ERIC Number: EJ1461707
Record Type: Journal
Publication Date: 2025-Apr
Pages: 11
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0033-3085
EISSN: EISSN-1520-6807
Available Date: 2025-01-18
Factor Structure and Measurement Invariances of the PHQ-9 in Chinese Students across Gender and Age
Yanjing Cao1; Chenchen Xu1,2; Shan Lu1,2; Qi Li1; Jing Xiao1
Psychology in the Schools, v62 n4 p1260-1270 2025
The patient health questionnaire-9 (PHQ-9) is widely utilized in assessing individuals' depression levels. Nevertheless, research regarding its factor structure and measurement invariance remains inadequate. The aim of this study was to delve into the factor structure of the PHQ-9 and to further investigate its measurement invariance across gender and age as a prerequisite for its use in cross-group comparisons. A confirmatory factor analysis (CFA) was conducted on 7422 Chinese students to assess the best-fitting factor structure of the PHQ-9. Furthermore, a serial CFA was undertaken to investigate measurement invariance across genders and age groups. CFA confirmed the two-factor model with the three items "sleep disturbance," "fatigue," and "appetite change" loading on somatic factor, and the other items loading on cognitive/affective factor as the best-fit structure. Findings demonstrated that the PHQ-9 had measurement invariance across gender and age. CFA and measurement invariance results support the application of the PHQ-9 for assessing an individual's depression.
Descriptors: Factor Structure, Error of Measurement, Factor Analysis, Age Differences, Gender Differences, Sleep, Fatigue (Biology), Eating Habits, Goodness of Fit, Depression (Psychology), Comparative Analysis, Patients, Mental Health, Questionnaires
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Author Affiliations: 1Beijing Key Laboratory of Learning and Cognition and Department of Psychology, Capital Normal University, Beijing, China; 2Center for Child Development, Capital Normal University, Beijing, China