Psychometric evidence of the Peruvian version of the Patient Health Questionnaire, PHQ-9
DOI:
https://doi.org/10.20453/rph.v16i2.6252Keywords:
depression, PHQ-9, psychometric properties, Peruvian population, screeningAbstract
The objective of this study was to analyze the psychometric properties of the Peruvian version of the Patient Health Questionnaire (PHQ-9), with a sample of 33,613 people, obtained from a database of the ENDES 2019. The methodology is basic level, not experimental and instrumental design. The results indicate good quality of the items, showing the ability to measure the same construct and differentiate people with different levels of depression. A two-dimensional factor (somatic and cognitive) model, with adequate goodness of fit was identified (RMSEA = .097; CFI = .932; NFI = .932; TLI = .906). Finally, a high level of reliability was obtained (ω = .892).
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Campo-Arias, A., & Oviedo, C. (2008). Propiedades psicométricas de una escala: la consistencia interna. Revista de Salud Pública, 10(5), 831-839. ttps://doi.org/10.1590/S0124-00642008000500015
De la Flor, M. (2020). Validación de la versión peruana del cuestionario sobre la salud del paciente (PHQ-9) para tamizaje de depresión en pacientes adultos con cáncer de un hospital público especializado de Lima Metropolitana [Tesis de Licenciatura en Psicología]. Universidad Peruana Cayetano Heredia. https://repositorio.upch.edu.pe/bitstream/handle/20.500.12866/9023/Validacion_DelaFlorValdivia_Martin.pdf?sequence=1&isAllowed=y
Domínguez, S. (2013). ¿Ítems politómicos o dicotómicos? Un estudio empírico con una escala unidimensional. Revista Argentina de Ciencias del Comportamiento, 5(3),30-37. https://doi.org/10.32348/1852.4206.v5.n3.5562
Escobedo, M., Hernández, J., Estebané, V., & Martínez, G. (2016). Modelos de ecuaciones estructurales: características, fases, construcción, aplicación y resultados. Ciencia y Trabajo, 18(55), 16-22. http://dx.doi.org/10.4067/S0718-24492016000100004
Escovar, E., Craske, M., Roy-Byrne, P., Stein, M., Sullivan, G., Sherbourne, C., Bystritsky, A., & Chavira, D (2018). Cultural influences on mental health symptoms in a primary care sample of Latinx patients. Journal of Anxiety Disorders, 55, 39-47. https://doi.org/10.1016/j.janxdis.2018.03.005
Ferrando, P., & Anguiano-Carrasco, C. (2010). El análisis factorial como técnica de investigación en psicología. Papeles del Psicólogo, 31(1),18-33. https://www.redalyc.org/articulo.oa?id=77812441003
Gignac, G. (2016). The higher-order model imposes a proportionality constraint: that is why the bifactor model tends to fit better. Intelligence, 55, 57-68. https://doi.org/10.1016/j.intell.2016.01.006
González-Blanch, C., Medrano, L., Muñoz-Navarro, R., Ruíz-Rodríguez, P., Moriana, J., Limonero, J., Schmitz, F., Cano-Vindel, A., & PsicAP Research Group (2018). Factor structure and measurement invariance across various demographic groups and over time for the PHQ-9 in primary care patients in Spain. PLoS ONE, 13(2), e0193356. https://doi.org/10.1371/journal.pone.0193356
Hair, J., Black, W., Babin, B. J., & Anderson, R. E., (2013). Multivariate data analysis (7th. Ed.). Pearson.
Huarcaya-Victoria, J., De Lama-Morán, R., Quirós, M., Bazán, J., López, K., & Lora, D. (2020). Propiedades psicométricas del Patient Health Questionnaire (PHQ-9) en estudiantes de medicina en Lima, Perú. Revista de Neuro-Psiquiatría, 83(2), 72-78. http://dx.doi.org/10.20453/rnp.v83i2.3749
Hurtado, L. (2018). Relación entre los índices de dificultad y discriminación. Revista Digital de Investigación en Docencia Universitaria, 12(1), 273-300. https://dx.doi.org/10.19083/ridu.12.614
Kline, P. (1999). Handbook of psychological testing. Routledge.
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. https://doi.org/10.3928/0048-5713-20020901-06
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9. Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Medrano, L., & Muñoz-Navarro, R. (2017). Aproximación conceptual y práctica a los modelos de ecuaciones estructurales. Revista Digital de Investigación en Docencia Universitaria, 11(1), 219-239. https://dx.doi.org/10.19083/ridu.11.486
Merz, E., Malcarne, V., Roesch, S., Riley, N., & Sadler, G. (2011). A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas. Cultural Diversity & Ethnic Minority Psychology, 17(3), 309–316. https://doi.org/10.1037/a0023883
Ministerio de Salud (MINSA). (2022). Más de 300 mil casos de depresión fueron atendidos durante el 2021. https://www.gob.pe/institucion/minsa/noticias/575899-minsa-mas-de-300-mil-casos-de-depresion-fueron-atendidos-durante-el-2021/
Molina, M., Ochoa, C., & Ortega, E. (2020). Comparación de dos medias. Prueba de la T de Student. Evidencias en Pediatría, 16, 51. https://evidenciasenpediatria.es/files/41-13858-RUTA/51_Fundamentos_ComparacionMedias.pdf
Montoya, O. (2007). Aplicación del análisis factorial a la investigación de mercados. caso de estudio. Scientia et Technica, Año XIII, N. 35, 281-286. https://moodle2.utp.edu.co/index.php/revistaciencia/article/view/5443
Morgan, B., de Bruin, G., & de Bruin, K. (2014). Operationalizing burnout in the Maslach Burnout Inventory – Student Survey: personal efficacy versus personal inefficacy. South African Journal of Psychology, 44(2), 216-227. https://doi.org/ 10.1177/0081246314528834
Organización Panamericana de la Salud y Organización Mundial de la Salud (2017). Depresión y otros trastornos mentales comunes: estimaciones sanitarias mundiales. https://iris.paho.org/bitstream/handle/10665.2/34006/PAHONMH17005-spa.pdf?sequence=1&isAllowed=y
Patel, J., Oh, Y., Rand, K., Wu, W., Cyders, M., Kroenke, K., & Stewart, J. (2019). Measurement invariance of the patient health questionnaire-9 (PHQ-9) depression screener in U.S. adults across sex, race/ethnicity, and education level: NHANES 2005-2016. Depression and Anxiety, 36(9), 813–823. https://doi.org/10.1002/da.22940
Pérez-Sala, C., Sirlopú, D., Cobo, R., & Awad, A. (2019). Análisis bifactorial de la escala de participación escolar en una muestra de estudiantes chilenos. Revista Iberoamericana de Diagnóstico y Evaluación – e Avaliação Psicológica. RIDEP, 3(52), 27-39. https://doi.org/10.21865/RIDEP52.3.03
Prieto-Molinaria, D., Aguirre, G., de Pierola, I., Luna, G., Merea, L., Lazarte, C., Uribe-Bravo, K., & Zegarra, Á. (2020). Depresión y ansiedad durante el aislamiento obligatorio por el COVID-19 en Lima Metropolitana. Liberabit, 26(2), e425. https://dx.doi.org/10.24265/liberabit.2020.v26n2.09
Rose, A., Markman, B., & Sawilowsky, S. (2017). Limitations in the systematic analysis of structural equation model fit indices. Journal of Modern Applied Statistical Methods, 16(1), 69-85. https://doi.org/10.22237/jmasm/1493597040
Salazar, C., & Del Castillo, S. (2018). Fundamentos básicos de estadística (1ra. Ed.). http://librodigital.sangregorio.edu.ec/librosusgp/B0009.pdf
Saldivia, S., Aslan, J., Cova, F., Vicente, B., Inostroza, C., & Rincón, P. (2019). Psychometric characteristics of the Patient Health Questionnaire (PHQ-9). Revista Médica de Chile, 147(1), 53–60. http://dx.doi.org/10.4067/S0034- 98872019000100053
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & The Patient Health Questionnaire Primary Care Study Group. (1999). Validation and utility of a self-report version of PRIME-MDThe PHQ Primary Care Study. JAMA, 282(18), 1737-1744. https://doi.org/10.1001/jama.282.18.1737
Vega-Dienstmaier, J. (2018). Construcción de versiones cortas de la escala de psicopatología depresiva para tamizaje de depresión mayor y sus características psicométricas. Revista de Neuropsiquiatría, 81(3), 154-164. https://doi.org/10.20453/rnp.v81i3.3383
Ventura J., & Caycho, T. (2017). El coeficiente Omega: un método alternativo para la estimación de la confiabilidad. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 15(1), 625-627. http://revistalatinoamericanaumanizales.cinde.org.co/docs/Abril2021/Cartas%20al%20Editor.%20El%20coeficiente%20Omega.pdf
Villarreal-Zegarra, D., Copez-Lonzoy, A., Bernabe-Ortiz, A., Melendez-Torres G., & Bazo-Alvarez, J. (2019). Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics. PLoS ONE 14(9), e0221717. https://doi.org/10.1371/journal.pone.0221717
Zhong, Q., Gelaye, B., Fann, J., Sanchez, S., & Williams, M. (2014). Cross-cultural Validity of the Spanish version of PHQ-9 among pregnant Peruvian women: A Rasch item response theory analysis. Journal of Affective Disorders, 10(158), 148–153. https://doi.org/10.1016/j.jad.2014.02.012
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