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Concurrent validity of GHQ-28 and PSE as measures of change

Published online by Cambridge University Press:  09 July 2009

J. Ormel ,
M. W. J. Koeter ,
W. Van Den Brink  and
R. Giel
J. Ormel*
Affiliation:
Department of Social Psychiatry, University of Groningen, The Netherlands
M. W. J. Koeter
Affiliation:
Department of Social Psychiatry, University of Groningen, The Netherlands
W. Van Den Brink
Affiliation:
Department of Social Psychiatry, University of Groningen, The Netherlands
R. Giel
Affiliation:
Department of Social Psychiatry, University of Groningen, The Netherlands
*
1Address for correspondence: Dr J. Ormel, Department of Social Psychiatry, Academic Hospital Groningen, Postbox 30001, 9700 RB Groningen, The Netherlands
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Synposis

Substantial cross-sectional correlations have been reported between the GHQ and PSE (and CIS) total scores. Although necessary, this is not a sufficient condition for assuming good validity of the GHQ as a severity measure in longitudinal and health care evaluation studies. For this purpose the GHQ should also accurately reflect changes in severity over time. To examine their concurrent validity, GHQ and PSE scores were compared, in a three-wave longitudinal study, among 175 new psychiatric out-patients. Using a longitudinal structural equation model that takes measurement error into account, the strength of both the cross-sectional and longitudinal relationship between GHQ and PSE were estimated. The GHQ performed remarkably well; changes in severity as defined by PSE-ID and PSE total score were clearly reflected by changes in GHQ scores. The revised scoring method of the GHQ proposed by Goodchild and Duncan-Jones did not yield superior results.

Type
Original Articles
Information
Psychological Medicine , Volume 19 , Issue 4 , November 1989 , pp. 1007 - 1013
Copyright
Copyright © Cambridge University Press 1989

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References

Aneshensel, C. S. (1985). The natural history of depressive symptoms. Implications for psychiatric epidemiology. Research in Community Mental Health 5, 45–75.Google Scholar
Banks, M. (1983). Validation of the General Health Questionnaire in a young community sample. Psychological Medicine 13, 349–353.Google Scholar
Benjamin, S., Decalmer, P. & Haran, D. (1982). Community screening for mental illness: a validity study of the General Health Questionnaire. British Journal of Psychiatry 140, 174–180.CrossRefGoogle ScholarPubMed
Brink, W. van den, Koeter, M. W J., Ormel, J., Dijkstra, W., Giel, R., Slooff, C. J. & Wohlfarth, T. D. (1989). Psychiatric diagnosis in an outpatient sample A comparative study of PSE-Catego and DSM-III. Archives of General Psychiatry Archives of General Psychiatry 46, 369–372.Google Scholar
Chan, D. W. & Chan, T. S. C. (1983). Reliability, validity and the structure of the General Health Questionnaire in a Chinese context. Psychological Medicine 13, 363–371.CrossRefGoogle Scholar
Duncan-Jones, P. (1985). Modelling the aetiology of neurosis.Presented at the Epidemiology Symposium of the World Psychiatric Association,Edinburgh,1985.Google Scholar
Duncan-Jones, P., Fergusson, D. M., Ormel, J. & Horwood, L. J. (1989). A model of stability and change in minor psychiatric symptoms: results from three longitudinal studies. SPRU, Australian National University, Canberra.Google Scholar
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item GHQ. British Journal of Psychiatry 134, 509–616.CrossRefGoogle Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph No. 21. Oxford University Press: Oxford.Google Scholar
Goldberg, D. P. (1978). Manual of the General Health Questionnaire. NFER: Windsor.Google Scholar
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the GHQ. Psychological Medicine 9, 139–145.CrossRefGoogle Scholar
Goldberg, D. P. & Huxley, O. P. (1980). Mental Illness in the Community. Tavistock Press: London.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. & Shepherd, M. (1970). A standardized psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google Scholar
Goldberg, D. P., Rickels, K, Downing, R. Q. & Hesbacher, P. (1976). A comparison of two psychiatric screening tests. British Journal of Psychiatry 129, 61–67.Google Scholar
Goodchild, M. E. & Duncan-Jones, P. (1985). Chronicity and the GHQ. British Journal of Psychiatry 146, 55–61.CrossRefGoogle Scholar
Henderson, S. H., Byrne, D. G. & Duncan-Jones, P. (1981). Neurosis and the Social Envirnment. Academic Press Australia: Sydney.Google Scholar
Hodiamont, P., Peer, N. & Syben, N. (1987). Epidemiological aspects of psychiatric disorder in a Dutch health area. Psychological Medicine 17, 495–505.CrossRefGoogle Scholar
Joroskog, K. G. & Sorbom, D. (1985). LISREL VI User's Guide. 2nd edn.Scientific Software: Mooresville.Google Scholar
Markus, G. B. (1979). Analyzing Panel Data. Sage Publications: Beverley Hills.Google Scholar
Ormel, J. & Schauffeli, W. (1989). Stability and change in negative affect. Dept. of Social Psychiatry, University of Groningen, The Netherlands.Google Scholar
Ormel, J., Koeter, M. W. J. & Van den Brink, W. (1989). Measuring change with the General Health Questionnaire: the problem of retest effects. Social Psychiatry and Psychiatric Epidemiology (in the press).CrossRefGoogle Scholar
Plewis, I. (1985). Analyzing Change: Measurement and Explanation Using Longitudinal Data. John Wiley: New York.Google Scholar
Rabin, P. V. & Brooks, B. R. (1981). Emotional disturbances in multiple sclerosis patients: Validity of the GHQ Psychological Medicine 11, 425–427.CrossRefGoogle Scholar
Skuse, D. & Williams, P. (1984). Screening for psychiatric disorder in general practice. Psychological Medicine 14, 365–377.Google Scholar
Surtees, P. G. (1987). Psychiatric disorder in the community and the General Health Questionnaire. British Journal of Psychiatry 150, 828–835.Google Scholar
Tarnopolsky, A., Hand, D. J., McLean, E. K., Roberts, H. & Wiggins, R. D. (1979). Validity and the uses of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry 134, 508–515.Google Scholar
Vieweg, B. W & Hedlund, L. H. (1983). The General Health Questionnaire: A comprehensive review. Journal of Operational Research 14, 74–81Google Scholar
Wiley, D. E. & Wiley, J. A. (1970). The estimation of measurement error in panel data. American Sociological Review 35, 112–117.Google Scholar
Windle, C. (1954). Test-retest effect on personality questionnaires. Educational and Psychological Measurement 14, 617–633.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms an Instruction Manual for the PSE and Catego Program. Cambridge University Press: LondonGoogle Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Meidicine 8, 203–217.CrossRefGoogle ScholarPubMed