The factor structure of the PHQ-9 in palliative care.

Abstract:

OBJECTIVES:The Primary Care Evaluation of Mental Disorders Patient Health Questionnaire (PRIME-MD PHQ-9) is a common screening tool designed to facilitate detection of depression according to DSM-IV criteria. However, the factor structure of the PHQ-9 within the palliative care population has not been evaluated. METHODS:300 participants completed the PHQ-9 within one week of referral to a palliative care service. Participants completed the PHQ-9 again four weeks later (n=213). Confirmatory factor analysis (CFA) and multiple-group CFA were undertaken to test the factor structure of the PHQ-9 and evaluate model invariance over time. RESULTS:A two-factor model comprising somatic and cognitive-affective latent factors provided the best fit to the data. Multiple-group CFA suggested model invariance over time. Structural equation modelling revealed that follow-up (time 2) cognitive-affective and somatic symptoms were predicted by their baseline (time 1) factors. CONCLUSIONS:The PHQ-9 measures two stable depression factors (cognitive-affective and somatic) within the palliative care population. Studies are now required to examine the trajectories of these symptoms over time in relation to clinical intervention and events.

journal_name

J Psychosom Res

authors

Chilcot J,Rayner L,Lee W,Price A,Goodwin L,Monroe B,Sykes N,Hansford P,Hotopf M

doi

10.1016/j.jpsychores.2012.12.012

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

60-4

issue

1

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(12)00346-7

journal_volume

75

pub_type

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