Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care

María Rodríguez-Barragán, María Isabel Fernández-San-Martín, Ana Clavería-Fontán, Susana Aldecoa-Landesa, Marc Casajuana-Closas, Joan Llobera, Bárbara Oliván-Blázquez and Eva Peguero-Rodríguez
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María Rodríguez-Barragán: Primary Health Centre La Mina, Gerència Territorial de Barcelona, Institut Català de la Salut, 08930 Barcelona, Spain
María Isabel Fernández-San-Martín: Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain
Ana Clavería-Fontán: I-Saúde Group, Galicia Sur Health Research Institute SERGAS-UVIGO, Servicio Galego de Saúde, 36201 Galicia, Spain
Susana Aldecoa-Landesa: I-Saúde Group, Galicia Sur Health Research Institute SERGAS-UVIGO, Servicio Galego de Saúde, 36201 Galicia, Spain
Marc Casajuana-Closas: Faculty of Medicine, Autonomous University of Barcelona, 08193 Bellaterra, Spain
Joan Llobera: Primary Care Prevention and Health Promotion Research Network RedIAPP, 28001 Madrid, Spain
Bárbara Oliván-Blázquez: Primary Care Prevention and Health Promotion Research Network RedIAPP, 28001 Madrid, Spain
Eva Peguero-Rodríguez: Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain

IJERPH, 2021, vol. 18, issue 15, 1-15

Abstract: Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version. A multicenter cross-sectional study was carried out at six PC centers in Spain. Validity and reliability were assessed against the structured Composite International Diagnostic Interview (CIDI). Out of the 790 patients, 769 completed the HSCL-25; 738 answered all the items. Global Cronbach’s alpha was 0.92 (0.88 as calculated for the depression dimension and 0.83 for the anxiety one). Confirmatory factor analysis (CFA) showed one global factor and two correlated factors with a correlation of 0.84. Area under the curve (AUC) was 0.89 (CI 95%, 0.86–0.93%). For a 1.75 cutoff point, sensibility was 88.1% (CI 95%, 77.1–95.1%) and specificity was 76.7% (CI 95%, 73.3–79.8%). The Spanish version of the HSCL-25 has a high response percentage, validity, and reliability and is well-accepted by PC patients.

Keywords: depression; depressive disorder; primary healthcare; family practice; general practitioners; anxiety; questionnaires; psychometrics (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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