Factorial Validity and Invariance of an Adolescent Depression Symptom Screening Tool.
J Athl Train
; 57(6): 592-598, 2022 Jun 01.
Article
in English
| MEDLINE | ID: covidwho-1994284
ABSTRACT
CONTEXT Depression is among the most common mental health disorders in youth, results in significant impairment, and is associated with a higher risk of suicide. Screening is essential, but assessment tools may not account for the complex interrelatedness of various demographic factors, such as sex, socioeconomic status, and race. OBJECTIVES:
To determine the (1) the factor structure of the Patient Health Questionnaire-Adolescent (PHQ-A) for measuring depression in a group of adolescent athletes and (2) measurement invariance between Black and White patients on the PHQ-A.DESIGN:
Retrospective cohort design.SETTING:
Data were obtained from a secure database collected at a free, comprehensive, mass preparticipation physical examination event hosted by a large health care system. PATIENTS OR OTHERPARTICIPANTS:
Participants were 683 high school athletes (Black = 416, White = 267). The independent variables were somatic and affective factors contributing to the construct of depression measured by the PHQ-A and participant race (Black or White). MAIN OUTCOME MEASURE(S) (1) Factors upon which the construct of depression is measured and (2) measurement invariance between Black and White participants.RESULTS:
A 2-factor model, involving affective and somatic components, was specified and exhibited adequate fit to the data (comparative fit index >0.90). All items exhibited moderate to high squared multiple correlation values (R2 = 0.10-0.65), suggesting that these items resonated relatively well with participants. The 2-factor model demonstrated noninvariance between Black and White participants (root mean square error of approximation = 0.06-0.08).CONCLUSIONS:
Overall, the structure of the PHQ-A was supported by a 2-factor model in adolescent athletes, measuring both affective and somatic symptoms of depression. However, a 2-factor PHQ-A structure was not fully invariant for the adolescents sampled across participant groups, indicating that the model functioned differently between the Black and White participants sampled.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Depression
/
Patient Health Questionnaire
Type of study:
Cohort study
/
Diagnostic study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adolescent
/
Humans
Language:
English
Journal:
J Athl Train
Year:
2022
Document Type:
Article
Affiliation country:
1062-6050-343-21
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