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Published in: Health and Quality of Life Outcomes 1/2016

Open Access 01-12-2016 | Research

The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants

Authors: Ying Liang, Lei Wang, Xican Yin

Published in: Health and Quality of Life Outcomes | Issue 1/2016

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Abstract

Background

The 12-item General Health Questionnaire (GHQ-12) is a commonly used screening instrument for measuring mental disorders. However, few studies have measured the mental health of Chinese professionals or explored the factor structure of the GHQ-12 through investigations of young Chinese civil servants.

Method

This study analyses the factor structure of the GHQ-12 on young Chinese civil servants. Respondents include 1051 participants from six cities in eastern China. Exploratory Factor Analysis (EFA) is used to identify the potential factor structure of the GHQ-12. Confirmatory Factor Analysis (CFA) models of previous studies are referred to for model fitting.

Results

The results indicate the GHQ-12 has very good reliability and validity. All ten CFA models are well fitted with the actual data.

Conclusion

All the ten models are feasible and fit the data equally well. The Chinese version of the GHQ-12 is suitable for professional groups and can serve as a screening tool to detect anxiety and psychiatric disorders.
Literature
1.
go back to reference Gelaye B, Tadesse MG, Lohsoonthorn V, et al. Psychometric properties and factor structure of the General Health Questionnaire as a screening tool for anxiety and depressive symptoms in a multi-national study of young adults. J Affect Disord. 2015;187:197–202.CrossRefPubMed Gelaye B, Tadesse MG, Lohsoonthorn V, et al. Psychometric properties and factor structure of the General Health Questionnaire as a screening tool for anxiety and depressive symptoms in a multi-national study of young adults. J Affect Disord. 2015;187:197–202.CrossRefPubMed
2.
go back to reference Romppel M, Braehler E, Roth M, Glaesmer H. What is General Health Questionnaire assessing? Dimensionality and psychometric properties of the General Health Questionnaire-12 in a large scale German population sample. Compr Psychiatry. 2013;54:406–13.CrossRefPubMed Romppel M, Braehler E, Roth M, Glaesmer H. What is General Health Questionnaire assessing? Dimensionality and psychometric properties of the General Health Questionnaire-12 in a large scale German population sample. Compr Psychiatry. 2013;54:406–13.CrossRefPubMed
3.
go back to reference Abubakar A, Fischer R. The factor structure of the 12-item General Health Questionnaire in a Literate Kenyan Population. Stress and Health. 2012;28:248–54.CrossRefPubMed Abubakar A, Fischer R. The factor structure of the 12-item General Health Questionnaire in a Literate Kenyan Population. Stress and Health. 2012;28:248–54.CrossRefPubMed
4.
go back to reference Montazeri A, Harirchi AM, Shariati M, et al. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:66.CrossRefPubMedPubMedCentral Montazeri A, Harirchi AM, Shariati M, et al. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1:66.CrossRefPubMedPubMedCentral
5.
go back to reference Banks MH, Clegg CW, Jackson PR, et al. The use of the general health questionnaire as an indicator of mental health in occupational studies. J Occupational Psychology. 1980;53(3):187–94.CrossRef Banks MH, Clegg CW, Jackson PR, et al. The use of the general health questionnaire as an indicator of mental health in occupational studies. J Occupational Psychology. 1980;53(3):187–94.CrossRef
6.
go back to reference Politi PL, Piccinelli M, Wilkinson G. Reliability, validity and factor structure of the 12-item General Health Questionnaire among young males in Italy. Acta Psychiatr Scand. 1994;90:432–7.CrossRefPubMed Politi PL, Piccinelli M, Wilkinson G. Reliability, validity and factor structure of the 12-item General Health Questionnaire among young males in Italy. Acta Psychiatr Scand. 1994;90:432–7.CrossRefPubMed
7.
go back to reference Alicia P, Inaki G, Maria D, et al. Confirmatory factor analysis of the General Health Questionnaire (GHQ-12) in Spanish adolescents. Qualtiy of Life Res. 2012;21:1291–8.CrossRef Alicia P, Inaki G, Maria D, et al. Confirmatory factor analysis of the General Health Questionnaire (GHQ-12) in Spanish adolescents. Qualtiy of Life Res. 2012;21:1291–8.CrossRef
8.
go back to reference Goldberg DP, Gater R, Sartorius N, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997;27:191–7.CrossRefPubMed Goldberg DP, Gater R, Sartorius N, et al. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med. 1997;27:191–7.CrossRefPubMed
9.
go back to reference Daradkeh TK, Ghubash R, ElRufaie OEF. Reliability, validity, and factor structure of the Arabic version of the 12-item General Health Questionnaire. Psychol Rep. 2001;89(1):85–94.CrossRefPubMed Daradkeh TK, Ghubash R, ElRufaie OEF. Reliability, validity, and factor structure of the Arabic version of the 12-item General Health Questionnaire. Psychol Rep. 2001;89(1):85–94.CrossRefPubMed
10.
go back to reference Graetz B. Multidimensional properties of the General Health Questionnaire. Soc Psychiatry Psychiatr Epidemiol. 1991;26:132–8.CrossRefPubMed Graetz B. Multidimensional properties of the General Health Questionnaire. Soc Psychiatry Psychiatr Epidemiol. 1991;26:132–8.CrossRefPubMed
11.
12.
go back to reference Elovainio M, Kuusio H, Aalto AM, et al. Insecurity and shiftwork as characteristics of negative work environment: psychosocial and behavior mediators. J Adv Nurs. 2010;66(5):1080–91.CrossRefPubMed Elovainio M, Kuusio H, Aalto AM, et al. Insecurity and shiftwork as characteristics of negative work environment: psychosocial and behavior mediators. J Adv Nurs. 2010;66(5):1080–91.CrossRefPubMed
13.
go back to reference Cambell A, Knowles S. A confirmatory factor analysis of the GHQ-12 using a large Australian sample. Eur J Psychological Assessment. 2007;23(1):2–8.CrossRef Cambell A, Knowles S. A confirmatory factor analysis of the GHQ-12 using a large Australian sample. Eur J Psychological Assessment. 2007;23(1):2–8.CrossRef
14.
go back to reference Laaksonen E, Martikainen P, Lahelma E, et al. Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from Helsinki Health Study and the Whitehall II study. Int J Epidemiol. 2007;36:776–86.CrossRefPubMed Laaksonen E, Martikainen P, Lahelma E, et al. Socioeconomic circumstances and common mental disorders among Finnish and British public sector employees: evidence from Helsinki Health Study and the Whitehall II study. Int J Epidemiol. 2007;36:776–86.CrossRefPubMed
15.
go back to reference Winzer R, Lindblad F, Sorjonen K, Lindberg L. Positive versus negative mental health in emerging adulthood: a national cross-sectional survey. BMC Public Health. 2014;14:1238.CrossRefPubMedPubMedCentral Winzer R, Lindblad F, Sorjonen K, Lindberg L. Positive versus negative mental health in emerging adulthood: a national cross-sectional survey. BMC Public Health. 2014;14:1238.CrossRefPubMedPubMedCentral
16.
go back to reference Ye S. Factor structure of the General Health Questionnaire (GHQ-12): The role of wording effects. Personal Individ Differ. 2009;46:197–201.CrossRef Ye S. Factor structure of the General Health Questionnaire (GHQ-12): The role of wording effects. Personal Individ Differ. 2009;46:197–201.CrossRef
17.
go back to reference Li WH, Chung JO, Chui MM, Chan PS. Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. J Clin Nurs. 2009;18:3253–61.CrossRefPubMed Li WH, Chung JO, Chui MM, Chan PS. Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescents. J Clin Nurs. 2009;18:3253–61.CrossRefPubMed
18.
go back to reference Liang Y. Trust in Chinese Government and Quality of Life (QOL) of Sichuan Earthquake Survivors: Does Trust in Government Help to Promote QOL? Soc Indic Res. 2016;127(2):541–64.CrossRef Liang Y. Trust in Chinese Government and Quality of Life (QOL) of Sichuan Earthquake Survivors: Does Trust in Government Help to Promote QOL? Soc Indic Res. 2016;127(2):541–64.CrossRef
19.
go back to reference Liang Y. Correlations Between Health-Related Quality of Life and Interpersonal Trust: Comparisons Between Two Generations of Chinese Rural-to-Urban Migrants. Soc Indic Res. 2015;123(3):677–700.CrossRef Liang Y. Correlations Between Health-Related Quality of Life and Interpersonal Trust: Comparisons Between Two Generations of Chinese Rural-to-Urban Migrants. Soc Indic Res. 2015;123(3):677–700.CrossRef
20.
go back to reference Liang Y, Zhu D. Subjective Well-Being of Chinese Landless Peasants in Relatively Developed Regions: Measurement Using PANAS and SWLS. Soc Indic Res. 2015;123(3):817–35.CrossRef Liang Y, Zhu D. Subjective Well-Being of Chinese Landless Peasants in Relatively Developed Regions: Measurement Using PANAS and SWLS. Soc Indic Res. 2015;123(3):817–35.CrossRef
21.
go back to reference Liang Y, Guo M. Utilization of Health Services and Health-Related Quality of Life Research of Rural-to-Urban Migrants in China: A Cross-Sectional Analysis. Soc Indic Res. 2015;120(1):277–95.CrossRef Liang Y, Guo M. Utilization of Health Services and Health-Related Quality of Life Research of Rural-to-Urban Migrants in China: A Cross-Sectional Analysis. Soc Indic Res. 2015;120(1):277–95.CrossRef
22.
go back to reference Liang Y, Cao R. Employment assistance policies of Chinese government play positive roles! The impact of post-earthquake employment assistance policies on the health-related quality of life of Chinese earthquake populations. Soc Indic Res. 2015;120(3):835–57.CrossRef Liang Y, Cao R. Employment assistance policies of Chinese government play positive roles! The impact of post-earthquake employment assistance policies on the health-related quality of life of Chinese earthquake populations. Soc Indic Res. 2015;120(3):835–57.CrossRef
23.
go back to reference Zhu CY, Chen L, Ou LM, et al. Relationships of Mental Health Problems with Stress among Civil Servants in Guangzhou, China. Community Ment Health J. 2014;50:991–6.CrossRefPubMed Zhu CY, Chen L, Ou LM, et al. Relationships of Mental Health Problems with Stress among Civil Servants in Guangzhou, China. Community Ment Health J. 2014;50:991–6.CrossRefPubMed
24.
go back to reference Liang Y, Chu P, Wang X. Health-Related Quality of Life of Chinese Earthquake Survivors: A Case Study of Five Hard-Hit Disaster Counties in Sichuan. Soc Indic Res. 2014;119(2):943–66.CrossRef Liang Y, Chu P, Wang X. Health-Related Quality of Life of Chinese Earthquake Survivors: A Case Study of Five Hard-Hit Disaster Counties in Sichuan. Soc Indic Res. 2014;119(2):943–66.CrossRef
25.
go back to reference Yusuf AF, Adeoye EA. Prevalence and Causes of Depression among Civil Servants in Osun State: Implications for Counselling. Edo J Counselling. 2011;4(1):92–102. Yusuf AF, Adeoye EA. Prevalence and Causes of Depression among Civil Servants in Osun State: Implications for Counselling. Edo J Counselling. 2011;4(1):92–102.
26.
go back to reference Palazzo LS, Carlotto MS, Aerts DR. Burnout Syndrome: populationbased study on public servants. Rev Saude Publica. 2012;46(6):1066–73.CrossRef Palazzo LS, Carlotto MS, Aerts DR. Burnout Syndrome: populationbased study on public servants. Rev Saude Publica. 2012;46(6):1066–73.CrossRef
27.
go back to reference Marmot MG, Rose G, Shipley M, Hamilton P. Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health. 1978;32:244–9.CrossRefPubMedPubMedCentral Marmot MG, Rose G, Shipley M, Hamilton P. Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health. 1978;32:244–9.CrossRefPubMedPubMedCentral
28.
go back to reference Liang Y. Satisfaction with economic and social rights and quality of life in a post-disaster zone in china: evidence from earthquake-prone sichuan. Disaster Med Public Health Prep. 2015;9(2):1–8.CrossRef Liang Y. Satisfaction with economic and social rights and quality of life in a post-disaster zone in china: evidence from earthquake-prone sichuan. Disaster Med Public Health Prep. 2015;9(2):1–8.CrossRef
29.
go back to reference Liang Y, Lu P. Health-related quality of life and the adaptation of residents to harsh post-earthquake conditions in china. Disaster Med Public Health Prep. 2014;8(5):1–7.CrossRef Liang Y, Lu P. Health-related quality of life and the adaptation of residents to harsh post-earthquake conditions in china. Disaster Med Public Health Prep. 2014;8(5):1–7.CrossRef
30.
go back to reference Liang Y, Wang P. Influence of prudential value on the subjective well-being of chinese urban–rural residents. Soc Indic Res. 2013;118(3):1249–67.CrossRef Liang Y, Wang P. Influence of prudential value on the subjective well-being of chinese urban–rural residents. Soc Indic Res. 2013;118(3):1249–67.CrossRef
31.
go back to reference Li S, Wang H, Miao J, Liang Y. (2015). Clinicopathological significance and potential drug target of cdkn2a/p16 in endometrial carcinoma. Scientific Reports, 5. Li S, Wang H, Miao J, Liang Y. (2015). Clinicopathological significance and potential drug target of cdkn2a/p16 in endometrial carcinoma. Scientific Reports, 5.
32.
go back to reference Liang Y, Yi Y, Sun Q. 2014. The impact of migration on fertility under chinas underlying restrictions: a comparative study between permanent and temporary migrants. Social Indicators Research, 116(1), 307–326.CrossRef Liang Y, Yi Y, Sun Q. 2014. The impact of migration on fertility under chinas underlying restrictions: a comparative study between permanent and temporary migrants. Social Indicators Research, 116(1), 307–326.CrossRef
33.
go back to reference Liang Y, Cao R. (2014). Is the health status of female victims poorer than males in the post-disaster reconstruction in china: a comparative study of data on male victims in the first survey and double tracking survey data. Bmc Womens Health, 14(1), 1–15.CrossRef Liang Y, Cao R. (2014). Is the health status of female victims poorer than males in the post-disaster reconstruction in china: a comparative study of data on male victims in the first survey and double tracking survey data. Bmc Womens Health, 14(1), 1–15.CrossRef
34.
go back to reference Liang, Y., & Wang, X. (2013). Developing a new perspective to study the health of survivors of sichuan earthquakes in china: a study on the effect of post-earthquake rescue policies on survivors’ health-related quality of life. Health Research Policy & Systems, 11(1), 489–492. DOI: 10.1186/1478-4505-11-41.CrossRef Liang, Y., & Wang, X. (2013). Developing a new perspective to study the health of survivors of sichuan earthquakes in china: a study on the effect of post-earthquake rescue policies on survivors’ health-related quality of life. Health Research Policy & Systems, 11(1), 489–492. DOI: 10.1186/1478-4505-11-41.CrossRef
35.
go back to reference Andrich D, Van Schaubroeck L. The general health questionnaire: A psychometric analysis using latent trait theory. Psychol Med. 1989;19(2):469–85.CrossRefPubMed Andrich D, Van Schaubroeck L. The general health questionnaire: A psychometric analysis using latent trait theory. Psychol Med. 1989;19(2):469–85.CrossRefPubMed
36.
go back to reference Kalliath TJ, O’Driscoll MP, Brough P. A confirmatory factor analysis of the general health questionnaire-12. Stress and Health: J International Society for the Investigation of Stress. 2004;20(1):11–20.CrossRef Kalliath TJ, O’Driscoll MP, Brough P. A confirmatory factor analysis of the general health questionnaire-12. Stress and Health: J International Society for the Investigation of Stress. 2004;20(1):11–20.CrossRef
37.
go back to reference Shevlin M, Adamson G. Alternative factor models and factorial invariance of the GHQ-12: A large sample analysis using confirmatory factor analysis. Psychol Assess. 2005;17(2):231–6.CrossRefPubMed Shevlin M, Adamson G. Alternative factor models and factorial invariance of the GHQ-12: A large sample analysis using confirmatory factor analysis. Psychol Assess. 2005;17(2):231–6.CrossRefPubMed
38.
go back to reference Campbell A, Walker J, Farrell G. Confirmatory factor analysis of the GHQ-12: Can I see that again? Aust N Z J Psychiatry. 2003;37:475–83.CrossRefPubMed Campbell A, Walker J, Farrell G. Confirmatory factor analysis of the GHQ-12: Can I see that again? Aust N Z J Psychiatry. 2003;37:475–83.CrossRefPubMed
39.
40.
go back to reference Martin AJ. Assessing the multidimensionality of the 12-Item General Health Questionnaire. Psychol Rep. 1999;84:927–35.CrossRefPubMed Martin AJ. Assessing the multidimensionality of the 12-Item General Health Questionnaire. Psychol Rep. 1999;84:927–35.CrossRefPubMed
41.
go back to reference Sweeting H, Young R, West P. GHQ increases among Scottish 15 year olds 1987–2006. Soc Psychiatry Psychiatr Epidemiol. 2009;44:579–86.CrossRefPubMed Sweeting H, Young R, West P. GHQ increases among Scottish 15 year olds 1987–2006. Soc Psychiatry Psychiatr Epidemiol. 2009;44:579–86.CrossRefPubMed
42.
go back to reference Hankins M. The factor structure of the twelve item General Health Questionnaire (GHQ-12): The result of negative phrasing? Clinical Practice and Epidemiology in Mental Health. 2008;4:Article 10.CrossRef Hankins M. The factor structure of the twelve item General Health Questionnaire (GHQ-12): The result of negative phrasing? Clinical Practice and Epidemiology in Mental Health. 2008;4:Article 10.CrossRef
43.
go back to reference Aguado J, Campbell A, Ascaso C, et al. Examining the factor structure and discriminant validity of the 12-Item General Health Questionnaire (GHQ-12) among Spanish postpartum women. Assessment. 2010. doi:10.1177/1073191110388146.PubMed Aguado J, Campbell A, Ascaso C, et al. Examining the factor structure and discriminant validity of the 12-Item General Health Questionnaire (GHQ-12) among Spanish postpartum women. Assessment. 2010. doi:10.​1177/​1073191110388146​.PubMed
44.
go back to reference Goldberg D. The detection of psychiatric illness by questionnaire. London: Oxford University Press; 1972. Goldberg D. The detection of psychiatric illness by questionnaire. London: Oxford University Press; 1972.
45.
go back to reference Horn JL. A rationale and test for the number of factors in factor analysis. Psychometrica. 1965;30:179–85.CrossRef Horn JL. A rationale and test for the number of factors in factor analysis. Psychometrica. 1965;30:179–85.CrossRef
46.
go back to reference Schmitz N, Kruse J, Tress W. Psychometric properties of the General Health Questionnaire (GHQ-12) in a German primary care sample. Acta Psychiatr Scand. 1999;100:462–8.CrossRefPubMed Schmitz N, Kruse J, Tress W. Psychometric properties of the General Health Questionnaire (GHQ-12) in a German primary care sample. Acta Psychiatr Scand. 1999;100:462–8.CrossRefPubMed
47.
go back to reference Farrell G. The mental health of hospital nurses in Tasmania as measured by the 12-item General health Questionnaire. J Adv Nurs. 1998;28:707–12.CrossRefPubMed Farrell G. The mental health of hospital nurses in Tasmania as measured by the 12-item General health Questionnaire. J Adv Nurs. 1998;28:707–12.CrossRefPubMed
48.
go back to reference Wang L, Lin W. Wording effects and the dimensionality of the General Health Questionnaire (GHQ-12). Personal Individ Differ. 2011;50:1056–61.CrossRef Wang L, Lin W. Wording effects and the dimensionality of the General Health Questionnaire (GHQ-12). Personal Individ Differ. 2011;50:1056–61.CrossRef
49.
go back to reference Martin CR, Newell RJ. Factor structure of the Hospital Anxiety and Depression Scale in individuals with facial disfigurement. Psychology Healthand Medicine. 2004;9:327–36.CrossRef Martin CR, Newell RJ. Factor structure of the Hospital Anxiety and Depression Scale in individuals with facial disfigurement. Psychology Healthand Medicine. 2004;9:327–36.CrossRef
50.
go back to reference Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7:286–99.CrossRef Floyd FJ, Widaman KF. Factor analysis in the development and refinement of clinical assessment instruments. Psychol Assess. 1995;7:286–99.CrossRef
Metadata
Title
The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants
Authors
Ying Liang
Lei Wang
Xican Yin
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2016
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-016-0539-y

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