Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana.
<h4>Background</h4>Mental health issues and stigma experiences significantly affect adolescents living with HIV (ALHIV). While the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Berger HIV Stigma Scale-Short Form (HSS-SF) are widely used screening too...
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| Language: | English |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0326169 |
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| author | Samuel Adjorlolo Dorothy Serwaa Boakye |
| author_facet | Samuel Adjorlolo Dorothy Serwaa Boakye |
| author_sort | Samuel Adjorlolo |
| collection | DOAJ |
| description | <h4>Background</h4>Mental health issues and stigma experiences significantly affect adolescents living with HIV (ALHIV). While the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Berger HIV Stigma Scale-Short Form (HSS-SF) are widely used screening tools for mental health and stigma, their factorial validity among ALHIV in resource-limited settings such as Ghana remains understudied. This study investigated the factor structure, internal consistency, and correlations of the PHQ-9, GAD-7, and HSS-SF among ALHIV in Ghana.<h4>Methods</h4>A cross-sectional study was conducted among 105 ALHIV (aged 10-24 years) receiving care at three government hospitals in Eastern Ghana. Confirmatory factor analyses were conducted to examine the factor structure of the PHQ-9 and GAD-7 and HSS-SF.<h4>Results</h4>A two-factor structure showed the best fit for PHQ-9, with satisfactory internal consistency for cognitive/affective (α = 0.79) and somatic factors (α = 0.70). The GAD-7 demonstrated best fit as a unidimensional factor structure, with acceptable internal consistency (α = 0.88). The HSS-SF was found to be best represented by a three-factor structure, with internal consistency ranging from 0.76 to 0.95 across subscales.<h4>Conclusions</h4>The PHQ-9, GAD-7, and HSS-SF demonstrated acceptable factorial structure and internal consistency among Ghanaian ALHIV, supporting their utility as screening tools in this population. |
| format | Article |
| id | doaj-art-77dcd0d67f154af18d2bd6d62227d616 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-77dcd0d67f154af18d2bd6d62227d6162025-08-20T03:22:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032616910.1371/journal.pone.0326169Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana.Samuel AdjorloloDorothy Serwaa Boakye<h4>Background</h4>Mental health issues and stigma experiences significantly affect adolescents living with HIV (ALHIV). While the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Berger HIV Stigma Scale-Short Form (HSS-SF) are widely used screening tools for mental health and stigma, their factorial validity among ALHIV in resource-limited settings such as Ghana remains understudied. This study investigated the factor structure, internal consistency, and correlations of the PHQ-9, GAD-7, and HSS-SF among ALHIV in Ghana.<h4>Methods</h4>A cross-sectional study was conducted among 105 ALHIV (aged 10-24 years) receiving care at three government hospitals in Eastern Ghana. Confirmatory factor analyses were conducted to examine the factor structure of the PHQ-9 and GAD-7 and HSS-SF.<h4>Results</h4>A two-factor structure showed the best fit for PHQ-9, with satisfactory internal consistency for cognitive/affective (α = 0.79) and somatic factors (α = 0.70). The GAD-7 demonstrated best fit as a unidimensional factor structure, with acceptable internal consistency (α = 0.88). The HSS-SF was found to be best represented by a three-factor structure, with internal consistency ranging from 0.76 to 0.95 across subscales.<h4>Conclusions</h4>The PHQ-9, GAD-7, and HSS-SF demonstrated acceptable factorial structure and internal consistency among Ghanaian ALHIV, supporting their utility as screening tools in this population.https://doi.org/10.1371/journal.pone.0326169 |
| spellingShingle | Samuel Adjorlolo Dorothy Serwaa Boakye Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. PLoS ONE |
| title | Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. |
| title_full | Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. |
| title_fullStr | Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. |
| title_full_unstemmed | Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. |
| title_short | Factorial structure of the patient health questionnaire-9, generalized anxiety disorder-7 and berger HIV stigma scale-short form among adolescents living with HIV in Ghana. |
| title_sort | factorial structure of the patient health questionnaire 9 generalized anxiety disorder 7 and berger hiv stigma scale short form among adolescents living with hiv in ghana |
| url | https://doi.org/10.1371/journal.pone.0326169 |
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