Social Psychiatry and Psychiatric Epidemiology

, Volume 25, Issue 5, pp 276–280 | Cite as

The GHQ-12 as a screening tool in a primary care setting

  • O. Gureje
  • B. Obikoya
Article

Summary

The performance of the 12-item General Health Questionnaire (GHQ) was tested against a modified version of a structured diagnostic interview for making DSM III-4 diagnoses, the Composite International Diagnostic Interview (CIDI), in a population of 787 primary care patients, 214 of whom were interviewed. The Yoruba versions of both instruments were found to be feasible in this setting and the inter-rater reliability of the CIDI was good. The GHQ-12 showed a sensitivity of 68% and a specificity of 70% when only cases meeting the criteria for specific DSM III-R disorders were considered. The sensitivity was better for certain individual disorders and the overall performance was marginally improved when scoring was made according to the revised method proposed by Goodchild and Duncan-Jones.

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References

  1. American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders, 3rd edn, revised. DC, American Psychiatric Association, WashingtonGoogle Scholar
  2. Banks MH (1983) Validation of the General Health Questionnaire in a young community sample. Psychol Med 13:349–354Google Scholar
  3. Bellantuono C, Fiorio R, Zanotelli R, Tansella M (1987) Psychiatric screening in general practice in Italy: a validity study of the GHQ. Soc Psychiatry 22:113–117Google Scholar
  4. Farmer AE, Katz R, McGuffin P, Bebbington P (1987) A comparison between the Present State Examination and the Composite International Diagnostic Interview. Arch Gen Psychiatry 44:1064–1068Google Scholar
  5. Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Maudsley Monograph No 21. Oxford University Press, OxfordGoogle Scholar
  6. Goldberg DP, Cooper AB, Eastwood MR, Kedward HB, Shepherd M (1970) A standardized psychiatric interview suitable for use in community surveys. Br J Prev Soc Med 24:18–23Google Scholar
  7. Goldberg D, Williams P (1988) A User's Guide to the General Health Questionnaire. NFER-Nelson, WindsorGoogle Scholar
  8. Goodchild ME, Duncan-Jones P (1985) Chronicity and the General Health Questionnaire. Br J Psychiatry 146:55–61Google Scholar
  9. Hobbs P, Ballinger CB, Smith DMW (1983) Factor analysis and validation of the General Health Questionnaire in women: a general practice survey. Br J Psychiatry 142:257–264Google Scholar
  10. Kapur RI, Kapur M, Carstairs GM (1974) Indian psychiatric survey schedule. Soc Psychiatry 9:71–76Google Scholar
  11. Mari JJ, Williams P (1984) Minor psychiatric disorder in primary care in Brazil: a pilot study. Psychol Med 14:223–227Google Scholar
  12. Mari JJ, Williams P (1985) A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, urins relative operating characteristic (ROC) analysis. Psychol Med 15:651–659Google Scholar
  13. Mari JJ, Williams P (1986) Misclassification by psychiatric screening questionnaires. J Chronic Dis 39:371–378Google Scholar
  14. Robins LN, Helzer JE, Croughan J, Ratcliff KS (1981) National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics, and validity. Arch Gen Psychiatry 38:381–389Google Scholar
  15. Robins LN, Wing J, Wittchen HU, Helzer JE, Babor TF, Burke J, Farmer A, Jablenski A, Pickens R, Regier DA, Sartorius N, Towle LH (1988) The Composite International Diagnostic Interview. Arch Gen Psychiatry 45:1069–1077Google Scholar
  16. Semler G, Wittchen HU, Joschke K, Zaudig M, Geiso T von, Kaiser S, Cranach M von, Pfister H (1987) Test-retest reliability of a standardized psychiatric interview (DIS/CIDI) for DSM-III diagnoses. Eur Arch Psychiatr Neurol Sci 236:214–222Google Scholar
  17. Shamasundar C, Murthy SK, Prakash OM, Prabhakar N, Krishma DKS (1986) Psychiatric morbidity in a general practice in an Indian City. Br Med J 292:1713–1715Google Scholar
  18. Swets JA, Picket RM (1982) Evaluation of diagnostic system: methods from signal detection theory. Academy Press, New YorkGoogle Scholar
  19. Vazquez-Barquero JL, Diez-Manrique JF, Pena C, Quintanal RG, Labrador Lopez M (1986) Two stage design in a community survey. Br J Psychiatry 149:88–97Google Scholar
  20. World Health Organization (1987) Alcohol, drug, and mental health administration. Composite International Diagnostic Interview. World Health Organization, GenevaGoogle Scholar
  21. Wing JK, Cooper JE, Sartorius N (1974) Measurement and classification of psychiatric symptoms. Cambridge University Press, LondonGoogle Scholar
  22. Wittchen HU, Burke JD, Semler G, Pfister H, Cranach M von, Zaudig M (1989) Recall and dating of psychiatric symptoms. Arch Gen Psychiatry 46:437–443Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • O. Gureje
    • 1
  • B. Obikoya
    • 1
  1. 1.Department of PsychiatryUniversity College HospitalIbadanNigeria

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