Psychometric Properties of the Patient's Health Questionnaire in a Sample of Colombian Chronically Ill Patients

Q3 Medicine

Revista Colombiana de Psiquiatria Pub Date : 2026-04-01 Epub Date: 2024-11-12 DOI:10.1016/j.rcp.2024.09.007

Orlay García Jiménez, Nathaly Berrio García, Mónica María López González

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引用次数: 0

Abstract

Introduction

The Patient Health Questionnaire is an instrument to assess people's depression. Despite its wide international use, studies are unknown on its psychometric properties in the Colombian population with chronic diseases.

Objective

To estimate the content, construct, convergent, and internal consistency validity of the Patient Health Questionnaire.

Methodology

A sample of 575 individuals selected by opportunity was taken. The Patient Health Questionnaire-9 was administered by means of a structured survey through the Internet. Content validity was assessed through relevance, clarity, accuracy, and comprehension by judges; then, a confirmatory factor analysis was applied to estimate construct validity. Confirmatory factor analysis was applied to estimate construct validity. Convergent validity was estimated with the emotional thermometer, GAD-7 and ASA-R. Finally, internal consistency was estimated through the Omega Coefficient.

Results

Assessment of the relevance, clarity, precision, and comprehension of the items had results ranging on average between 0.89 and 1. The confirmatory factor analysis showed a two-factor structure with a good fit according to different incremental, absolute, and parsimony fit indices. Internal consistency showed a satisfactory result for the total scale (0.83).

Conclusions

The new version of the questionnaire has adequate metric properties and is recommended for use in the Colombian population with chronic diseases.

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哥伦比亚慢性病患者健康问卷的心理测量学特征

患者健康问卷是一种评估人们抑郁状况的工具。尽管它在国际上广泛使用，但对哥伦比亚慢性病患者的心理测量特性的研究尚不清楚。目的评价《患者健康问卷》的内容效度、结构效度、收敛效度和内部一致性。方法随机抽取575人作为样本。患者健康问卷-9是通过互联网进行的结构化调查。内容效度由评委通过相关性、清晰度、准确性和理解力进行评估；然后，采用验证性因子分析评估构念效度。采用验证性因子分析评估构念效度。采用情绪量表、GAD-7和ASA-R评估收敛效度。最后通过Omega系数估计内部一致性。结果对题目的相关性、清晰度、准确性和理解力的评估结果平均在0.89 ~ 1之间。验证性因子分析显示，在不同的增量、绝对和简约拟合指标下，具有较好的拟合双因子结构。内部一致性表明总量表的结果令人满意（0.83）。结论新版问卷具有足够的度量特性，推荐在哥伦比亚慢性病患者中使用。

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

Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

期刊介绍： Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.