General Health Questionnaire (GHQ-12), Beck Depression Inventory (BDI-6), and Mental Health Index (MHI-5) : psychometric and predictive properties in a Finnish population-based sample

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Elovainio , M , Hakulinen , C , Pulkki-Råback , L , Aalto , A-M , Virtanen , M , Partonen , T & Suvisaari , J 2020 , ' General Health Questionnaire (GHQ-12), Beck Depression Inventory (BDI-6), and Mental Health Index (MHI-5) : psychometric and predictive properties in a Finnish population-based sample ' , Psychiatry Research , vol. 289 , 112973 . https://doi.org/10.1016/j.psychres.2020.112973

Title: General Health Questionnaire (GHQ-12), Beck Depression Inventory (BDI-6), and Mental Health Index (MHI-5) : psychometric and predictive properties in a Finnish population-based sample
Author: Elovainio, Marko; Hakulinen, Christian; Pulkki-Råback, Laura; Aalto, Anna-Mari; Virtanen, Marianna; Partonen, Timo; Suvisaari, Jaana
Contributor: University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Helsinki Inequality Initiative (INEQ)
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, University of Eastern Finland (UEF)
University of Helsinki, National Institute for Health and Welfare (THL)
University of Helsinki, National Institute for Health and Welfare (THL)
Date: 2020-07
Language: eng
Number of pages: 8
Belongs to series: Psychiatry Research
ISSN: 0165-1781
URI: http://hdl.handle.net/10138/329827
Abstract: The short versions of the General Health Questionnaire (GHQ-12), Beck's Depression Inventory (BDI-6), and Mental Health Index (MHI-5) are all valid and reliable measures of general psychological distress, depressive symptoms, and anxiety. We tested the psychometric properties of the scales, their overlap, and their ability to predict mental health service use using both regression and machine learning (ML, random forest) approaches. Data were from the population-based FinHealth-2017 Study of adults (N = 4270) with data on all of the evaluated instruments. Constructive validity, internal consistency, invariance, and optimal cut-off points in predicting mental health services were tested. Constructive validity was acceptable and all instruments measured their own distinct phenomenon. Some of the item scoring in BDI-6 was not optimal, and the sensitivity and specificity of all scales were relatively weak in predicting service use. Small gender differences emerged in optimal cut-off points. ML did not improve model predictions. GHQ-12, BDI-6, and MHI-5 may be interpreted to measure different constructs of psychological health symptoms, but are not particularly useful predictors of service use.
Subject: Distress
Depression
Population
Psychometrics
Measuring
TREATMENT SEEKING
1ST ONSET
DISORDERS
VALIDATION
COUNTRIES
VALIDITY
SERVICES
ANXIETY
SCALE
DELAY
515 Psychology
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