Factor Structure of Persian Translation of the Patient Health Questionnaire in Iranian Earthquake Survivors

AuthorHassan Rafieyen
AuthorFardin Alipouren
AuthorRichard LeBeauen
AuthorYahya Salimien
AuthorShokoufeh Ahmadien
OrcidHassan Rafiey [0000-0002-0397-8499]en
OrcidFardin Alipour [0000-0002-1091-4100]en
OrcidYahya Salimi [0000-0001-9351-3208]en
Issued Date2018-12-31en
AbstractBackground: There is great need across the globe for self-report scales of depression that are brief to administer, comprehensive in content, and psychometrically valid. As most of the widely used and well-validated scales originate in English, it is essential to carefully translate them, following the psychometric validation of the adapted scales. Objectives: The current study aimed at investigating the translation and validation of the Persian version of one of the most widely utilized self-report depression scales in the world, the patient health questionnaire (PHQ). Methods: The current study evaluated the validity and reliability of the PHQ in a population-based sample of 600 adult survivors of an earthquake in Iran in 2015. Researchers used the forward-backward method to translate the PHQ-9 into the Persian language. Data were analyzed using both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: Consistent with the results of validation studies on the original English-language versions of the scales, the current study found strong evidence of internal consistency (Cronbach’s alpha = 0.86). CFA suggested that the 1-factor structure fit reasonably well. Convergent validity was confirmed by the significant and positive correlation between the scores of national stressful events survey for posttraumatic stress disorder-short scale (NSESSS-PTSD) and the PHQ-9 (r = 0.29, P < 0.001). Approximately one-third of the sample reported some depression symptoms, with less than 10% indicating moderately severe to severe symptoms. Conclusions: Although replication studies are needed, the current study results suggested that the Persian version of the PHQ-9 was a valid and reliable tool to efficiently, comprehensively, and accurately assess depression symptoms in the Iranian subjects.en
DOIhttps://doi.org/10.5812/ijpbs.59416en
KeywordAssessmenten
KeywordDepressionen
KeywordPatient Health Questionnaireen
KeywordPsychometricsen
KeywordSelf-Reporten
PublisherBrieflandsen
TitleFactor Structure of Persian Translation of the Patient Health Questionnaire in Iranian Earthquake Survivorsen
TypeResearch Articleen

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