anastassiou-Hadjicharalambous, X., Javakhishvili, J. D., Lioupi, C., Lueger-Schuster, B., Mouthaan, J., Bagaric, I. R., Sales, L., Schäfer, I., Soydas, S., ... Lotzin, A. (2023). Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study. J AFFECT DISORDERS, 335, 18-23. https://doi.org/10.1016/j.jad.2023.05.007

Vancouver

Kazlauskas E, Gelezelyte O, Kvedaraite M, Ajdukovic D, Johannesson KB, Böttche M et al. Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study. J AFFECT DISORDERS. 2023 Aug 15;335:18-23. https://doi.org/10.1016/j.jad.2023.05.007

Bibtex

@article{a49ed770469249ee8e9356b1a38ac11c,
title = "Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study",
abstract = "BACKGROUND: The four-item Patient Health Questionnaire-4 (PHQ-4) is a widely used screening measure for depression and anxiety.OBJECTIVES: This study aimed to test factor structure and measurement invariance in an adult sample of the general population across seven European countries.METHOD: A total sample of 9230 adults, 71.3 % female, Mage = 44.35 (SD = 14.11) from seven countries (Austria, Croatia, Georgia, Germany, Lithuania, Portugal, and Sweden) participated in the study. We applied confirmatory factor analysis (CFA) to examine the factor structure and measurement invariance testing to evaluate measurement equivalence across countries, gender, and age groups.RESULTS: The CFA yielded that a two-factor PHQ-4 model with separate depression and anxiety factors had the best fit. Partial scalar measurement invariance was established across different groups based on gender, age, and country.CONCLUSIONS: The PHQ-4 is a valid and reliable measure that can be applied to screen for depression and anxiety in the general population.LIMITATIONS: The limitation of the study includes the sampling, which resulted in the sample structure with the majority of females, predominantly of high education and from urban communities.",
keywords = "Humans, Adult, Female, Male, Patient Health Questionnaire, Psychometrics, Europe, Anxiety Disorders/diagnosis, Anxiety/diagnosis, Factor Analysis, Statistical, Reproducibility of Results, Depression/diagnosis, Surveys and Questionnaires",
author = "Evaldas Kazlauskas and Odeta Gelezelyte and Monika Kvedaraite and Dean Ajdukovic and Johannesson, {Kerstin Bergh} and Maria B{\"o}ttche and Kristina Bondjers and Ma{\l}gorzata Dragan and Margarida Figueiredo-Braga and Piotr Grajewski and Xenia Anastassiou-Hadjicharalambous and Javakhishvili, {Jana Darejan} and Chrysanthi Lioupi and Brigitte Lueger-Schuster and Joanne Mouthaan and Bagaric, {Ines Rezo} and Luisa Sales and Ingo Sch{\"a}fer and Suzan Soydas and Lela Tsiskarishvili and {Zrnic Novakovic}, Irina and Annett Lotzin",
note = "Copyright {\textcopyright} 2023 Elsevier B.V. All rights reserved.",
year = "2023",
month = aug,
day = "15",
doi = "10.1016/j.jad.2023.05.007",
language = "English",
volume = "335",
pages = "18--23",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) in 9230 adults across seven European countries: Findings from the ESTSS ADJUST study

AU - Kazlauskas, Evaldas

AU - Gelezelyte, Odeta

AU - Kvedaraite, Monika

AU - Ajdukovic, Dean

AU - Johannesson, Kerstin Bergh

AU - Böttche, Maria

AU - Bondjers, Kristina

AU - Dragan, Małgorzata

AU - Figueiredo-Braga, Margarida

AU - Grajewski, Piotr

AU - Anastassiou-Hadjicharalambous, Xenia

AU - Javakhishvili, Jana Darejan

AU - Lioupi, Chrysanthi

AU - Lueger-Schuster, Brigitte

AU - Mouthaan, Joanne

AU - Bagaric, Ines Rezo

AU - Sales, Luisa

AU - Schäfer, Ingo

AU - Soydas, Suzan

AU - Tsiskarishvili, Lela

AU - Zrnic Novakovic, Irina

AU - Lotzin, Annett

N1 - Copyright © 2023 Elsevier B.V. All rights reserved.

PY - 2023/8/15

Y1 - 2023/8/15

N2 - BACKGROUND: The four-item Patient Health Questionnaire-4 (PHQ-4) is a widely used screening measure for depression and anxiety.OBJECTIVES: This study aimed to test factor structure and measurement invariance in an adult sample of the general population across seven European countries.METHOD: A total sample of 9230 adults, 71.3 % female, Mage = 44.35 (SD = 14.11) from seven countries (Austria, Croatia, Georgia, Germany, Lithuania, Portugal, and Sweden) participated in the study. We applied confirmatory factor analysis (CFA) to examine the factor structure and measurement invariance testing to evaluate measurement equivalence across countries, gender, and age groups.RESULTS: The CFA yielded that a two-factor PHQ-4 model with separate depression and anxiety factors had the best fit. Partial scalar measurement invariance was established across different groups based on gender, age, and country.CONCLUSIONS: The PHQ-4 is a valid and reliable measure that can be applied to screen for depression and anxiety in the general population.LIMITATIONS: The limitation of the study includes the sampling, which resulted in the sample structure with the majority of females, predominantly of high education and from urban communities.

AB - BACKGROUND: The four-item Patient Health Questionnaire-4 (PHQ-4) is a widely used screening measure for depression and anxiety.OBJECTIVES: This study aimed to test factor structure and measurement invariance in an adult sample of the general population across seven European countries.METHOD: A total sample of 9230 adults, 71.3 % female, Mage = 44.35 (SD = 14.11) from seven countries (Austria, Croatia, Georgia, Germany, Lithuania, Portugal, and Sweden) participated in the study. We applied confirmatory factor analysis (CFA) to examine the factor structure and measurement invariance testing to evaluate measurement equivalence across countries, gender, and age groups.RESULTS: The CFA yielded that a two-factor PHQ-4 model with separate depression and anxiety factors had the best fit. Partial scalar measurement invariance was established across different groups based on gender, age, and country.CONCLUSIONS: The PHQ-4 is a valid and reliable measure that can be applied to screen for depression and anxiety in the general population.LIMITATIONS: The limitation of the study includes the sampling, which resulted in the sample structure with the majority of females, predominantly of high education and from urban communities.

KW - Humans

KW - Adult

KW - Female

KW - Male

KW - Patient Health Questionnaire

KW - Psychometrics

KW - Europe

KW - Anxiety Disorders/diagnosis

KW - Anxiety/diagnosis

KW - Factor Analysis, Statistical

KW - Reproducibility of Results

KW - Depression/diagnosis

KW - Surveys and Questionnaires

U2 - 10.1016/j.jad.2023.05.007

DO - 10.1016/j.jad.2023.05.007

M3 - SCORING: Journal article

C2 - 37164064

VL - 335

SP - 18

EP - 23

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -