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The factor structure of the GHQ-60 in a community sample

Published online by Cambridge University Press:  09 July 2009

J. L. Vazquez-Barquero*
Affiliation:
Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain and the General Practice Research Unit, Institute of Psychiatry, London
P. Williams
Affiliation:
Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain and the General Practice Research Unit, Institute of Psychiatry, London
J. F. Diez-Manrique
Affiliation:
Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain and the General Practice Research Unit, Institute of Psychiatry, London
J. Lequerica
Affiliation:
Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain and the General Practice Research Unit, Institute of Psychiatry, London
A. Arenal
Affiliation:
Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain and the General Practice Research Unit, Institute of Psychiatry, London
*
1Address for correspondence: Professor J L. Vazquez-Barquero, Department of Psychiatry and Medical Psychology, National Hospital Valdecilla, Santander, Spain.

Synopsis

The factor structure of the 60-item version of the General Health Questionnaire was explored, using data collected in a community study in a rural area of northern Spain. Six principal components, similar to those previously reported with this instrument, were found to provide a good description of the data structure.

The 30-item and 12-item versions of the GHQ were then disembedded from the parent version, and further principal components analyses carried out. Again, the results were similar to previous studies: in each of the three versions analysed here, the two most important components represented a disturbance of mood (‘general dysphoria’)– including aspects of anxiety, depression and irritability– and a disturbance of social performance (‘social function/optimism’).

The principal component structure of the GHQ-60 was then utilized to calculate factor scores, and these were compared with PSE ratings using Relative Operating Characteristic (ROC) analysis. While four of the six factors discriminated well (area under the ROC curve 0–75 or more) between PSE ‘cases’ and ‘non-cases’, only one, depressive thoughts, was a good discriminator between depressed and non-depressed PSE ‘cases’.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1988

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References

Benjamin, N. S., Decalmer, P. & Haran, D. (1982). Community screening for mental illness: a validity study oCthe General Health Questionnaire. British Journal of Psychiatry 140, 174180.CrossRefGoogle Scholar
Bridges, K. W. & Goldberg, D. P. (1986). The validation of the GHQ-28 and the use of the MMSE in neuological inpatients. British Journal of Psychiatry 148, 548553.CrossRefGoogle Scholar
Burvill, P. W. & Kniuman, M. W. (1983). Which version of the General Health Questionnaire should be used in community studies? Australian & New Zealand Journal of Psychiatry 17, 237242.CrossRefGoogle ScholarPubMed
Cattell, R. B. (1966). The scree test for the number of factors. Multivanale Behavioural Research 1, 245276.CrossRefGoogle ScholarPubMed
Chan, D. & Chan, T. (1983). Reliability, validity and the factor structure of the General Health Questionnaire in a Chinese context. Psychological Medicine 13, 363371.CrossRefGoogle Scholar
Dorfman, D D. & Alf, E. (1969). Maximum-likelihood estimation of parameters of signal-detection theory and determination of confidence intervals: rating-method data. Journal of Mathematical Psychology 6, 487496.CrossRefGoogle Scholar
Dunbar, G. C. & Lishman, W. A. (1984). Depression, recognition-memory and hedonic tone. British Journal of Psychiatry 144, 376382.CrossRefGoogle ScholarPubMed
Erdreich, L. S. & Lee, E. T. (1981). Use of Relative Operating Characteristic analysis in epidemiology. American Journal of Epidemiology 114, 649662.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. & Burvill, P. W. (1977). The prevalence of minor psychiatric morbidity in the community. Psychological Medicine 7, 475489.CrossRefGoogle ScholarPubMed
Fruchter, B. (1954). Introduction to Factor Analysis. Van Nostrand: Princeton.Google Scholar
Goldberg, D. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: London.Google Scholar
Goldberg, D. (1978). Manual of the General Health Questionnaire NFER Publishing Company Windsor.Google Scholar
Goldberg, D. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.CrossRefGoogle ScholarPubMed
Goldberg, D. & Williams, P. (1987). A Users Guide to the General Health Questionnaire. NFER Publishing Company: Windsor. (In the press.)Google Scholar
Goldberg, D., Rickels, K., Downing, R. & Hesbacher, P. (1976). A comparison of two psychiatric screening tests. British Journal of Psychiatry 129, 6167.CrossRefGoogle ScholarPubMed
Guttman, L. (1954). Some necessary conditions for common factor analysis. Psychometriba 19, 149162.CrossRefGoogle Scholar
Hobbs, P., Ballinger, C. B. & Smith, A. H. (1983). Factor analysis and validation of the General Health Questionnaire in women: a general practice survey. British Journal of Psychiatry 142, 257264.CrossRefGoogle ScholarPubMed
Hobbs, P., Ballinger, C. B., Greenwood, C., Martin, B. & McClure, A. (1984). Factor analysis and validation of the General Health Questionnaire in men: a general practice survey. British Journal of Psychiatry 144, 270276.CrossRefGoogle Scholar
Kaiser, M. F. (1961). A note on Guttman's lower bound for the number of common factors. British Journal of Statistical Psychology 14, 12.CrossRefGoogle Scholar
Mari, J. & Williams, P. (1985). A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychological Medicine 15, 651659.CrossRefGoogle ScholarPubMed
Mari, J. & Williams, P. (1986). Misclassification by psychiatric screening questionnaires. Journal of Chronic Diseases 39, 371378.CrossRefGoogle ScholarPubMed
Medina-Mora, M. E., Padilla, G. P., Campillo-Serrano, C., Mas, C. C., Exban, M., Caraveo, J. & Corona, J. (1983). The factor structure of the GHQ: a scaled version for a hospital's general practice service in Mexico. Psychological Medicine 13, 355361.CrossRefGoogle ScholarPubMed
Metz, C., Wang, P.-L. & Kronman, H. B. (1984) Rocfil. Department of Radiology and the Franklin McLean Memorial Research Institute, University of Chicago: Chicago.Google Scholar
Overall, & Klett, (1972). Applied Multivariate Statistics. McGraw Hill: New York.Google Scholar
Shek, D. T. L. (1987). Reliability and factorial structure of the Chinese version of the General Health Questionnaire. Journal of Clinical Psychology. (In the press.)3.0.CO;2-B>CrossRefGoogle Scholar
Spagnoli, A., Foresti, G., MacDonald, A. & Williams, P. (1987). Italian version of the organic brain syndrome and depression scales from the CARE: evaluation of their performance in geriatric institutions. Psychological Medicine 17, 507514.CrossRefGoogle ScholarPubMed
Swets, J. A. (1964). Signal Detection and Recognition by Human Observers. Wiley: New York.Google Scholar
Swets, J. A. (1979). ROC analysis applied to the evaluation of medical imaging techniques. Investigative Radiology 14, 109121.CrossRefGoogle Scholar
Swets, J. A. & Pickett, R. M. (1982). Evaluation of Diagnostic Systems: Methods from Signal Detection Theory. Academic Press: New York.Google Scholar
Vázquez-Barquero, J. L., Díez-Mannque, J. F., Peña, C.Quintanal, R. & Labrador-Lopez, M. (1986) Two-stage design in a community survey. British Journal of Psychiatry 149, 8897CrossRefGoogle Scholar
Vázquez-Barquero, J. L., Díez-Manrique, J. F., Peña, C., Aldama, J., Samaniego, C., Menéndez Arango, J. & Mirapeix, C. (1987). A community mental health survey in Cantabria: a general description of morbidity. Psychological Medicine 17, 227242.CrossRefGoogle ScholarPubMed
Vieweg, B. W. & Hedlund, J. L. (1983). The General Health Questionnaire: a comprehensive review. Journal of Operational Psychiatry 14, 7481.Google Scholar
Weissman, M. & Klerman, G. L. (1980). Psychiatric nosology and the Midtown Manhattan study. Archives of General Psychiatry, 37, 229230.Google ScholarPubMed
Weyerer, S., Elton, M., Diallina, M. & Fichter, M. M. (1986). The principal component structure of the General Health Questionnaire among Greek and Polish adolescents. European Archives of Psychiatry & Neurological Science, 236, 7582.CrossRefGoogle Scholar
Williams, P. & Skuse, D. (1988). Depressive thoughts in general practice attenders. Psychological Medicine (in the press).CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartonus, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Mann, S. A., Leff, J. P. & Nixon, J. M. (1978). The concept of a case in psychiatric population surveys. Psychological Medicine 8, 203217.CrossRefGoogle ScholarPubMed
Worsley, A., Walters, W. A. & Wood, E. C. (1978). Responses to Australian patients with gynaecological disorders to the General Health Questionnaire: a factor analytic study. Psychological Medicine 8 131138.CrossRefGoogle Scholar
Zwick, W. R & Velicer, W. F. (1982). Factors influencing four rules for determining the number of components to retain. Multivariate Behavioural Research 17, 253269.CrossRefGoogle ScholarPubMed