The psychiatric correlates of coronary pathology: validity of the GHQ-60 as a screening instrument

1985 ◽  
Vol 15 (3) ◽  
pp. 589-596 ◽  
Author(s):  
J. L. Vázquez-Barquero ◽  
J. A. Padierna Acero ◽  
C. Peña Marti´n ◽  
A. Ochoteco
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
General Health Questionnaire ◽  
Consecutive Series ◽  
Health Questionnaire ◽  
False Negatives ◽  
Interview Schedule ◽  
Anginal Pain ◽  
Lower Specificity ◽  
Valid Instrument

SynopsisThe 60-item General Health Questionnaire (GHQ) and the Clinical Interview Schedule (CIS) were administered to a consecutive series of 194 patients with established or presumptive coronary heart disease (CHD) attending an out-patient cardiology unit. The GHQ proved to be a valid instrument for the routine screening of this population. The presence of organic anginal pain was associated with high scores on the GHQ, but with a lower specificity and a higher percentage of false positives. This was not found in patients with atypical or non-cardiac chest pain. These findings suggest a need for an upward revision of the cut-off score on the GHQ in patients with organic anginal pain. False negatives were found predominantly among patients with personality disorders, and in those characterized by the longstanding nature of their symptomatology and by higher levels of defensiveness.

Neurosis and Social Bonds in an Urban Population

1979 ◽  
Vol 13 (2) ◽  
pp. 121-125 ◽  
Author(s):  
Scott Henderson ◽  
P. Duncan-Jones ◽  
D. G. Byrnf ◽  
Sylvia Adcock ◽  
Ruth Scott
Keyword(s):  
Social Interaction ◽  
General Health ◽  
Urban Population ◽  
Social Bonds ◽  
General Health Questionnaire ◽  
Causal Factor ◽  
Health Questionnaire ◽  
Interview Schedule

The hypothesis that a deficiency in social bonds is a significant causal factor in neurosis was examined in a sample of an urban population (N = 756). The General Health Questionnaire was used as a measure of morbidity while social bonds were measured by the Interview Schedule for Social Interaction. An association was found between neurosis and a deficiency, particularly a perceived deficiency, in social bonds. Attention is now being directed to the interpretation of this association and to establishing the direction of causality.

A study of the validity of the scaled version of the General Health Questionnaire in paralysed spinally injured out-patients

1993 ◽  
Vol 23 (2) ◽  
pp. 497-504 ◽  
Author(s):  
T. C. Griffiths ◽  
D. H. Myers ◽  
A. W. Talbot
Keyword(s):  
Confidence Interval ◽  
Roc Analysis ◽  
Operating Characteristic ◽  
General Health Questionnaire ◽  
Misclassification Rate ◽  
Health Questionnaire ◽  
The West ◽  
Interview Schedule ◽  
Relative Operating Characteristic ◽  
West Midlands

SynopsisThis study validates the GHQ-28 on a sample of paralysed, spinally injured outpatients under the care of the West Midlands Spinal Injuries Unit. The validity of the GHQ-28 was 0·83 (95% confidence interval: 0·70 to 0·93) using the Clinical Interview Schedule (CIS) as the validating criterion. The effectiveness of the GHQ-28 as a screening instrument using CIS 11/12 as case criterion, and thus a prevalence rate of 0·18, was judged by relative operating characteristic (ROC) analysis. The area under the ROC curve was 0·91±0·03. “Optimum’ discrimination occurred near GHQ 3/4 (0011 scoring scheme) giving a sensitivity of 0·81, a specificity of 0·82 and a misclassification rate of 18%.

Severity of Psychiatric Disorder and the 30-Item General Health Questionnaire

1979 ◽  
Vol 134 (6) ◽  
pp. 609-616 ◽  
Author(s):  
Robert A. Finlay-Jones ◽  
Elaine Murphy
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
False Negatives ◽  
Two Samples ◽  
Threshold Score ◽  
Adverse Life Event ◽  
Chronic Disorders ◽  
State Examination

SummaryThe 30-item General Health Questionnaire misclassified 26 per cent of respondents in two samples of women who were interviewed by a psychiatrist using the Present State Examination. False negatives were likely to be women with chronic disorders, particularly anxiety states. False positives were likely to be distressed by severe physical illness, a recent adverse life event, or loneliness. Applying a higher threshold score to their GHQ, responses would help to separate those with a diagnosable psychiatric disorder from those in states of distress.

Emotional Disturbances in Endocrine Patients

1988 ◽  
Vol 152 (6) ◽  
pp. 807-812 ◽  
Author(s):  
Antonio Lobo ◽  
Maria-Jesús Pérez-Echeverría ◽  
Antonio Jiménez-Aznárez ◽  
Maria-Antonia Sancho
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
Type I Diabetes ◽  
General Health Questionnaire ◽  
Somatic Symptoms ◽  
Emotional Disturbances ◽  
Type I ◽  
Health Questionnaire ◽  
Interview Schedule ◽  
Additional Information

The 28-item General Health Questionnaire (GHQ) has been validated against the criterion of the Clinical Interview Schedule (CIS) in Spanish patients in hospital with several types of endocrinological illnesses. The screening instrument correctly identified 91 of 100 respondents as exhibiting psychiatric disorder. The questionnaire's efficacy was similar at the time of medical discharge, when the rate of disorder was significantly lower. Significant correlations were found between GHQ total scores and endocrine blood measures in Addison's disease, and in Type I diabetes. The four subscales of the GHQ sum to provide additional information concerning somatic symptoms and anxiety.

Validity of the General Health Questionnaire in a Yugoslav student population

1983 ◽  
Vol 13 (1) ◽  
pp. 205-207 ◽  
Author(s):  
Z. Radovanović ◽  
L. J. Erić
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
Correlation Coefficients ◽  
Student Population ◽  
Health Questionnaire ◽  
Mental Impairment ◽  
Valid Instrument ◽  
Psychological Impairment

SynopsisThe General Health Questionnaire (GHQ) was shown to be a valid instrument for the screening of psychological impairment in a defined population of Yugoslav students. Optimal indices of validity were obtained by the use of the 60-item version of the GHQ and a cut-off score of 13/14. The product-moment correlation coefficients between clinical ratings of severity of mental impairment and GHQ scores ranged from 0·71 to 0·78.

Chronic Psychiatric Complaints and the General Health Questionnaire

1989 ◽  
Vol 155 (2) ◽  
pp. 186-190 ◽  
Author(s):  
M. W. J. Koeter ◽  
W. van den Brink ◽  
J. Ormel
Keyword(s):  
General Health ◽  
General Health Questionnaire ◽  
False Positives ◽  
Health Questionnaire ◽  
False Negatives ◽  
The Mean ◽  
Psychiatric State ◽  
Chronic Complaints

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.

scholarly journals Use of self-administered instruments to assess psychiatric disorders in older people: validity of the General Health Questionnaire, the Center for Epidemiologic Studies Depression Scale and the self-completion version of the revised Clinical Interview Schedule

2013 ◽  
Vol 43 (12) ◽  
pp. 2649-2656 ◽  
Author(s):  
J. Head ◽  
S. A. Stansfeld ◽  
K. P. Ebmeier ◽  
J. R. Geddes ◽  
C. L. Allan ◽  
...  
Keyword(s):  
Depressive Disorder ◽  
Older People ◽  
Mental Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
The Self ◽  
Health Questionnaire ◽  
Interview Schedule

BackgroundDiagnosis of depressive disorder using interviewer-administered instruments is expensive and frequently impractical in large epidemiological surveys. The aim of this study was to assess the validity of three self-completion measures of depressive disorder and other psychiatric disorders in older people against an interviewer-administered instrument.MethodA random sample stratified by sex, age and social position was selected from the Whitehall II study participants. This sample was supplemented by inclusion of depressed Whitehall II participants. Depressive disorder and other mental disorders were assessed by the interviewer-administered structured revised Clinical Interview Schedule (CIS-R) in 277 participants aged 58–80 years. Participants also completed a computerized self-completion version of the CIS-R in addition to the General Health Questionnaire (GHQ) and the Center for Epidemiologic Studies Depression Scale (CES-D).ResultsThe mean total score was similar for the interviewer-administered (4.43) and self-completion (4.35) versions of the CIS-R [95% confidence interval (CI) for difference −0.31 to 0.16]. Differences were not related to sex, age, social position or presence of chronic physical illness. Sensitivity/specificity of self-completion CIS-R was 74%/98% for any mental disorder and 75%/98% for depressive episode. The corresponding figures were 86%/87% and 78%/83% for GHQ and 77%/89% and 89%/86% for CES-D.ConclusionsThe self-completion computerized version of the CIS-R is feasible and has good validity as a measure of any mental disorder and depression in people aged ⩾ 60 years. GHQ and CES-D also have good criterion validity as measures of any mental disorder and depressive disorder respectively.

Sign in / Sign up

Export Citation Format

Share Document