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

The Patient Health Questionnaire-4 (PHQ-4) is a widely used instrument to measure symptoms of depression and anxiety in general, but not much is known about its cross-cultural utility in Latin America. The present study evaluated the measurement invariance of the PHQ-4 in adult samples (N = 5441) fr...

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Autores:
Caycho-Rodríguez, Tomás
Vilca, Lindsey W.
Ventura-León, José
Valencia, Pablo D
Carbajal-León, Carlos
Reyes-Bossio, Mario
Delgado-Campusano, Mariel
Yupanqui-Lorenzo, Daniel E.
Rojas-Jara, Claudio
Gallegos, Miguel
Cervigni, Mauricio
Martino, Pablo
Polanco-Carrasco, Roberto
Palacios, Diego Alejandro
Moreta-Herrera, Rodrigo
Samaniego-Pinho, Antonio
Rivera, Marlon Elías Lobos
Figares, Andrés Buschiazzo
Puerta-Cortés, Diana Ximena
Corrales-Reyes, Ibraín Enrique
Calderón, Raymundo
Petzold, Olimpia
Camargo, Andrés
Torales, Julio
Ferrufino-Borja, Daniela
Muñoz-Del-carpio-toia, Agueda
Palacios, Jorge
Schulmeyer, Marion K.
Garcia-Cadena, Cirilo H.
Baeza-Rivera, María José
Salazar-Fernández, Camila
Barria-Asenjo, Nicol A
Barria-Asenjo, Nicol A
Tipo de recurso:
Article of investigation
Fecha de publicación:
2024
Institución:
Universidad de Ibagué
Repositorio:
Repositorio Universidad de Ibagué
Idioma:
eng
OAI Identifier:
oai:repositorio.unibague.edu.co:20.500.12313/5827
Acceso en línea:
https://hdl.handle.net/20.500.12313/5827
https://www.researchgate.net/publication/385558652_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
Palabra clave:
Depresion - América Latina
Ansiedad - América Latina
Anxiety
Depression
Invariance
Latin America
Patient Health Questionnaire-4
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closedAccess
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© 2024, South-West University "Neofit Rilski". All rights reserved.
id UNIBAGUE2_7e26d31b257bd1a80399e12f9d955bd9
oai_identifier_str oai:repositorio.unibague.edu.co:20.500.12313/5827
network_acronym_str UNIBAGUE2
network_name_str Repositorio Universidad de Ibagué
repository_id_str
dc.title.eng.fl_str_mv 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
title 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
spellingShingle 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
Depresion - América Latina
Ansiedad - América Latina
Anxiety
Depression
Invariance
Latin America
Patient Health Questionnaire-4
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.fl_str_mv Caycho-Rodríguez, Tomás
Vilca, Lindsey W.
Ventura-León, José
Valencia, Pablo D
Carbajal-León, Carlos
Reyes-Bossio, Mario
Delgado-Campusano, Mariel
Yupanqui-Lorenzo, Daniel E.
Rojas-Jara, Claudio
Gallegos, Miguel
Cervigni, Mauricio
Martino, Pablo
Polanco-Carrasco, Roberto
Palacios, Diego Alejandro
Moreta-Herrera, Rodrigo
Samaniego-Pinho, Antonio
Rivera, Marlon Elías Lobos
Figares, Andrés Buschiazzo
Puerta-Cortés, Diana Ximena
Corrales-Reyes, Ibraín Enrique
Calderón, Raymundo
Petzold, Olimpia
Camargo, Andrés
Torales, Julio
Ferrufino-Borja, Daniela
Muñoz-Del-carpio-toia, Agueda
Palacios, Jorge
Schulmeyer, Marion K.
Garcia-Cadena, Cirilo H.
Baeza-Rivera, María José
Salazar-Fernández, Camila
Barria-Asenjo, Nicol A
Barria-Asenjo, Nicol A
dc.contributor.author.none.fl_str_mv Caycho-Rodríguez, Tomás
Vilca, Lindsey W.
Ventura-León, José
Valencia, Pablo D
Carbajal-León, Carlos
Reyes-Bossio, Mario
Delgado-Campusano, Mariel
Yupanqui-Lorenzo, Daniel E.
Rojas-Jara, Claudio
Gallegos, Miguel
Cervigni, Mauricio
Martino, Pablo
Polanco-Carrasco, Roberto
Palacios, Diego Alejandro
Moreta-Herrera, Rodrigo
Samaniego-Pinho, Antonio
Rivera, Marlon Elías Lobos
Figares, Andrés Buschiazzo
Puerta-Cortés, Diana Ximena
Corrales-Reyes, Ibraín Enrique
Calderón, Raymundo
Petzold, Olimpia
Camargo, Andrés
Torales, Julio
Ferrufino-Borja, Daniela
Muñoz-Del-carpio-toia, Agueda
Palacios, Jorge
Schulmeyer, Marion K.
Garcia-Cadena, Cirilo H.
Baeza-Rivera, María José
Salazar-Fernández, Camila
Barria-Asenjo, Nicol A
Barria-Asenjo, Nicol A
dc.subject.armarc.none.fl_str_mv Depresion - América Latina
Ansiedad - América Latina
topic Depresion - América Latina
Ansiedad - América Latina
Anxiety
Depression
Invariance
Latin America
Patient Health Questionnaire-4
dc.subject.proposal.eng.fl_str_mv Anxiety
Depression
Invariance
Latin America
Patient Health Questionnaire-4
description The Patient Health Questionnaire-4 (PHQ-4) is a widely used instrument to measure symptoms of depression and anxiety in general, but not much is known about its cross-cultural utility in Latin America. The present study evaluated the measurement invariance of the PHQ-4 in adult samples (N = 5441) from 12 Latin American countries (Paraguay, El Salvador, Chile, Ecuador, Colombia, Uruguay, Peru, Mexico, Cuba, Guatemala, Argentina, and Bolivia). The two-factor structure presented a superior fit to the one-factor structure. This provides evidence to support a two-dimensional model of anxious and depressive symptomatology of the PHQ-4, with a good estimate of reliability. The configural, metric, scalar and strict invariance of the PHQ-4 was supported, suggesting that participants from all countries attribute the same meaning to the latent constructs anxiety and depression and their scores can be compared. Additionally, support was provided for the hypothesis that the presence of depressive symptoms significantly predicts subjective well-being. However, the presence of anxiety symptoms fails to significantly predict participants well-being. It is concluded that the PHQ-4 provides a largely comparable measure of anxiety and depression symptoms in a large sample of Latin American countries.
publishDate 2024
dc.date.issued.none.fl_str_mv 2024
dc.date.accessioned.none.fl_str_mv 2025-10-24T14:24:12Z
dc.date.available.none.fl_str_mv 2025-10-24T14:24:12Z
dc.type.none.fl_str_mv Artículo de revista
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.coarversion.none.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.content.none.fl_str_mv Text
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.none.fl_str_mv Caycho-Rodríguez, Tomás & Vilca, Wildman & Ventura Leon, Jose & Valencia, Pablo & Carbajal, Carlos & Reyes - Bossio, Mario & Delgado-Campusano, Mariel & Yupanqui-Lorenzo, Daniel & Rojas-Jara, Claudio & Gallegos, Miguel & Cervigni, Mauricio & Martino, Pablo & Polanco-Carrasco, Roberto & Palacios, Diego & Moreta-Herrera, Rodrigo & Samaniego Pinho, Antonio & Elías, Marlon & Lobos-Rivera, Marlon & Buschiazzo, Andrés & Ayala-Colqui, Jesús. (2024). 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. Psychological Thought. 17. 450-482. 10.37708/psyct.v17i2.931.
dc.identifier.doi.none.fl_str_mv 10.37708/psyct.v17i2.931.
dc.identifier.issn.none.fl_str_mv 09218890
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12313/5827
dc.identifier.url.none.fl_str_mv https://www.researchgate.net/publication/385558652_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
identifier_str_mv Caycho-Rodríguez, Tomás & Vilca, Wildman & Ventura Leon, Jose & Valencia, Pablo & Carbajal, Carlos & Reyes - Bossio, Mario & Delgado-Campusano, Mariel & Yupanqui-Lorenzo, Daniel & Rojas-Jara, Claudio & Gallegos, Miguel & Cervigni, Mauricio & Martino, Pablo & Polanco-Carrasco, Roberto & Palacios, Diego & Moreta-Herrera, Rodrigo & Samaniego Pinho, Antonio & Elías, Marlon & Lobos-Rivera, Marlon & Buschiazzo, Andrés & Ayala-Colqui, Jesús. (2024). 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. Psychological Thought. 17. 450-482. 10.37708/psyct.v17i2.931.
10.37708/psyct.v17i2.931.
09218890
url https://hdl.handle.net/20.500.12313/5827
https://www.researchgate.net/publication/385558652_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
dc.language.iso.none.fl_str_mv eng
language eng
dc.relation.citationendpage.none.fl_str_mv 482
dc.relation.citationissue.none.fl_str_mv 2
dc.relation.citationstartpage.none.fl_str_mv 450
dc.relation.citationvolume.none.fl_str_mv 17
dc.relation.ispartofjournal.none.fl_str_mv Psychological Thought
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spelling Caycho-Rodríguez, Tomás4f9cc0a5-f1c8-4214-8e5e-9fa047f25600-1Vilca, Lindsey W.f6ae1777-2153-4cab-ad39-d1e3ae827538-1Ventura-León, José8a8217c5-e3b4-448e-809a-f6508939efd7-1Valencia, Pablo D8cb8c41a-4484-4c6b-b4a3-664341d12a1e-1Carbajal-León, Carlos931e4351-7d9b-49b1-956b-0133870f37c2-1Reyes-Bossio, Marioba231db2-23a0-40d0-a59b-bbe0cb637bd2-1Delgado-Campusano, Mariel98d25625-6b8f-461f-9d70-b4c3586254b1-1Yupanqui-Lorenzo, Daniel E.749311e6-0a3f-4317-9ee7-6f427fa55751-1Rojas-Jara, Claudio7f0e23a3-229b-4190-8d4d-376a5d5a31f4-1Gallegos, Miguel80ac4243-7407-4d51-93e0-0eb35bf0eaeb-1Cervigni, Mauricio493a3a70-cc69-4b6e-a78f-e861cb5afc42-1Martino, Pabloa4b33fb3-e72b-4490-a320-327e12a78249-1Polanco-Carrasco, Roberto85b10d7b-e131-49d3-8d38-93e6a6e3ac7f-1Palacios, Diego Alejandro2eb894f5-edbd-47a8-8819-c5b51b98a228-1Moreta-Herrera, Rodrigo7e895ef7-527a-4c26-bff0-9c065fc47a52-1Samaniego-Pinho, Antonio2b5dea38-2857-408c-af20-40442f83395c-1Rivera, Marlon Elías Lobos53d0a79b-4d39-4b5d-a8cd-2762b2f20301-1Figares, Andrés Buschiazzo6a7986ab-8700-42fe-853c-df2cf758d33a-1Puerta-Cortés, Diana Ximena42d16ffc-a64a-4702-8ce7-996503e9b1a2-1Corrales-Reyes, Ibraín Enriquea9da1bc6-92ed-4848-8a8c-de74eb62c125-1Calderón, Raymundo379848b5-9abd-427e-b384-ecb6659c49df-1Petzold, Olimpia78939b19-1e8e-4092-aad9-b137f776dac7-1Camargo, Andrésd4ffc5f1-bef3-41ff-ab85-2580fba89e7b-1Torales, Juliof2c076f9-949b-41b7-a2e3-af732392aed7-1Ferrufino-Borja, Danielac1b49553-0cc1-4282-bfbd-fae19dd9d849-1Muñoz-Del-carpio-toia, Agueda3220d6ce-585d-42c6-ad76-ce642b239e16-1Palacios, Jorge22a84d12-9411-4496-88af-10f3359af4c2-1Schulmeyer, Marion K.29a8e172-2386-4dcf-aa3b-62fae857e065-1Garcia-Cadena, Cirilo H.d45ed4e9-f824-4b04-8c11-1e556d87e8a5-1Baeza-Rivera, María José06ba6ef4-0dc0-48aa-9d73-d414c8af59b6-1Salazar-Fernández, Camila7f746027-e326-4c55-b71f-f992b2c1fade-1Barria-Asenjo, Nicol A1588c81f-4de8-4409-b422-706add61fe8a-1Barria-Asenjo, Nicol A1588c81f-4de8-4409-b422-706add61fe8a-12025-10-24T14:24:12Z2025-10-24T14:24:12Z2024The Patient Health Questionnaire-4 (PHQ-4) is a widely used instrument to measure symptoms of depression and anxiety in general, but not much is known about its cross-cultural utility in Latin America. The present study evaluated the measurement invariance of the PHQ-4 in adult samples (N = 5441) from 12 Latin American countries (Paraguay, El Salvador, Chile, Ecuador, Colombia, Uruguay, Peru, Mexico, Cuba, Guatemala, Argentina, and Bolivia). The two-factor structure presented a superior fit to the one-factor structure. This provides evidence to support a two-dimensional model of anxious and depressive symptomatology of the PHQ-4, with a good estimate of reliability. The configural, metric, scalar and strict invariance of the PHQ-4 was supported, suggesting that participants from all countries attribute the same meaning to the latent constructs anxiety and depression and their scores can be compared. Additionally, support was provided for the hypothesis that the presence of depressive symptoms significantly predicts subjective well-being. However, the presence of anxiety symptoms fails to significantly predict participants well-being. It is concluded that the PHQ-4 provides a largely comparable measure of anxiety and depression symptoms in a large sample of Latin American countries.application/pdfCaycho-Rodríguez, Tomás & Vilca, Wildman & Ventura Leon, Jose & Valencia, Pablo & Carbajal, Carlos & Reyes - Bossio, Mario & Delgado-Campusano, Mariel & Yupanqui-Lorenzo, Daniel & Rojas-Jara, Claudio & Gallegos, Miguel & Cervigni, Mauricio & Martino, Pablo & Polanco-Carrasco, Roberto & Palacios, Diego & Moreta-Herrera, Rodrigo & Samaniego Pinho, Antonio & Elías, Marlon & Lobos-Rivera, Marlon & Buschiazzo, Andrés & Ayala-Colqui, Jesús. (2024). 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. 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