ArticlePloS one2026
Psychometric evaluation of the GHQ-28 in a South African recidivist sample.
Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
This study evaluated the psychometric performance of the 28-item General Health Questionnaire (GHQ-28) in an archived South African recidivist sample. Data from 385 respondents were examined using item descriptives, corrected item-total correlations, confirmatory factor analysis, internal-consistency estimates, exploratory network analysis, and post hoc reduced-item sensitivity models; the network analysis used 327 complete cases. Among the full-scale models, the correlated four-factor model showed the best relative fit, chi-square(344) = 543.81, CFI = .944, TLI = .939, RMSEA = .042, and SRMR = .105. The elevated SRMR and several negative or weak loadings, however, indicated residual misfit and possible item-direction or scoring problems. Cronbach's alpha was.747 for the total score and ranged from.403 to.733 across the four domains. Anxiety/Insomnia and Severe Depression performed more consistently than Somatic Symptoms and Social Dysfunction. Network results were mixed rather than uniformly convergent with the latent-variable findings. Reduced-item models produced better descriptive fit indices, but they used different item sets, were data-driven, and did not establish a validated short form. Because the original item labels and scoring key were not available for independent verification, domain-level interpretations, especially for Somatic Symptoms and Social Dysfunction, remain provisional. The results provide preliminary support for a multidimensional representation of distress while underscoring the need to verify item direction, reproduce the analyses from the archived code, and replicate the findings in independent correctional samples.
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