Abstract
The present study evaluated the psychometric properties of the Patient Health Questionnaire–4 (PHQ-4), a screener of psychological distress, in English- and Spanish-speaking Hispanic Americans. Hispanic American adults (N = 436) completed the PHQ-4, which yields two subscales (Anxiety and Depression) that can be summed to create a total score. Multiple-group confirmatory factor analysis was used to evaluate structural validity. The two-factor structure was the best fit to the data for both English- and Spanish-speaking Hispanic Americans, and items loaded equivalently across groups, demonstrating measurement invariance. Internal consistency reliability was good as measured by coefficient alpha. Construct validity was evidenced by significant expected relationships with perceived stress. These findings provide support for the reliability and validity of the PHQ-4 as a brief measure of psychological distress for English- or Spanish-speaking Hispanic Americans.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 560-571 |
| Number of pages | 12 |
| Journal | Hispanic Journal of Behavioral Sciences |
| Volume | 37 |
| Issue number | 4 |
| DOIs | |
| State | Published - Nov 1 2015 |
Funding
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the National Cancer Institute grant R25CA130869, with additional support from NCI P30 CA023100, NIH/NCMHD P60 MD000220, NIH U56 CA92079/U56 CA92081, and U54 CA132379/U54 CA132384. Sarah D. Mills was supported by the University of California, San Diego (UCSD) Cota-Robles Fellowship. Tonya M. Pan was supported by the UCSD fellowship.
Keywords
- Hispanic Americans
- Patient Health Questionnaire–4
- anxiety
- depression
- psychometrics
ASJC Scopus subject areas
- Cultural Studies
- Anthropology
- Social Psychology
- Linguistics and Language