CROSS-NATIONAL MEASUREMENT INVARIANCE OF THE PATIENT HEALTH QUESTIONNAIRE-4 (PHQ-4) AS A SCREENING MEASURE FOR DEPRESSION AND ANXIETY SYMPTOMS IN 12 LATIN AMERICAN COUNTRIES

Depression Patient Health Questionnaire Measurement Invariance
DOI: 10.37708/psyct.v17i2.931 Publication Date: 2024-11-09T10:24:17Z
ABSTRACT
The Patient Health Questionnaire-4 (PHQ-4) is a widely used instrument to measure symptoms of depression and anxiety in general, but not much known about its cross-cultural utility Latin America. present study evaluated the measurement invariance PHQ-4 adult samples (N = 5441) from 12 American countries (Paraguay, El Salvador, Chile, Ecuador, Colombia, Uruguay, Peru, Mexico, Cuba, Guatemala, Argentina, Bolivia). two-factor structure presented superior fit one-factor structure. This provides evidence support two-dimensional model anxious depressive symptomatology PHQ-4, with good estimate reliability. configural, metric, scalar strict was supported, suggesting that participants all attribute same meaning latent constructs their scores can be compared. Additionally, provided for hypothesis presence significantly predicts subjective well-being. However, fails predict It concluded largely comparable large sample countries.
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