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Chronic Psychiatric Complaints and the General Health Questionnaire

Published online by Cambridge University Press:  02 January 2018

M. W. J. Koeter ,
W. van den Brink  and
J. Ormel
M. W. J. Koeter*
Affiliation:
Department of Social Psychiatry, State University of Groningen
W. van den Brink
Affiliation:
Department of Social Psychiatry, State University of Groningen
J. Ormel
Affiliation:
Department of Social Psychiatry, State University of Groningen
*
∗Department of Social Psychiatry, Academic Hospital Groningen, Postbox 30001, 9700 RB Groningen, The Netherlands
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Abstract

The sensitivity of the GHQ and a revised scoring procedure (CGHQ) for chronic psychiatric complaints was investigated on 175 outpatients. The mean level of severity of symptoms of the groups with and without chronic complaints was not significantly different. However, patients with chronic complaints showed a significantly lower mean GHQ score than patients without chronic complaints. The mean CGHQ scores of the two groups did not differ, suggesting that the CGHQ is a better indicator of the severity of the chronic psychiatric state than the GHQ. The revised scoring procedure resulted in a decrease in the number of false negatives. The strongest reduction in false negatives, however, was induced by a combination of the original and the revised scoring procedures. This reduction was achieved at the expense of only a small increase in the number of false positives. Altogether, the revised scoring procedure proved to be only marginally better.

Type
Papers
Information
The British Journal of Psychiatry , Volume 155 , Issue 2 , August 1989 , pp. 186 - 190
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: APA.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, 174–180.CrossRefGoogle ScholarPubMed
Brink, W., van den Koeter, M. W. J., Ormel, J., et al (1989) Psychiatric diagnosis in an outpatient population. A comparative study of PSE-Catego and DSM-III. Archives of General Psychiatry, 46, 369–372.CrossRefGoogle Scholar
Chan, D. W. & Chan, T. S. C. (1983) Reliability, validity and the structure of the General Health Questionnaire in a Chinese context. Psychological Medicine, 13, 363–371.CrossRefGoogle Scholar
Finlay-Jones, R. A. & Murphy, E. (1979) Severity of psychiatric disorder and the 30-item GHQ. British Journal of Psychiatry, 134, 609–616.CrossRefGoogle Scholar
Goldberg, D. (1972) The Detection of Psychiatric Illness by Questionnaire, Maudsley monograph no. 21. Oxford: Oxford University Press.Google Scholar
Goldberg, D. (1978) Manual of the General Health Questionnaire. Windsor: NFER.Google Scholar
Goldberg, D. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.CrossRefGoogle ScholarPubMed
Goodchild, M. E. & Duncan-Jones, P. (1985) Chronicity and the General Health Questionnaire. British Journal of Psychiatry, 146, 55–61.CrossRefGoogle ScholarPubMed
Harding, T. W. (1976) Validating a method of psychiatric case identification in Jamaica. Bulletin of the World Health Organization, 54, 225–231.Google ScholarPubMed
Henderson, S., Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. New York: Academic Press.Google Scholar
Hobbs, P., Ballinger, C. B. & Smith, A. H. W. (1983) Factor analysis and validation of the General Health Questionnaire in women. British Journal of Psychiatry, 142, 257–264.CrossRefGoogle ScholarPubMed
Hodiamont, P. P. G. (1986) Het zoeken van zieke zielen. Thesis (with English abstract). University of Nijmegen, The Netherlands.Google Scholar
Munoz, P. E., Vazquez-Barquero, J. L., Pastrane, E., et al (1978) Study of the validity of Goldberg's 60-item GHQ in its Spanish version. Social Psychiatry, 13, 99–104.CrossRefGoogle Scholar
Ormel, J., Koeter, M. W. J., Brink, W., et al (1989) Concurrent validity of GHQ-28 and PSE as measures of change. Psychological Medicine (in press).CrossRefGoogle Scholar
Surtees, P. G. (1987) Psychiatric disorder in the community and the General Health Questionnaire. British Journal of Psychiatry, 150, 828–835.CrossRefGoogle ScholarPubMed
Varquez-Barquero, J. L., Diez-Manrique, J. F., Pena, C., et al (1986) Two-stage design in a community survey. British Journal of Psychiatry, 149, 88–97.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and Catego program. London: Cambridge University Press.Google Scholar
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