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Factorial structure of the general health questionnaire (GHQ-30) among psychiatric and somatic patients

Published online by Cambridge University Press:  16 April 2020

D. Frydecka
Affiliation:
Department of Psychiatry, Wroclaw, Poland
K. Malyszczak
Affiliation:
Department of Psychiatry, Wroclaw, Poland
A. Chachaj
Affiliation:
Department of Internal Medicine, Occupational Diseases and Hypertension, Wroclaw Medical University, Wroclaw, Poland
A. Kiejna
Affiliation:
Department of Psychiatry, Wroclaw, Poland

Abstract

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Background

The Goldberg's 30-item General Health Questionnaire (GHQ-30) is used as a screening instrument for psychological distress in the general population. GHQ-30 has been widely used as a unitary measure, but several underlying factors have been identified in previous studies based on factor analyses.

Aim

To analyze the internal consistency and the factor structure of the Polish version of GHQ-30 in the group of somatic and psychiatric patients’ subpopulations. Differences in factor structure among those two groups might have important implications for how the test is used in those populations.

Methods

A total of 1473 patients (807 psychiatric and 666 somatic) were included into the study. A total score was calculated with Likert method. The principal factor analysis with orthogonal varimax normalized rotation was used for the factor extraction.

Results

The GHQ-30 was found to have high internal consistency. The factorial analysis conducted for the whole group, as well as for psychiatric and somatic patients separately, showed that two factors labeled as followed can be abstracted from the global scale: “depression and anxiety” and “interpersonal functioning and general coping”. These factors jointly account for 54,2% – 62,3% of the variance.

Conclusions

Results showed that GHQ-30 may be used both as a unitary measure using full-scale sores and allows to get more detailed information about individual's intra- and interpersonal functioning.

Type
P01-533
Copyright
Copyright © European Psychiatric Association2011
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