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oai:repisalud.isciii.es:20.500.12105/120922024-11-28T18:34:50Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16963

00925njm 22002777a 4500 dc Padron-Monedero, Alicia author Galan, Iñaki author Durbán, María author Gandarillas, Ana author Rodríguez-Artalejo, Fernando author 2012-09 Purpose: To evaluate the factor structure of the 12-item General Health Questionnaire (GHQ-12) in a population of Spanish adolescents. Methods: Cross-sectional study among 4,146 individuals (mean age 16.3 years). The students completed a health questionnaire that included the GHQ-12. A confirmatory factor analysis (CFA) was conducted with four factor structure models. Three of the models were theory-driven: unidimensional, two-dimensional (positive and negative questions), model proposed by Graetz (anxiety and depression, social dysfunction, loss of confidence); and the fourth model was based on our exploratory factor analysis (EFA). Results: The Cronbach's alpha for internal consistency was 0.82. A three-dimensional structure was identified in the EFA. The first factor included items 1, 2, 5, 6, 7, and 9 of the GHQ-12; the second, items 3, 10, and 11; and the third, items 4, 8, and 12. The three factors together explained 53.7% of the variance. The model with the best fit in the CFA was the three-dimensional model proposed by Graetz, followed by the three-dimensional model derived from the EFA. These two models had acceptable goodness-of-fit indices. Conclusions: In an adolescent population from Southern Europe, the GHQ-12 showed high internal consistency. The factor structure that best fitted the data was the Graetz three-dimensional model. However, the high correlations observed between factors suggest that the GHQ-12 should be used as a unidimensional scale, as currently done. Qual Life Res . 2012 Sep;21(7):1291-8. 10.1007/s11136-011-0038-x 1573-2649 Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 21997139 http://hdl.handle.net/20.500.12105/12092 Mental health Confirmatory factor analysis Adolescents Health survey Spain Confirmatory factor analysis of the General Health Questionnaire (GHQ-12) in Spanish adolescents.