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Reliability, validity and the structure of the General Health Questionnaire in a Chinese context

Published online by Cambridge University Press:  09 July 2009

David W. Chan  and
Tims S. C. Chan
David W. Chan*
Affiliation:
Department of Psychiatry and the Psychiatric Epidemiology Research Unit, The Chinese University of Hong Kong
Tims S. C. Chan
Affiliation:
Department of Psychiatry and the Psychiatric Epidemiology Research Unit, The Chinese University of Hong Kong
*
1Address for correspondence: Dr David W. Chan, Department of Psychiatry, Faculty of Mediine, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong.
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Synopsis

The 30-item General Health Questionnaire (GHQ), the 24-item Self-Reporting Questionnaire (SRQ), and a Chinese version of the Minnesota Multiphasic Personality Inventory (MMPI) were administered to 225 English-speaking Chinese. The GHQ was found to have high internal consistency as a scale and to assess 5 dimensions of psychopathology: anxiety, inadequate coping, depression, insomnia, and social dysfunctioning. As a brief screening instrument, it correlated 0·49 with the SRQ. In the ‘case–non-case’ classification, it yielded a concordance rate of above 75% with the SRQ. Using the MMPI modal profiles derived from classification research as criterion measures, sensitivity, specificity and correct classification rates were above 70%. Implications for future research with the GHQ are discussed.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 2 , May 1983 , pp. 363 - 371
Copyright
Copyright © Cambridge University Press 1983

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References

REFERENCES

Armitage, P. (1980). Statistical Methods in Medical Research. Blackwell Scientific: Oxford.Google Scholar
Barker, D. J. P. (1982). Practical Epidemiology. Churchill Livingstone: Edinburgh.Google Scholar
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981). Epidemiology of mental disorders in Camberwell. Psychological Medicine 11, 561–579.CrossRefGoogle ScholarPubMed
Benjamin, S., Decalmer, P. & Haran, D. (1982). Community screening for mental illness: a validity study of the General Health Questionnaire. British Journal of Psychiatry 140, 174–180.CrossRefGoogle ScholarPubMed
Butcher, J. N. (ed.) (1979). New Developments in the Use of the MMPI. University of Minnesota Press: Minneapolis.Google Scholar
Butcher, J. N. & Clark, L. A. (1979). Recent trends in cross-cultural MMPI research and application. In New Developments in the Use of the MMPI (ed. Butcher, J. N.), pp. 69–111. University of Minnesota Press: Minneapolis.Google Scholar
Campbell, D. T. & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait–multimethod matrix. Psychological Bulletin 56, 81–105.CrossRefGoogle ScholarPubMed
Cheung, F. M. (1981). Development of the Chinese MMPI in Hong Kong: Comparisons between the Chinese and the English versions.Paper presented at the 7th International Conference on Personality Assessment,Honolulu, Hawaii.Google Scholar
Cleary, P. D., Goldberg, I. D., Kessler, L. G. & Nycz, G. R. (1982). Screening for mental disorder among primary care patients. Archives of General Psychiatry 39, 837–840.CrossRefGoogle ScholarPubMed
Cronbach, L. F. & Gleser, G. C. (1953). Assessing similarity between profiles. Psychological Bulletin 50, 456–473.CrossRefGoogle ScholarPubMed
Dahlstrom, W. G., Welsh, G. S. & Dahlstrom, L. E. (1972). An MMPI Handbook, Vol. 1: Clinical Interpretation (revised edn). University of Minnesota Press: Minneapolis.Google Scholar
Dilling, H. & Weyener, S. (1981). Identification of neurosis and alcoholism in a field survey. In What Is a Case? The Problem of Definition in Psychiatric Community Surveys (ed. Wing, J. K., Bebbington, P. and Robins, L. N.), pp. 137–142. Grant McIntyre: London.Google Scholar
Dohrenwend, B. P. & Shrout, P. E. (1981). Toward the development of a two-stage procedure for case identification and classification in psychiatric epidemiology. Research in Community and Mental Health 2, 295–323.Google Scholar
Duncan-Jones, P. & Henderson, S. (1978). The use of a two-stage design in a prevalence survey. Social Psychiatry 13, 231–237.CrossRefGoogle Scholar
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychiatry 134, 609–616.CrossRefGoogle ScholarPubMed
Fishbein, M. & Ajzen, I. (1975). Belief, Attitude, Intention and Behaviour:An Introduction to Theory and Research.Addison-Wesley: Reading, Mass.Google Scholar
Gilberstadt, M. & Duker, J. (1965). A Handbook for Clinical and Actuarial MMPI Interpretation. Saunders: Philadelphia.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: Oxford.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970). Psychiatric illness in general practice: a detailed study using a new method of case identification. British Medical Journal ii, 439–443.CrossRefGoogle Scholar
Goldberg, D. P. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139–145.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Rickels, K., Downing, R. & Hesbacher, P. (1976). A comparison of two psychiatric screening tests. British Journal of Psychiatry 129, 61–67.CrossRefGoogle ScholarPubMed
Green, S. B. (1981). A comparison of three indexes of agreement between observers: proportion of agreement, G-index, and Kappa. Educational and Psychological Measurement 41, 1069–1072.CrossRefGoogle Scholar
Grove, W. M., Andreasen, N. C., McDonald-Scott, P., Keller, M. B. & Shapiro, R. W. (1981). Reliability studies of psychiatric diagnosis: theory and practice. Archives of General Psychiatry 38, 408–413.CrossRefGoogle ScholarPubMed
Harding, T. W., De Arango, M. V., Baltazar, J., Climent, C. E., Ibrahim, H. H. A., Ladrido-Ignacio, L., Murthy, R. S. & Wig, N. N. (1980). Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychological Medicine 10, 231–241.CrossRefGoogle ScholarPubMed
Marks, P. A., Seeman, W. & Haller, D. L. (1974). The Actuarial Use of the MMPI with Adolescents and Adults. Williams & Wilkins: Baltimore.Google Scholar
Newmark, C. S. (ed.) (1979). MMPI: Current Clinical and Research Trends. Praeger: New York.Google Scholar
Nunnally, J. C. (1967). Psychometric Theory. McGraw-Hill: New York.Google Scholar
Rimm, A. A., Hartz, A. J., Kalbfleisch, J. H., Anderson, A. J. & Hoffmann, R. G. (1980). Basic Biostatistics in Medicine and Epidemiology. Appleton-Century-Crofts: New York.Google Scholar
Robins, L. N., Melzer, J. E., Croughan, J. L. & Ratcliff, K. (1981). The NIMH Diagnostic Interview Schedule: its history, characteristics and validity. In What Is a Case? The Problem of Definition in Psychiatric Community Surveys (ed. Wing, J. K., Bebbington, P. and Robins, L. N.), pp. 79–98. Grant McIntyre: London.Google Scholar
Skinner, H. A. (1978). Differentiating the contribution of elevation, scatter and shape in profile similarity. Educational and Psychological Measurements 38, 297–308.CrossRefGoogle Scholar
Skinner, H. A. (1979). A model of psychopathology based on the MMPI. In MMPI: Current Clinical and Research Trends (ed. Newmark, C. S.), pp. 276–305. Praeger: New York.Google Scholar
Skinner, H. A. & Jackson, D. N. (1978). A model of psychopathology based on an integration of MMPI actuarial systems. Journal of Consulting and Clinical Psychology 46, 231–238.CrossRefGoogle Scholar
Tarnopolsky, A., Hand, D. J., McLean, E. K., Roberts, H. & Wiggins, R. D. (1979). Validity and uses of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry 134, 508–515.CrossRefGoogle ScholarPubMed
Tennant, C. (1977). The General Health Questionnaire: a valid index of psychological impairment in Australian populations. Medical Journal of Australia ii, 392–394.CrossRefGoogle Scholar
Wiggins, J. S. (1973). Personality and Prediction: Principles of Personality Assessment. Addison-Wesley: Reading, Mass.Google Scholar
Williams, P., Tarnopolsky, A. & Hand, D. (1980). Case definition and case identification in psychiatric epidemiology: review and assessment. Psychological Medicine 10, 101–114.CrossRefGoogle Scholar
Wing, J. K., Nixon, J. M., Mann, S. A. & Leff, J. P. (1977). Reliability of the PSE (ninth edition) used in a population study. Psychological Medicine 7, 506–516.CrossRefGoogle ScholarPubMed