Validity and Reliability of the General Health Questionnaire-12 (GHQ-12) in Indonesia: Scale for the Detection of Psychological Distress in Individuals Experiencing Quarter-life Crisis

Audita Izza Balqis

doi:10.21009/JPPP.141.07

Authors

Audita Izza Balqis Fakultas Psikologi, Universitas Muhammadiyah Malang, Malang, 65145, Indonesia

DOI:

https://doi.org/10.21009/JPPP.141.07

Keywords:

General Health Questionnaire (GHQ-12), Psychological distress, Quarter-life crisis, Mental Health

Abstract

This study aims to test the validity and reliability of the General Health Questionnaire-12 (GHQ)-12) for the Indonesian version, specifically for individuals who experience a quarter-life crisis. Individuals who experience a quarter-life crisis are identical in the form of psychological distress. The development of the GHQ-12 instrument was carried out to facilitate professionals in detecting levels of psychological distress as well as as an instrument in providing appropriate treatment. 300 participants (M= 23.70; SD = 2.64) were involved in this study. The reliability of Cronbach's Alpha (α=0.903) showed GHQ-12 as an acceptable instrument. The GHQ-12 was found a one-dimensional model. CFA with goodness of-fit was found GHQ-12 was accepted, value of X²= 153.893; RMSEA=0.079; GFI=0.921; TLI= 0.918; and CFI=0.933. This study’s results indicate satisfactory validity and reliability for GHQ-12 as an instrument in detecting psychological distress for individuals experiencing a quarter-life crisis. The implications of this study can be used as a reference in providing appropriate interventions for overcoming psychological distress.

References

Abubakar, A., and Fischer, R. (2012). The factor structure of the 12-item general health questionnaire in a literate Kenyan population. Stress Health 28, 248–254. https://doi.org/10.1002/smi.1420

Anjara, S.G., Bonetto, C., Van Bortel, T., & Brayne, C. Using the GHQ 12 to screen for mental health problems among primary care patients: Psychometrics and practical considerations. (2020). International Journal of Mental Health Systems, 14(62). https://doi.org/10.1186/s13033-020-00397-0

Arnett, J. J., & Mitra, D. (2018). Are the features of emerging adulthood developmentally distinctive? A Comparison of ages 18–60 in the United States. Emerging Adulthood. https://doi.org/10.1177/2167696818810073

Arnett, J. J., Žukauskienė, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18–29 years: implications for mental health. The Lancet. Psychiatry, 1(7), 569–576. https://doi.org/10.1016/S2215-0366(14)00080-7

Costello, E. J. (2016). Early Detection and Prevention of Mental Health Problems: Developmental Epidemiology and Systems of Support. Journal of Clinical Child & Adolescent Psychology, 24(6), 710-717. https://doi.org/10.1080/15374416.2016.1236728

Gnambs, T., & Staufenbiel, T. (2018). The structure of the general health questionnaire (GHQ-12): Two meta-analytic factor analyses. Health Psychology Review, 1–38. https://doi.org/10.1080/17437199.2018.1426484

Gao, W., Stark, D., Bennett, M. I., Siegert, R. J., Murray, S., and Higginson, I. J. (2012). Using the 12-item general health questionnaire to screen psychological distress from survivorship to end-of-life care: dimensionality and item quality. Psycho-Oncology, 21 (9), 954–961. https://doi.org/10.1002/pon.1989

Graetz, B. (1991). Multidimensional properties of the general health questionnaire. Social, Psychiatry, and Epidemiology, 26, 132–138. https://doi.org/10.1007/BF00782952

Goldberg, D, P., Gater, R., Sartorius, N., Ustun, T.B., Piccinelli, M., Gureje, O., & Rutter, C. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine,27(1), 191–7. https://doi.org/10.1017/S0033291796004242

Hair, J.F., Black, W.C., Babin, B.J. (2010). Multivariate Data Analysis: A Global Perspective, 7th ed., Pearson Education International, Prentice Hall.

Hystad, S.W. & Johnsen, B.H. (2020). The Dimensionality of the 12-Item General Health Questionnaire (GHQ-12): Comparisons of factor structures and invariance across samples and time. Frontiers Psychology, 11, 1300. https://doi.org/10.3389/fpsyg.2020.01300

Jackson, C. (2007). The general health questionnaire. Occupation Medicine,57(1), 79. https://doi.org/10.1093/occmed/kql169

Kaligis, F., Ismail, R.I., Wiguna, T., Prasetyo, S., Indriatmi, W., Gunardi, H., Pandia, V., & Magdalena, C.C. (2021). Mental health problems and needs among transitional-age youth in Indonesia. International Journal of Environmental Research and Public Health, 18, 4046. https://doi.org/10.3390/ijerph18084046

Kementerian Kesehatan Republik Indonesia. (2018). Riset kesehatan dasar: Hasil utama riskesdas 2018. [PDF Document]. Retrived July, 08 2022 from www.depkes.go.id

Malik, S & Farooqi, Y.N. (2014). General and sexual harassment as predictors of posttraumatic stress symptoms among female health professionals. World Journal of Medical Sciences, 10(1): 43-49. https://doi.org/10.5829/idosi.wjms.2014.10.1.81128

Molina, J.G., Rodrigo, M.F., Losilla, J.M., & Vives, J. (2014). Wording Effects and the Factor Structure of the 12-Item General Health Questionnaire (GHQ-12). American Psychological Association, 2014. http://dx.doi.org/10.1037/a0036472.supp

Padrón, A., Galán, I., Durbán, M., Gandarillas, A., and Rodríguez-Artalejo, F. (2012). Confirmatory factor analysis of the general health questionnaire (GHQ- 12) in Spanish adolescents. An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 21(7), 1291–1298. https://doi.org/10.1007/s11136-011-0038-x

Petrov, N., Robinson, O.C., & Arnett, J.J. (2022). The developmental crisis questionnaire (DCQ-12): Psychometric development and validation. Journal of Adult Development. https://doi.org/10.1007/s10804-022-09403-w

Politi, P. L., Piccinelli, M., and Wilkinson, G. (1994). Reliability, validity, and factor structure of the 12-item general health questionnaire among young males in Italy. Acta Psychiatrica Scandinavica, 432–437. https://doi.org/j.1600-0447.1994. tb01620.x

Primasari, I., & Hidayat, R. (2016). General Health Questionnaire-12 (GHQ-12) sebagai instrumen skrinning gangguan penyesuaian. Jurnal Psikologi, 43(2), 121-134. https://doi.org/10.22146/jpsi.9155

Qin, M., Vlachantoni, A., Evandrou, M., & Falkingham, J. (2018). General health questionnaire-12 reliability, factor structure, and external validity among older adults in India. Indian Journal of Psychiatry, 60(1), 56-59. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_112_17

Rahmandani, A., La kahija, Y F. & Salma, S. (2021). Will self-compassion relieve distress?: A correlational study among Indonesian undergraduate students. Journal of Medical Science, 64 (2), 192-199. https://doi.org/10.33160/yam.2021.05.013

Robinson, O. C., Demetre, J. D., & Litman, J. A. (2017). Adult life stage and crisis as predictors of curiosity and authenticity: Testing inferences from Erikson’s lifespan theory. International Journal of Behavioral Development, 41(3), 426–431. https://doi.org/10.1177/0165025416645201

Robinson, O. C., & Wright, G. R. T. (2013). The prevalence, types and perceived outcomes of crisis episodes in early adulthood and midlife: A structure retrospective-autobiographical study. International Journal of Behavioral Development, 37(5), 407-416. https://doi.org/10.1177/0165025413492464

Rosen, N. O., Ivanova, E., & Knäuper, B. (2014). Differentiating intolerance of uncertainty from three related but distinct constructs. Anxiety, Stress & Coping, 27(1), 55-73. https://doi.org/10.1080/10615806.2013.815743

Salma, & Hidayat, R. (2013). Validasi klinik general health questionnaire-12 sebagai instrumen skrining gangguan somatoform di Puskesmas. [Tesis tidak dipublikasikan]. Universitas Gadjah Mada, Yogyakarta, Indonesia.

Steed, L., & Coakes, S.J. (2003). SPSS analysis without anguish. Version 11 for Windows. Milton, Queensland: John Wiley and Sons Australia

Suzuki, H., Kaneita, Y., Osaki, Y., Minowa, M., Kanda, H., Suzuki, K., et al. (2011). Clarification of the factor structure of the 12-item general health questionnaire among Japanese adolescents and associated sleep status. Psychiatry Research, 188, 138–146. https://doi.org/10.1016/j.psychres.2010.10.025

Tavakol M, Dennick R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2 (53). https://doi.org/10.5116/ijme.4dfb.8dfd