Longitudinal measurement invariance of the Patient Health Questionnaire-9 across racial/ethnic groups: Results from the traumatic brain injury model system study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-03-28 DOI:10.1037/rep0000543

Juan Carlos Arango-Lasprilla, Marina Zeldovich, Bryan R Christ, Daniela Ramos-Usuga, Nicole von Steinbuechel, Paul B Perrin, Diego Rivera

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引用次数: 0

Abstract

Purpose/objective: The aim of this article is to evaluate the measurement invariance (MI) of the Patient Health Questionnaire-9 (PHQ-9) in a sample of individuals during the first 2 years after traumatic brain injury (TBI). MI was examined among racial/ethnic groups and over time to determine the utility of the PHQ-9 across these dimensions.

Research method/design: In total, N = 3,227 (20% of the total sample) at 1 year and N = 3,153 (19% of the total sample) at 2 years were included for cross-sectional analyses. For the longitudinal analyses, participants with the PHQ-9 at both time points (N = 2,234; 14% of the total study sample) were included.

Results: Results were that the PHQ-9 is fully invariant and maintains its unidimensional factorial structure across racial/ethnic groups during the first 2 years after TBI, suggesting the scale measures the same construct equally well for participants from each group.

Conclusion/implications: Based on these results, clinicians should feel confident using the PHQ-9 with diverse TBI patient populations, and researchers can reliably and validly employ it in TBI studies across racial/ethnic groups in the United States. Given the high rates of depression among individuals after TBI and its negative impact on their lives, this instrument will continue to be a key tool to measure the prognosis and success of rehabilitation programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

患者健康问卷-9 在不同种族/族裔群体中的纵向测量不变性：脑外伤模型系统研究的结果。

目的/目标：本文旨在评估患者健康问卷-9（PHQ-9）在创伤性脑损伤（TBI）后头两年内的测量不变性（MI）。研究方法/设计：共有 3,227 人（占样本总数的 20%）接受了 1 年的横向分析，3,153 人（占样本总数的 19%）接受了 2 年的纵向分析。纵向分析则包括在两个时间点均测得 PHQ-9 的参与者（2234 人，占研究样本总数的 14%）：结果表明，在创伤性脑损伤后的头两年中，PHQ-9 在不同种族/民族群体中具有完全不变性，并保持了其单维因子结构，这表明该量表对每个群体的参与者都能很好地测量相同的结构：根据这些结果，临床医生应该有信心在不同的创伤性脑损伤患者群体中使用 PHQ-9，研究人员也可以在美国不同种族/民族群体的创伤性脑损伤研究中可靠、有效地使用 PHQ-9。鉴于创伤性脑损伤后抑郁症的高发率及其对患者生活的负面影响，该工具将继续成为衡量预后和康复计划成功与否的重要工具。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.