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Validation of the Chinese version of the PHQ-15 in a tertiary hospital

Overview of attention for article published in BMC Psychiatry, April 2016
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Title
Validation of the Chinese version of the PHQ-15 in a tertiary hospital
Published in
BMC Psychiatry, April 2016
DOI 10.1186/s12888-016-0798-5
Pubmed ID
Authors

Lan Zhang, Kurt Fritzsche, Yang Liu, Jian Wang, Mingjin Huang, Yu Wang, Liang Chen, Shanxia Luo, Jianying Yu, Zaiquan Dong, Liling Mo, Rainer Leonhart

Abstract

This study aimed to investigate the reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-15) in a tertiary hospital. Using a cross-sectional study design, the Chinese version of the PHQ-15 was administered to a total of 1329 inpatients. To examine the discriminant validity of this questionnaire, we investigated the correlation of the PHQ-15 score with sociodemographic data and the PHQ-9 and GAD-7 scale scores. Exploratory factor analysis was performed to assess the internal consistency of the PHQ-15. To evaluate the consistency of this questionnaire with item response theory (IRT), IRT analysis was performed. The Chinese version of the PHQ-15 showed good reliability (Cronbach's alpha = 0.83). The correlations of the PHQ-15 scores with the PHQ-9 depression scale scores (r = 0.565) and the GAD-7 anxiety scale scores (r = 0.512) were moderate; these results suggested that the PHQ-15 had discriminant validity. We identified three factors, referred to as "cardiopulmonary," "gastrointestinal," and "pain/neurological," which explained 56 % of the total variance. A second-order factor analysis including these three factors produced an acceptable model. Several items (4, 8 and 11) displayed extreme floor effects. Additionally, item 4 displayed a very small variance of 0.35 and showed very small differences in its thresholds based on IRT analysis. The PHQ-15 scale had good reliability and high validity to detect patients with high somatic symptom severity in a Chinese tertiary hospital. Several of the current findings were consistent with previous research on the PHQ-15 in Western countries and in China. To improve the diagnostic quality of this questionnaire, items 4, 8 and 11 can be omitted.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 58 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 58 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 16%
Student > Ph. D. Student 8 14%
Researcher 6 10%
Student > Bachelor 5 9%
Student > Doctoral Student 5 9%
Other 7 12%
Unknown 18 31%
Readers by discipline Count As %
Psychology 15 26%
Medicine and Dentistry 8 14%
Nursing and Health Professions 3 5%
Neuroscience 2 3%
Social Sciences 2 3%
Other 5 9%
Unknown 23 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 April 2016.
All research outputs
#20,318,358
of 22,860,626 outputs
Outputs from BMC Psychiatry
#4,220
of 4,698 outputs
Outputs of similar age
#255,020
of 300,859 outputs
Outputs of similar age from BMC Psychiatry
#104
of 113 outputs
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We're also able to compare this research output to 113 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.