Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-22T17:58:26.417Z Has data issue: false hasContentIssue false
  • English
  • Français

Emotional Disturbances in Endocrine Patients

Validity of the Scaled Version of the General Health Questionnaire (GHQ-28)

Published online by Cambridge University Press:  02 January 2018

Antonio Lobo ,
Maria-Jesús Pérez-Echeverría ,
Antonio Jiménez-Aznárez  and
Maria-Antonia Sancho
Antonio Lobo*
Affiliation:
Departamento de Psiquiatría, Facultad de Mediana y Hospital Clínico Universitario, Zaragoza
Maria-Jesús Pérez-Echeverría
Affiliation:
Hospital Miguel Servet de la Seguridad Social, Zaragoza
Maria-Antonia Sancho
Affiliation:
Facultad de Medicina y Hospital Clínico Universitario, Zaragoza, Spain
*
∗Departamento de Psiquiatría, Facultad de Medicina y Hospital Clínico Universitario (Planta 11). 50009 Zaragoza, Spain
Get access Rights & Permissions [Opens in a new window]

Abstract

The 28-item General Health Questionnaire (GHQ) has been validated against the criterion of the Clinical Interview Schedule (CIS) in Spanish patients in hospital with several types of endocrinological illnesses. The screening instrument correctly identified 91 of 100 respondents as exhibiting psychiatric disorder. The questionnaire's efficacy was similar at the time of medical discharge, when the rate of disorder was significantly lower. Significant correlations were found between GHQ total scores and endocrine blood measures in Addison's disease, and in Type I diabetes. The four subscales of the GHQ sum to provide additional information concerning somatic symptoms and anxiety.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 6 , June 1988 , pp. 807 - 812
Copyright
Copyright © Royal College of Psychiatrists, 1988 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bleuler, E. (1967) Tratado de Psiquiatría. Madrid: Espasa-Calpe.Google Scholar
Bleuler, M. (1954) Endokrinoiogische Psychiatrie. Stuttgart: Thieme.Google Scholar
Bridges, K. W. & Goldberg, D. P. (1984) Psychiatric illness in in-patients with neurological disorders: patients' views on discussion of emotional problems with neurologists. British Medical Journal, 289, 656–658.Google Scholar
DePaulo, J. R. & Folstein, M. F. (1978) Psychiatric disturbances in neurological patients: detection, recognition and hospital course. Annals of Neurology, 4, 225–228.Google Scholar
DePaulo, J. R., Folstein, M. F. & Gordon, B. (1980) Psychiatric screening on a neurological ward. Psychological Medicine, 10, 125–132.Google Scholar
Dixon, W. J. & Mood, A. M. (1946) The statistical sign test. Journal of American Statistical Association, 41, 557–566.Google 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.Google Scholar
Gibbons, J. L. (1983) Endocrine disorders In Handbook of Psychiatry, 2: Mental Disorders and Somatic Illness (ed. Lader, M. H.). Cambridge: Cambridge University Press.Google Scholar
Goldberg, D. P. (1983) The use of screening questionnaires by family doctors. Proceedings of the VII World Congress of Psychiatry. Vienna: World Psychiatric Association.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google ScholarPubMed
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.Google Scholar
Informe Foessa (1978) Síntesis actualizada del III Informe Foessa. Madrid: Euramérica.Google Scholar
Kelly, W. F., Checkley, S. A. & Bender, D. A. (1980) Cushing's syndrome, tryptophan and depression. British Journal of Psychiatry, 136, 125–132.CrossRefGoogle ScholarPubMed
Knights, E. & Folstein, M. F. (1977) Unsuspected psychiatric disorders in medical patients. Annals of Internal Medicine, 87, 723–724.Google Scholar
Lloyd, G. G. & Cawley, R. H. (1983) Distress or illness? A study of psychological symptoms after myocardial infarction. British Journal of Psychiatry, 142, 120–125.Google Scholar
Lobo, A., Día, J. L., Escolar, V., Pérez-Echeverría, M. J., Artal, J., Morera, B. & Miranda, M. (1986a) Empirical data supporting a multiaxial classification of psychiatric disturbances in medical patients. Proceedings of I Jornadas Europeas de Psiquiatría. Encuentro S.E.P./Royal College of Psychiatrists.Google Scholar
Lobo, A., Folstein, M. F. & Abeloff, M. D. (1979) Incidencia, prevalencia y detectión de morbilidad psiquiátrica en un hospital oncológico. Folia Neuropsiquiátrica, 14, 260–269.Google Scholar
Lobo, A., Folstein, M. F., Escolar, V., Morera, B. & Día, J. L. (1988) Screening instruments and diagnostic criteria for psychiatric epidemiological studies in oncological patients In Biobehavioral Oncology (eds Lobo, A. & Tres, A.). Madrid: Ministerio de Sanidad.Google Scholar
Lobo, A., Gómez-Burgada, F., Pérez-Echeverría, M. J., Miranda, M. & Clare, A. (1981) Estudio de la entrevista psiquiátrica estructurada CPI en pacientes españoles. Comunicacion Psiquiatrica, 8, 360.Google Scholar
Lobo, A., Pérez-Echeverría, M. J. & Artal, J. (1986b) Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16, 135–140.Google Scholar
Mayou, R. & Hawton, K. (1986) Psychiatric disorder in the General Hospital. British Journal of Psychiatry, 149, 172–190.Google Scholar
Muncoz, P. E., Vázquez, J. L., Pastrana, E., Rodríguez, F. & Oneca, C. (1978) Study of validity of Goldberg's 60-item GHQ in its Spanish version. Social Psychiatry, 13, 99–104.Google Scholar
Pérez-Echeverría, M. J. (1985) Correlaciones entre trastornos endocrinológicos, niveles hormonales en sangre, variables de personalidad y alteraciones psicopatológicas. Doctoral Thesis, Universidad de Zaragoza.Google Scholar
Rabins, P. B. & Brooks, P. R. (1981) Emotional disturbances in multiple sclerosis patients: validity of the General Health Questionnaire (GHQ). Psychological Medicine, 11, 425–427.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1981) Psychiatric Illness in General Practice (2nd edn). Oxford: Oxford University Press.Google Scholar
Solomon, P. & Patch, V. (1972) Manual de Psiquiatría. México: Manual-Moderna.Google Scholar
Starkman, M. N. & Schteingart, D. E. (1981) Neuropsychiatric manifestations of patients with Cushing's syndrome. Archives of Internal Medicine, 141, 215–219.Google Scholar
Tarnopolsky, A., Hand, D. J., McLean, E. K., Roberts, H. & Wiggins, R. D. (1979) Validity and use of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry, 134, 508–515.Google Scholar
Whybrow, P. C. & Hurwitz, T. (1976) Psychological disturbances associated with endocrine disease and hormone therapy In Hormones, Behaviour and Psychopathology (ed. Sachar, E. J.). New York: Raven Press.Google Scholar
Williams, P., Tarnopolsky, A. & Hand, D. J. (1980) Case definition and case identification in psychiatric epidemiology: review and assessment. Psychological Medicine, 10, 101–114.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.