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Measuring the Mental Health Status of a Population: a Comparison of the GHQ–12 and the SF–36 (MHI–5)

Published online by Cambridge University Press:  02 January 2018

C. J. McCabe ,
K. J. Thomas ,
J. E. Brazier  and
P. Coleman
P. Coleman
Affiliation:
Sheffield Centre for Health and Related Research
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Abstract

Background

A comparison of the performance of the 5-item mental health dimension of SF–36 (MHI–5) with that of the 12-item General Health Questionnaire (GHQ–12) in a defined, non-patient population, using standard statistical tests.

Methods

A postal survey of 3000 patients aged 16–64 years was conducted. Patients were randomly selected from the practice lists of two general practices chosen to represent populations with different socio-economic characteristics.

Results

Considerable evidence was found for the internal consistency of both instruments (Cronbach's α 0.91 and 0.84 for GHQ–12 and the MHI–5 respectively) and for their construct validity in terms of distinguishing between groups with measured health differences. Both instruments showed a significant difference in the mean scores for men and women. In contrast to the GHQ–12, no correlation was found between age and score for the MHI–5. Both instruments were equally sensitive to socio-economic characteristics and to levels of social support The scores on the two instruments were highly correlated (Spearman rank correlation – 0.73).

Conclusion

The MHI–5 has comparable psychometric performance to the GHQ–12, and can be used to measure and compare mental health in defined populations. Operational advantages of the MHI–5 over the GHQ–12 are that it is in the public domain, is part of a general health measure (SF–36) and is shorter.

Type
Papers
Information
The British Journal of Psychiatry , Volume 169 , Issue 4 , October 1996 , pp. 517 - 521
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Berwick, D. M., Murphy, J. M., Goldman, P. A., et al (1992) Performance of a five-item mental health screening test Medical Care, 29, 169–176.CrossRefGoogle Scholar
Brazier, J., Harper, R., Jones, N., et al (1992) Outcome measurement in primary care: validating a new instrument British Medical Journal, 305, 1604–164.CrossRefGoogle Scholar
Carmines, E. & Zeller, R. (1977) Reliability and Validity Assessment. Quantitative Applications in the Social Sciences. Beverly Hills: Sage.Google Scholar
Cox, B. D., Blaxter, M., Buckle, A. L., et al (1987) The Health and Lifestyle Survey. Cambridge: Health Promotion Trust.Google Scholar
Department of Health (1990) The Health of the Nation: a Strategy for Health in England. CM 1986. London: HMSO.Google Scholar
Goldberg, D. P. & Williams, P. (1988) Users' Guide to the General Health Questionnaire. Windsor NFER-Nelson.Google Scholar
Jenkins, R., Griffiths, S., Wylie, I., et al (1994) The Prevention of Suicide. London: HMSO.Google Scholar
Jenkinson, C., Coulter, A. & Wright, L. (1993) Short Form SF–36 Health Survey questionnaire. Narrative data for adults of working age. British Medical Journal, 306, 1437–1440.Google Scholar
Ware, J. E. & Sherbourne, C. D. (1992) The MOS 36-item Short-Form Health Survey (SF-36). Medical Care, 30, 473–481.CrossRefGoogle ScholarPubMed
Ware, J. E., Gandek, B. and the Iqola Group (1994) The SF–36 health survey, development and use in mental health research and the IQOLA project International Journal of Mental Health, 23, 49–73.CrossRefGoogle Scholar
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