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The Interval General Health Questionnaire and its Relationship with Psychiatric Disorder in Community and General Practice Samples

Published online by Cambridge University Press:  02 January 2018

P. G. Surtees*
Affiliation:
MRC Biostatistics Unit, 5 Shaftesbury Road, Cambridge CB2 2BW
M. Tansella
Affiliation:
Servizio di Psicologia Medico, Istituto di Psichiatria, Università di Verona, Verona, Italy
*
Correspondence

Abstract

This paper contrasts the usual scoring of the GHQ-30 with scoring based upon a criterion approach applied to only 12 of the GHQ items that takes account of the ‘diagnostic significance’ of the chosen items. Repeat assessments with this shorter form of the questionnaire (the l-GHQ), coupled with procedures to assess change, can be used to provide summary measures of symptom course in those research situations where available interview time precludes the use of more formal assessment methods.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Banks, M. H. (1963) Validation of the General Health Questionnaire in a young community sample. Psychological Medicine, 13, 349354.CrossRefGoogle Scholar
Beck, A. T., Ward, C. H., Mendelson, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.Google Scholar
Bellantuono, C., Fiorio, R., Williams, P., et al (1987a) Psychiatric morbidity in an Italian general practice. Psychological Medicine, 17, 243247.Google Scholar
Bellantuono, C., Fiorio, R., Zanotelli, R., et al (1987b) Psychiatric screening in general practice in Italy. A validity study of the GHQ (General Health Questionnaire). Social Psychiatry, 22, 113117.Google Scholar
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, 174180.Google Scholar
Bishop, Y. M. M., Fienberg, S. E. & Holland, P. W. (1975) Discrete Multivariate Analysis: Theory and Practice. Cambridge, Mass.: MIT Press.Google Scholar
Boardman, A. P. (1987) The General Health Questionnaire and the detection of emotional disorder by general practitioners: a replicated study. British Journal of Psychiatry, 151, 373381.Google Scholar
Bridges, K. W. & Goldberg, D. P. (1986) The validation of the GHQ-28 and the use of the MMSE in neurological in-patients. British Journal of Psychiatry, 148, 548553.Google Scholar
Carmel, S. & Bernstein, J. (1987) Perceptions of medical school stressors: their relationship to age, year of study and trait anxiety. Journal of Human Stress, 13, 3944.Google Scholar
Chan, D. W. & Chan, T. S. C. (1983) The reliability, validity and the structure of the General Health Questionnaire in a Chinese context. Psychological Medicine, 13, 363372.Google Scholar
Cox, B., Blaxter, M., Buckle, A., et al (1987) The Health and Lifestyle Survey. Cambridge: Health Promotion Research Trust.Google Scholar
Dean, C., Surtees, P. G. & Sashidharan, S. P. (1983) Comparison of research diagnostic systems in an Edinburgh community sample. British Journal of Psychiatry, 142, 247256.Google 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
Duncan-Jones, P., Grayson, D. A. & Moran, P. A. P. (1986) The utility of latent trait models in psychiatric epidemiology. Psychological Medicine, 16, 391405.Google Scholar
Eric, L., Radovanovic, Z. & Jevremovic, I. (1988) Mental disorders among Yugoslav medical students. British Journal of Psychiatry, 152, 127129.Google Scholar
Firth, J. (1986) Levels and sources of stress in medical students. British Medical Journal, 292, 11771180.Google Scholar
Firth-Cozens, J. (1987) Emotional distress in junior house officers. British Medical Journal, 295, 533536.Google Scholar
Fontanesi, F., Gosetti, C., Zimmermann-Tansella, Ch. et al (1985) Validation of the Italian version of the GHQ in a general practice setting. Psychological Medicine, 15, 411415.Google Scholar
Goldberg, D. (1978) Manual of the General Health Questionnaire. Windsor: National Foundation for Educational Research.Google Scholar
Goldberg, D., Cooper, B., Eastwood, R., et al (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Goldberg, D., Rickels, K., Downing, R., et al (1976) A comparison of two psychiatric screening tests. British Journal of Psychiatry, 129, 6167.Google Scholar
Goldberg, D. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139145.Google Scholar
Goldberg, D., Bridges, K., Duncan-Jones, P., et al (1987) Dimensions of neuroses seen in primary-care settings. Psychological Medicine, 17, 461470.CrossRefGoogle ScholarPubMed
Goldberg, D. & Williams, P. (1988) A User's Guide to the General Health Questionnaire. Windsor: National Foundation for Educational Research-Nelson.Google Scholar
Goodchild, M. E. & Duncan-Jones, P. (1985) Chronicity and the General Health Questionnaire. British Journal of Psychiatry, 146, 5561.Google Scholar
Keller, M. B., Shapiro, R. W., Lavori, P. W., et al (1982a) Recovery in major depressive disorder. Analysis with the life table and regression models. Archives of General Psychiatry, 39, 905910.Google Scholar
Keller, M. B., Shapiro, R. W., Lavori, P. W., et al (1982b) Relapse in major depressive disorder. Analysis with the life table. Archives of General Psychiatry, 39, 911915.Google Scholar
Keller, M. B., Lavori, P. W., Rice, J., et al (1986) The persistent risk of chronicity in recurrent episodes of non-bipolar major depressive disorder: a prospective follow-up. American Journal of Psychiatry, 143, 2428.Google Scholar
Keller, M. B., Lavori, P. W., Friedman, B., et al (1987) The Longitudinal Interval Follow-up Evaluation. A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44, 540548.Google Scholar
Lattanzi, M., Galvan, U., Rizzetto, A., et al (1988) Estimating psychiatric morbidity in the community; standardization of the Italian version of GHQ and CIS. Social Psychiatry and Psychiatric Epidemiology, 23, 267272.Google Scholar
Lovallo, W. R., Pincomb, G. A., Edwards, G. L., et al (1986) Work pressure and the type A behavior pattern exam stress in male medical students. Psychosomatic Medicine, 48, 125133.CrossRefGoogle ScholarPubMed
Mari, J. 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
Metz, C. E., Wang, P. L. & Kronman, H. B. (1984) ROCFIT. Chicago: Department of Radiology and the Franklin McLean Memorial Research Institute, University of Chicago.Google Scholar
Murphy, J. M. (1986) Diagnosis, screening and ‘demoralization’: epidemiologic implications. Psychiatric Developments, 2, 101133.Google Scholar
Murphy, J. M., Nadelson, C. C. & Notman, M. T. (1984) Factors influencing first-year medical students’ perceptions of stress. Journal of Human Stress, 10, 165173.Google Scholar
Murphy, J. M., Neff, R. K., Sobol, A. M., et al (1985) Computer diagnosis of depression and anxiety: the Stirling County study. Psychological Medicine, 15, 99112.Google Scholar
Murphy, J. M., Berwick, D. M., Weinstein, M. C., et al (1987) Performance of screening and diagnostic tests. Application of receiver operating characteristic analysis. Archives of General Psychiatry, 44, 550555.CrossRefGoogle ScholarPubMed
Notman, M. T., Salt, P. & Nadelson, C. C. (1984) Stress and adaptation in medical students: who is most vulnerable? Comprehensive Psychiatry, 25, 355366.Google Scholar
Robins, L. N., Helzer, J. E., Croughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule. Archives of General Psychiatry, 38, 381389.Google Scholar
Rosenthal, T. L., Edwards, N. B. & Ackerman, B. J. (1987) Student's self-ratings of subjective stress across 30 months of medical school. Behavioral Research Therapy, 25, 155158.Google Scholar
Shrout, P. E., Spitzer, R. L. & Fleiss, J. L. (1987) Quantification of agreement in psychiatric diagnosis revisited. Archives of General Psychiatry, 44, 172177.Google Scholar
Skuse, D. & Williams, P. (1984) Screening for psychiatric disorder in general practice. Psychological Medicine, 14, 365377.Google Scholar
Sobal, J. (1986) Health protective behaviors in first year medical students. Social Science and Medicine, 22, 593598.Google Scholar
Spiegel, D. A., Smolen, R. C. & Jonas, C. K. (1986) An examination of the relationships among interpersonal stress, morale and academic performance in male and female medical students. Social Science and Medicine, 23, 11571161.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research diagnostic criteria: rationale and reliability. Archives of General Psychiatry, 35, 773782.Google Scholar
Spitznagel, E. L. & Helzer, J. E. (1985) A proposed solution to the base rate problem in the kappa statistic. Archives of General Psychiatry, 42, 725728.Google Scholar
Surtees, P. G. (1987) Psychiatric disorder in the community and the General Health Questionnaire. British Journal of Psychiatry, 150, 828835.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., et al (1983) Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. British Journal of Psychiatry, 142, 238246.Google Scholar
Surtees, P. G., Sashidharan, S. P. & Dean, C. (1986a) Affective disorder amongst women in the general population: a longitudinal study. British Journal of Psychiatry, 148, 176186.Google Scholar
Surtees, P. G., Miller, P. McC., Ingham, J. G., et al (1986b) Life events and the onset of affective disorder: a longitudinal general population study. Journal of Affective Disorders, 10, 3750.Google Scholar
Tarnopolsky, A., Hand, D. J., McLean, E. K., et al (1979) Validity of uses of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry, 134, 508515.Google Scholar
Uhlenhuth, E. H., Balter, M. B., Mellinger, G. D., et al (1983) Symptom checklist syndromes in the general population. Archives of General Psychiatry, 40, 11671173.Google Scholar
Vitaliano, P. P., Maiuro, R. D., Mitchell, E., et al (1989) Perceived stress in medical school: resistors, resistors, adaptors and maladaptors. Social Science and Medicine, 28, 13211329.CrossRefGoogle ScholarPubMed
Williams, P. (1983) Community screening for mental illness (letter). British Journal of Psychiatry, 142, 310.CrossRefGoogle Scholar
Williams, P., Tarnopolsky, A., Hand, D., et al (1986) Minor psychiatric morbidity and general practice consultation: the West London survey. Psychological Medicine, (monograph suppl. no. 9).Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wing, J. K. & Sturt, E. (1978) The PSE-ID-CATEGO System: Supplementary Manual. London: MRC Social Psychiatry Unit.Google Scholar
World Federation for Medical Education (1988) World Conference on Medical Education, Report. Edinburgh: WFME.Google Scholar
Zoccolillo, M., Murphy, G. E. & Wetzel, R. D. (1986) Depression among medical students. Journal of Affective Disorders, 11, 9196.Google Scholar
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