Improving measurement properties of the Patient Health Questionnaire-9 with rating scale analysis.

Abstract:

OBJECTIVE:The goal of this study was to explore the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9; R. L. Spitzer, K. Kroenke, & J. B. W. Williams, 1999). METHOD:Factor analysis and Rasch rating scale analysis were used to examine the psychometric properties of the PHQ-9. The sample consisted of 202 adults with spinal cord injury (SCI). RESULTS:The PHQ-9 items appear to form a usefully unidimensional scale. One "double-barreled" item, "Moving or speaking so slowly that other people could have noticed or being so fidgety or restless that you've been moving around a lot more than usual," misfit the Rasch model. Category probability curves indicate respondent difficulty in distinguishing between the 2 intermediate rating scale categories: several days and more than half the days. Combining these categories eliminated this problem and resulted in all items fitting the measurement model. CONCLUSIONS:The measurement properties of the PHQ-9 can be improved by collapsing rating scale categories and by restructuring several double- and triple-barreled items. Adopting these changes may improve sensitivity in measuring depression after SCI.

journal_name

Rehabil Psychol

authors

Williams RT,Heinemann AW,Bode RK,Wilson CS,Fann JR,Tate DG

doi

10.1037/a0015529

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

198-203

issue

2

eissn

0090-5550

issn

1939-1544

pii

2009-07289-010

journal_volume

54

pub_type

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