Observational studyBMC psychiatry2016
Validation of the Chinese version of the PHQ-15 in a tertiary hospital.
Observational study in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding General Somatic Symptom Burden: Insights from a Systematic Review of Factor Analyses Pertaining to the Patient Health Questionnaire 15 (PHQ-15) and Somatic Symptom Scale 8 (SSS-8).International journal of behavioral medicine · 2026Pooled it
- Measurement Properties of the Patient Health Questionnaire-15 and Somatic Symptom Scale-8: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- New Path to Recovery and Well-Being: Cross-Sectional Study on WeChat Use and Endorsement of WeChat-Based mHealth Among People Living With Schizophrenia in China.Journal of medical Internet research · 2020Trial
- Validity of the Chinese version of the somatic symptom disorder-B criteria scale among patients with chronic cough.European archives of psychiatry and clinical neuroscience · 2026Article
- Cross-cultural comparison of somatic-depressive symptom networks in Chinese and Rwandan adolescents: network analysis study.BJPsych open · 2026Article
- Measurement properties of the Patient Health Questionnaire 15 (PHQ-15) and Somatic Symptom Disorder B-criteria scale (SSD-12), including revised 1-week versions.Scientific reports · 2026Article
- Reliability and validity of the Kurdish version of the patient health questionnaire-15 in a trauma-affected population.BMC psychiatry · 2026Article
- Pathways to self-management among older adults with multimorbidity in rural China: A fuzzy-set qualitative comparative analysis.International journal of nursing sciences · 2026Article
- The mediating role of anxiety in the association between childhood trauma and suicidal ideation in depression.BMC psychiatry · 2026Article
- Transcultural adaptation and validation of the Chinese version of the Visceral Sensitivity Index for patients with disorders of gut-brain interaction.Frontiers in medicine · 2026Article
- Aggression and emotional distress in adolescents: a cross-sectional chain mediation model of internet addiction and somatization.Frontiers in psychiatry · 2026Article
- Ability and utility of the Physician Well-Being Index to identify distress among Chinese physicians.Annals of medicine · 2025Article
- A study on long-term trauma-related mental health outcomes among Kurdish survivors of chemical attacks.Frontiers in psychiatry · 2025Article
- A neural signature for gastrointestinal symptoms in depression: insula-gastric connectivity predicts symptom severity.Frontiers in psychiatry · 2025Article
- Factors influencing the tendency of residual symptoms in patients with depressive disorders: a longitudinal study.BMC psychiatry · 2024Article
- Establishment and validation of a nomogram for dropout intention in Chinese early year medical undergraduates.BMC medical education · 2024Article
- Investigating the Efficacy of a Community Support Network Rehabilitation Intervention for Improving Resiliency, Quality of Life, and Neurocognitive Function in Survivors of Intimate Partner Violence-Caused Brain Injury: Protocol for a Feasibility Study.JMIR research protocols · 2024Article
- Potential of niacin skin flush response in adolescent depression identification and severity assessment: a case-control study.BMC psychiatry · 2024Article
- The Relationship Between Depressive Symptoms and Functional Gastrointestinal Disorders (FGIDs): The Chain Mediating Effect of Sleep Disorders and Somatic Symptom.Depression and anxiety · 2024Article
- The Physical Symptom Scale-8: Psychometric Characteristics of a Short-Form Version of the PHQ-15 and its Use in TMD-Related Assessment and Research.Journal of oral & facial pain and headache · 2023Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to investigate the reliability and validity of the Chinese version of the Patient Health Questionnaire (PHQ-15) in a tertiary hospital.
methodsUsing a cross-sectional study design, the Chinese version of the PHQ-15 was administered to a total of 1329 inpatients. To examine the discriminant validity of this questionnaire, we investigated the correlation of the PHQ-15 score with sociodemographic data and the PHQ-9 and GAD-7 scale scores. Exploratory factor analysis was performed to assess the internal consistency of the PHQ-15. To evaluate the consistency of this questionnaire with item response theory (IRT), IRT analysis was performed.
resultsThe Chinese version of the PHQ-15 showed good reliability (Cronbach's alpha = 0.83). The correlations of the PHQ-15 scores with the PHQ-9 depression scale scores (r = 0.565) and the GAD-7 anxiety scale scores (r = 0.512) were moderate; these results suggested that the PHQ-15 had discriminant validity. We identified three factors, referred to as "cardiopulmonary," "gastrointestinal," and "pain/neurological," which explained 56 % of the total variance. A second-order factor analysis including these three factors produced an acceptable model. Several items (4, 8 and 11) displayed extreme floor effects. Additionally, item 4 displayed a very small variance of 0.35 and showed very small differences in its thresholds based on IRT analysis.
conclusionsThe PHQ-15 scale had good reliability and high validity to detect patients with high somatic symptom severity in a Chinese tertiary hospital. Several of the current findings were consistent with previous research on the PHQ-15 in Western countries and in China. To improve the diagnostic quality of this questionnaire, items 4, 8 and 11 can be omitted.
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