Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-26T07:23:09.704Z Has data issue: false hasContentIssue false

Validation of the General Health Questionnaire in a young community sample

Published online by Cambridge University Press:  09 July 2009

Michael H. Banks*
Affiliation:
MRC/SSRC Social and Applied Psychology Unit, University of Sheffield
*
1Address for correspondence: Dr Michael H. Banks, MRC/SSRC Social and Applied Psychology Unit, The University, Sheffield SlO 2TN.

Synopsis

Validity coefficients of the 30-item, 28-item and 12-item versions of the General Health Questionnaire (GHQ) were determined by comparison with the Present State Examination (PSE) in a sample of 200 17-year-olds. The PSE classified 7 people (3·5%) as cases, although only 47% were identified as free of symptoms. Misclassification rates, sensitivity and specificity values are presented for different cutting scores for the three versions of the GHQ. The GHQ-28 had superior values, especially with a cutting score of 5/6; the GHQ-12 with a 2/3 cutting score also had acceptable values. All versions of the GHQ correlated highly with the PSE Index of Definition and total scores, providing support for the treatment of GHQ scores as a continuous variable in this kind of population. Correlations between sub-scales of the GHQ-28 give further evidence for a general factor and the relative independence of the social dysfunction sub-scale.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Banks, M. H. & Jackson, P. R. (1982). Unemployment and risk of minor psychiatric disorder in young people: cross-sectional and longitudinal evidence. Psychological Medicine 12, 789798.CrossRefGoogle ScholarPubMed
Banks, M. H., Clegg, C. W., Jackson, P. R., Kemp, N. J., Stafford, E. M. & Wall, T. D. (1980). The use of the General Health Questionnaire as an indicator of mental health in occupational studies. Journal of Occupational Psychology 53, 187194.CrossRefGoogle Scholar
Benjamin, S., Decalmer, P. & Haran, D. (1982). Community screening for mental illness: a validity study of the General Health: Questionnaire. British Journal of Psychiatry 140. 174180.CrossRefGoogle ScholarPubMed
Duncan-Jones, P. & Henderson, S. (1978). Use of a two-phase design in a prevalence study. Social Psychiatry 13, 231237.CrossRefGoogle Scholar
Farmer, R. D. T. & Harvey, P. G. (1975). Minor psychiatric disturbance in young adults. Social Science and Medicine 9 467474.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychiatry 134, 609616.CrossRefGoogle ScholarPubMed
Goldberg, D. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: London.Google Scholar
Goldberg, D. (1978). Manual of the General Health Questionnaire. NFER Publishing Company: Windsor.Google Scholar
Goldberg, D. (1981). Estimating the prevalence of psychiatric disorder from the results of a screening test. In What is a Case? (ed. Wing, J. K., Bebbington, P. and Robins, L. N.), pp. 129136. Grant McIntyre: London.Google ScholarPubMed
Goldberg, D. & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.CrossRefGoogle ScholarPubMed
Henderson, S., Duncan-Jones, P., Byrne, D.G., Scott, R. & Adcock, S. (1979). Psychiatric disorder in Canberra. Acta Psychiatrica Scandinavica 60, 355374.CrossRefGoogle ScholarPubMed
Jenkins, R. (1980). Minor psychiatric morbidity in employed men and women and its contribution to sickness absence. Psychological Medicine 10, 751757.CrossRefGoogle ScholarPubMed
Newson-Smith, J. G. B. & Hirsch, S. R. (1979). Psychiatric symptoms in self-poisoning patients. Psychological Medicine 9, 493500.CrossRefGoogle ScholarPubMed
Nott, P. N. & Cutts, S. (1982). Validation of the 30-item General Health Questionnaire in postpartum women. Psychological Medicine 12, 409413.CrossRefGoogle ScholarPubMed
Rabins, P. V. & Brooks, B. R. (1981). Emotional disturbance in multiple sclerosis patients: validity of the General Health Questionnaire (GHQ). Psychological Medicine 11, 425427.CrossRefGoogle ScholarPubMed
Stafford, E. M., Jackson, P. R. & Banks, M. H. (1980). Employment, work involvement and mental health in less qualified young people. Journal of Occupational Psychology 53, 291304.CrossRefGoogle Scholar
Tarnopolsky, A., Hand, D J., McLean, E. K., Roberts, H. & Wiggins, R. D. (1979). Validity and uses of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry 134, 508515.CrossRefGoogle ScholarPubMed
Tennant, C. (1977). The General Health Questionnaire: a valid index of psychological impairment in Australian populations. Medical Journal of Australia ii, 392394.CrossRefGoogle Scholar
Wing, J. K. (1976). A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psychological Medicine 6, 665671.CrossRefGoogle ScholarPubMed
Wing, J. K. (1980). The use of the Present State Examination in general population surveys. Acta Psychiatrica Scandinavica, 62, suppl. 285, 230240.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar