University of Leipzig, Department of Medical Psychology and Medical Sociology.
University of Leipzig, Department of Medical Psychology and Medical Sociology.
Compr Psychiatry. 2014 Feb;55(2):396-403. doi: 10.1016/j.comppsych.2013.08.020. Epub 2013 Oct 19.
The Hopkins Symptom Checklist-25 (HSCL-25) has often been used in cross-cultural settings and in studies focussing on asylum seekers, refugees etc. It is available in a number of languages. The present study investigates the psychometric properties of the German version of the HSCL-25 and delivers population-based norms.
Psychometric properties are investigated in a population-based representative sample of the German general population (N=2516). Seven different factorial models are compared using confirmatory factor analysis.
Two out of the seven models show the best model fit. Because of the high inter-correlations of the factors of the tripartite model, the bifactor model is the preferable factor solution. The internal consistencies (Cronbach's alpha) were 0.84, 0.92, and 0.94 for the anxiety, the depression and the total score, respectively. The correlations of both subscales of this model with the subscales of the Brief-Symptom-Inventory-18 or the Patient Health Questionnaire-4 point out, that there is only marginal differential information of the subscales.
Considering the third ("general") factor of the bifactor model with all items loading on it and the absence of differential correlations of the subscales with the external criteria (PHQ-4, BSI-18) the HSCL-25 seems to assess something like "mental distress" with a focus on symptoms of depression and anxiety. The population-based norms support the application of the HSCL-25 for individual diagnostics as well as for the comparison of specific samples with the general population.
霍普金斯症状清单-25（HSCL-25）常用于跨文化环境和关注寻求庇护者、难民等的研究。它有多种语言版本。本研究旨在调查德国版 HSCL-25 的心理测量特性，并提供基于人群的常模。
在德国普通人群的基于人群的代表性样本中（N=2516），研究心理测量特性。使用验证性因子分析比较七种不同的因子模型。
七种模型中的两种显示出最佳的模型拟合。由于三分模型的因子之间的高度相关性，双因素模型是更可取的因子解决方案。内部一致性（Cronbach's alpha）分别为 0.84、0.92 和 0.94，用于焦虑、抑郁和总分。该模型的两个子量表与 Brief-Symptom-Inventory-18 或 Patient Health Questionnaire-4 的子量表的相关性表明，子量表的差异信息仅略有差异。
考虑到双因素模型的第三个（“一般”）因子，所有项目都加载在其上，并且子量表与外部标准（PHQ-4、BSI-18）的差异相关性不存在，HSCL-25 似乎评估了类似于“精神困扰”的东西，重点是抑郁和焦虑症状。基于人群的常模支持 HSCL-25 用于个体诊断以及将特定样本与普通人群进行比较。
