Abstract
This study confirmed the reliability and validity of a Cambodian version of the 28-item General Health Questionnaire (GHQ-28). The GHQ-28 was tested on 223 adult Cambodians living in Dunedin, New Zealand, who were examined independently by a psychiatrist (P.C.) using the short Present State Examination (PSE). There were satisfactory internal consistencies for the whole scale and the subscales except the C scale. It corectly identified 84.4% of cases with a 3/4 cut-off (sensitivity 87.5%, specificity 82.8%), suggesting a discriminative power as good as its English version when used among Caucasian women in Dunedin. The four subscales were by no means independent, and concurrent validity tests with the PSE suggested that they provided additional information regarding somatic symptoms and anxiety, but not about social dysfunction and depression.
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References
Cheng TA (1985) A pilot study of mental disorders in Taiwan. Psychol Med 15:195–203
Cheng TA, Williams P (1986) The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychol Med 16:415–422
Cheung P (1993) Somatisation as a presentation in depression and post-traumatic stress disorder among Cambodian refugees. Aust N Z J Psychiatry 27:422–428
Chong MY, Wilkinson G (1989) Validation of 30-and 12-item versions of the Chinese Health Questionnaire (CHQ) in patients admitted for general health screening. Psychol Med 19:495–505
De Jesus Mari J, Williams P (1986) A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. Br J Psychiatry 148:23–26
Erdreich LS, Lee ET (1981) Use of relative operating characteristic analysis in epidemiology. Am J Epidemiol 114:649–662
Fowler RL (1988) Power and robustness in product-moment correlation. Appl Psychol Meas 11:419–428
Garyfallos G, Karastergiou A, Adamopoulou A, Moutzoukis C, Alagiozidou E, Male D, Garyfallos A (1991) Greek version of the General Health Questionnaire: accuracy of translation and validity. Acta Psychiatr Scand 84:371–378
Goldberg D (1972) The detection of psychiatric illness by questionnaire. Maudsley monograph no. 21. Oxford University Press, London
Goldberg DP (1978) Manual of the General Health Questionnaire. NFER-Nelson, Windsor
Goldberg D, Hillier VF (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:139–145
Goldberg D, Williams PA (1988) A user's guide to the General Health Questionnaire. NFER-Nelson, Windsor
Henderson S, Byrne DG, Duncan-Jones P (1981) Neurosis and the social environment. Academic Press, Sydney
Kinzie JD, Boehnlein JK, Leung PK, Moore LJ, Riley C, Smith D (1990) The prevalence of posttraumatic stress disorder and its clinical significance among Southeast Asian refugees. Am J Psychiatry 147:913–917
Kleinman AM (1977) Depression, somatization and the “new cross-cultural psychiatry”. Soc Sci Med 11:3–10
Kleinman A (1987) Anthropology and psychiatry: the role of culture in cross-cultural research on illness. Br J Psychiatry 151:447–454
Krupinski J, Carson N (1986) Assessing psychological and social adjustment. In: Krupinski J, Burrows G (eds) The price of freedom. Pergamon Press, Sydney, pp. 13–32
Lobo A, Pe'rez-Echeverria MJ, Artal J (1986) Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychol Med 16:135–140
Medina-Mora ME, Padilla GP, Campillo-Serrano C, Mas CC, Ezban M, Caraveo J, Corona J (1983) The factor structure of the GHQ: a scaled version for a hospital's general practice service in Mexico. Psychol Med 13:355–361
Mollica RF, Wyshak G, Marneffe D, Khuon F, Lavelle J (1987) Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees. Am J Psychiatry 144:497–500
Rodgers B, Mann SA (1986) The reliability and validity of PSE assessment by lay interviewers: a national population survey. Psychol Med 16:689–700
Romans-Clarkson SE, Walton VA, Herbison GP, Mullen PE (1989) Validity of the GHQ-28 in New Zealand women. Aust N Z J Psychiatry 23:187–195
Siegel S (1956) Nonparametric statistics for the behavioural sciences. McGraw-Hill, New York
Tseng WS (1975) The nature of somatic complains among psychiatric patients; the Chinese case. Compr Psychiatry 16:237–245
Westermeyer J, Bouafuely M, Neider J, Callies A (1989) Somatization among refugees; an epidemiologic study. Psychosomatics 30: 34–43
Wing JK, Cooper JE, Sartorius N (1974) The measurement and classification of psychiatric symptoms. C.U.P., Cambridge
Wing JK, Nixon JM, Mann SA, Leff JP (1977) Reliability of the PSE (ninth edition) used in a population study. Psychol Med 7:505–516
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Cheung, P., Spears, G. Reliability and validity of the Cambodian version of the 28-item General Health Questionnaire. Soc Psychiatry Psychiatr Epidemiol 29, 95–99 (1994). https://doi.org/10.1007/BF00805629
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DOI: https://doi.org/10.1007/BF00805629