1. Structural validation of The Patient Health Questionnaire-9 (PHQ-9) among Filipina and Indonesian female migrant domestic workers in Macao
- Author
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Andrian Liem, Lorris Lao, Brian J. Hall, Susana Tjipto, Anushka R. Patel, and Elisabeth Haksi Mayawati
- Subjects
education.field_of_study ,Population ,Mental health ,Confirmatory factor analysis ,language.human_language ,030227 psychiatry ,Test (assessment) ,Patient Health Questionnaire ,Indonesian ,03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Respondent ,language ,Migrant domestic workers ,education ,Psychology ,030217 neurology & neurosurgery ,Biological Psychiatry ,Clinical psychology - Abstract
Within diverse global populations, validated tools are needed to assess common mental disorders. The Patient Health Questionnaire-9 (PHQ-9) is one of the most commonly used depression screeners. However, the PHQ-9 has not been structurally validated among female migrant domestic workers (MDWs). Female MDWs constitute a population numbering 11.5 million, and commonly report depression. This study aimed to structurally validate the PHQ-9 among Filipina and Indonesian female MDWs in Macao Special Administrative Region of China. Participants were recruited using respondent driven sampling. Participants were adult female MDWs from The Philippines (N=1375) or Indonesia (N=367) and legally working in Macao. We used confirmatory factor analysis (CFA) to test five structural models of depression using all PHQ-9 items with the Filipina and Indonesian samples. We applied multi-group CFA to test measurement invariance across samples. A two-factor (cognitive/affective, somatic) model yielded the best fit within both samples, and the multi-group CFA demonstrated invariance across samples. The two-factor model best represents the factor structure of the PHQ-9 among Filipina and Indonesian female MDWs.
- Published
- 2021
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