Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population

BACKGROUND: Depression and anxiety are two of the most prevalent and disabling mental disorders worldwide, both in the general population and in outpatient clinical settings. OBJECTIVE: This study aimed to analyze the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) based on net...

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Autores principales: Caycho-Rodríguez, Tomás, Travezaño Cabrera, Aaron Italo, Torales, Julio, Barrios, Iván, Vilca Quiro, Lindsey Wildman, Samaniego-Pinho, Antonio, Moreta‐Herrera, Rodrigo, Reyes-Bossio, Mario, Barria‐Asenjo, Nicol A., Ayala-Colqui, Jesús, Garcia-Cadena, Cirilo H.
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Publicado: 2024
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author Caycho-Rodríguez, Tomás
Travezaño Cabrera, Aaron Italo
Torales, Julio
Barrios, Iván
Vilca Quiro, Lindsey Wildman
Samaniego-Pinho, Antonio
Moreta‐Herrera, Rodrigo
Reyes-Bossio, Mario
Barria‐Asenjo, Nicol A.
Ayala-Colqui, Jesús
Garcia-Cadena, Cirilo H.
author_browse Ayala-Colqui, Jesús
Barria‐Asenjo, Nicol A.
Barrios, Iván
Caycho-Rodríguez, Tomás
Garcia-Cadena, Cirilo H.
Moreta‐Herrera, Rodrigo
Reyes-Bossio, Mario
Samaniego-Pinho, Antonio
Torales, Julio
Travezaño Cabrera, Aaron Italo
Vilca Quiro, Lindsey Wildman
author_facet Caycho-Rodríguez, Tomás
Travezaño Cabrera, Aaron Italo
Torales, Julio
Barrios, Iván
Vilca Quiro, Lindsey Wildman
Samaniego-Pinho, Antonio
Moreta‐Herrera, Rodrigo
Reyes-Bossio, Mario
Barria‐Asenjo, Nicol A.
Ayala-Colqui, Jesús
Garcia-Cadena, Cirilo H.
author_sort Caycho-Rodríguez, Tomás
collection Producción científica
description BACKGROUND: Depression and anxiety are two of the most prevalent and disabling mental disorders worldwide, both in the general population and in outpatient clinical settings. OBJECTIVE: This study aimed to analyze the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) based on network analysis metrics. METHODS: A total of 911 Paraguayans (23.71% women and 76.29% men; mean age 31.25 years, SD = 10.63), selected by non-probabilistic convenience sampling, participated in the study. Network analysis was used to evaluate the internal structure, reliability, and measurement invariance between men and women. RESULTS: The results revealed that the PHQ-4 is a unidimensional measure through Exploratory Graph Analysis (EGA). Reliability, through structural consistency, identified that 100% of the time, only a single dimension was obtained, and all items remained stable, as they were always replicated within the empirical dimension. The unidimensional structure has shown evidence of configural invariance; therefore, the network structure functioned equally among the different sex groups. CONCLUSION: The PHQ-4 presented optimal preliminary evidence of validity based on its internal structure, reliability, and invariance between sexes. Therefore, it may be useful as an accurate and brief measure of anxiety and depressive symptoms in the Paraguayan context.
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spelling oai:cris.upeu.edu.pe:20.500.15037/10352026-10-30T17:02:33ZPsychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general populationCaycho-Rodríguez, TomásTravezaño Cabrera, Aaron ItaloTorales, JulioBarrios, IvánVilca Quiro, Lindsey WildmanSamaniego-Pinho, AntonioMoreta‐Herrera, RodrigoReyes-Bossio, MarioBarria‐Asenjo, Nicol A.Ayala-Colqui, JesúsGarcia-Cadena, Cirilo H.ValidityreliabilityInvariancePatient Health Questionnaire-4Network Psychometric AnalysisBACKGROUND: Depression and anxiety are two of the most prevalent and disabling mental disorders worldwide, both in the general population and in outpatient clinical settings. OBJECTIVE: This study aimed to analyze the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) based on network analysis metrics. METHODS: A total of 911 Paraguayans (23.71% women and 76.29% men; mean age 31.25 years, SD = 10.63), selected by non-probabilistic convenience sampling, participated in the study. Network analysis was used to evaluate the internal structure, reliability, and measurement invariance between men and women. RESULTS: The results revealed that the PHQ-4 is a unidimensional measure through Exploratory Graph Analysis (EGA). Reliability, through structural consistency, identified that 100% of the time, only a single dimension was obtained, and all items remained stable, as they were always replicated within the empirical dimension. The unidimensional structure has shown evidence of configural invariance; therefore, the network structure functioned equally among the different sex groups. CONCLUSION: The PHQ-4 presented optimal preliminary evidence of validity based on its internal structure, reliability, and invariance between sexes. Therefore, it may be useful as an accurate and brief measure of anxiety and depressive symptoms in the Paraguayan context.Articlehttps://pubmed.ncbi.nlm.nih.gov/38619689https://prc.springeropen.com/counter/pdf/10.1186/s41155-024-00299-xhttps://doi.org/10.1186/s41155-024-00299-xPMC1101858710.1186/s41155-024-00299-xhttps://hdl.handle.net/20.500.15037/103538619689W4394808331enPsicologia Reflexão e Crítica0102-79721678-71532024-04-152026-06-13T09:43:50Z2026-06-13T09:43:50Z
spellingShingle Validity
reliability
Invariance
Patient Health Questionnaire-4
Network Psychometric Analysis
Caycho-Rodríguez, Tomás
Travezaño Cabrera, Aaron Italo
Torales, Julio
Barrios, Iván
Vilca Quiro, Lindsey Wildman
Samaniego-Pinho, Antonio
Moreta‐Herrera, Rodrigo
Reyes-Bossio, Mario
Barria‐Asenjo, Nicol A.
Ayala-Colqui, Jesús
Garcia-Cadena, Cirilo H.
Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title_full Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title_fullStr Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title_full_unstemmed Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title_short Psychometric network analysis of the Patient Health Questionnaire-4 (PHQ-4) in Paraguayan general population
title_sort psychometric network analysis of the patient health questionnaire 4 phq 4 in paraguayan general population
topic Validity
reliability
Invariance
Patient Health Questionnaire-4
Network Psychometric Analysis
topic_facet Validity
reliability
Invariance
Patient Health Questionnaire-4
Network Psychometric Analysis
url https://pubmed.ncbi.nlm.nih.gov/38619689
https://prc.springeropen.com/counter/pdf/10.1186/s41155-024-00299-x
https://doi.org/10.1186/s41155-024-00299-x
https://hdl.handle.net/20.500.15037/1035
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