The factor structure of major depression symptoms: A test of four competing models using the Patient Health Questionnaire-9

被引：103
|
作者：
Elhai, Jon D. [1 ,2 ]
Contractor, Ateka A. [1 ]
Tamburrino, Marijo [2 ]
Fine, Thomas H. [2 ]
Prescott, Marta R. [3 ]
Shirley, Edwin [4 ,5 ]
Chan, Phillip K. [4 ,5 ]
Slembarski, Renee [4 ,5 ]
Liberzon, Israel [6 ,7 ]
Galea, Sandro [3 ]
Calabrese, Joseph R. [4 ]
机构：
[1] Univ Toledo, Dept Psychol, Toledo, OH 43606 USA
[2] Univ Toledo, Dept Psychiat, Toledo, OH 43606 USA
[3] Columbia Univ, Mailman Sch Publ Hlth, New York, NY USA
[4] Case Western Reserve Univ, Dept Psychiat, Cleveland, OH 44106 USA
[5] Univ Hosp Case Med Ctr, Cleveland, OH USA
[6] VA Ann Arbor Hlth Syst, Mental Hlth Serv, Ann Arbor, MI USA
[7] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
来源：
PSYCHIATRY RESEARCH | 2012年 / 199卷 / 03期
关键词：
Depression; Confirmatory factor analysis; Military veterans; Patient Health Questionnaire-9; POSTTRAUMATIC-STRESS-DISORDER; SPINAL-CORD-INJURY; PRIMARY-CARE; ANXIETY DISORDERS; FIT INDEXES; DSM-V; PHQ-9; SEVERITY; VALIDITY; INVARIANCE;
D O I：
10.1016/j.psychres.2012.05.018
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Little research has examined the underlying symptom structure of major depressive disorder (MDD) symptoms based on DSM-IV criteria. Our aim was to analyze the symptom structure of major depression, using the Patient Health Questionnaire-9 (PHQ-9). The PHQ-9 was administered to a sample of 2615 Army National Guard soldiers from Ohio. A one-factor model of depression and three separate two-factor models previously established in the literature were evaluated using confirmatory factor analysis. Results demonstrated greater support for the two-factor models of depression than for the one-factor model. The best fitting model was the two-factor model of somatic and non-somatic symptoms supported previously by Krause et al. (2010) and Richardson and Richards (2008). Implications for understanding the components and mechanisms of MOD are discussed. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：169 / 173
页数：5
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