Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people

Anna Exner, Maria Kleinstäuber, Wolfgang Maier, Angela Fuchs, Juliana J. Petersen, Ingmar Schäfer, Jochen Gensichen, Steffi G. Riedel-Heller, Siegfried Weyerer, Horst Bickel, Hans-Helmut König, Birgitt Wiese, Gerhard Schön, Martin Scherer, Hendrik van den Bussche, Berend Terluin

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: Psychosomatic symptoms and mental health problems are highly prevalent in multimorbid elderly people challenging general practitioners to differentiate between normal stress and psychopathological conditions. The 4DSQ is a Dutch questionnaire developed to detect anxiety, depression, somatization, and distress in primary care. This study aims to analyze measurement equivalence between a German version and the original Dutch instrument. Methods: A Dutch and a German sample of multimorbid elderly people, matched by gender and age, were analyzed. Equivalence of scale structures was assessed by confirmatory factor analysis (CFA). To evaluate measurement equivalence across languages, differential item functioning (DIF) was analyzed using Mantel–Haenszel method and hybrid ordinal logistic regression analysis. Differential test functioning (DTF) was assessed using Rasch analysis. Results: A total of 185 German and 185 Dutch participants completed the questionnaire. The CFA confirmed one-factor models for all scales of both 4DSQ versions. Nine items in three scales were flagged with DIF. The anxiety scale showed to be free of DIF. DTF analysis revealed negligible scale impact of DIF. Conclusions: The German 4DSQ demonstrated measurement equivalence to the original Dutch instrument. Hence, it can be considered a valid questionnaire for the screening for mental health problems in primary care.
Original languageEnglish
Pages (from-to)2691-2697
JournalQuality of Life Research
Volume27
Issue number10
DOIs
Publication statusPublished - 2018

Cite this

Exner, Anna ; Kleinstäuber, Maria ; Maier, Wolfgang ; Fuchs, Angela ; Petersen, Juliana J. ; Schäfer, Ingmar ; Gensichen, Jochen ; Riedel-Heller, Steffi G. ; Weyerer, Siegfried ; Bickel, Horst ; König, Hans-Helmut ; Wiese, Birgitt ; Schön, Gerhard ; Scherer, Martin ; van den Bussche, Hendrik ; Terluin, Berend. / Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people. In: Quality of Life Research. 2018 ; Vol. 27, No. 10. pp. 2691-2697.
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title = "Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people",
abstract = "Purpose: Psychosomatic symptoms and mental health problems are highly prevalent in multimorbid elderly people challenging general practitioners to differentiate between normal stress and psychopathological conditions. The 4DSQ is a Dutch questionnaire developed to detect anxiety, depression, somatization, and distress in primary care. This study aims to analyze measurement equivalence between a German version and the original Dutch instrument. Methods: A Dutch and a German sample of multimorbid elderly people, matched by gender and age, were analyzed. Equivalence of scale structures was assessed by confirmatory factor analysis (CFA). To evaluate measurement equivalence across languages, differential item functioning (DIF) was analyzed using Mantel–Haenszel method and hybrid ordinal logistic regression analysis. Differential test functioning (DTF) was assessed using Rasch analysis. Results: A total of 185 German and 185 Dutch participants completed the questionnaire. The CFA confirmed one-factor models for all scales of both 4DSQ versions. Nine items in three scales were flagged with DIF. The anxiety scale showed to be free of DIF. DTF analysis revealed negligible scale impact of DIF. Conclusions: The German 4DSQ demonstrated measurement equivalence to the original Dutch instrument. Hence, it can be considered a valid questionnaire for the screening for mental health problems in primary care.",
author = "Anna Exner and Maria Kleinst{\"a}uber and Wolfgang Maier and Angela Fuchs and Petersen, {Juliana J.} and Ingmar Sch{\"a}fer and Jochen Gensichen and Riedel-Heller, {Steffi G.} and Siegfried Weyerer and Horst Bickel and Hans-Helmut K{\"o}nig and Birgitt Wiese and Gerhard Sch{\"o}n and Martin Scherer and {van den Bussche}, Hendrik and Berend Terluin",
year = "2018",
doi = "10.1007/s11136-018-1924-2",
language = "English",
volume = "27",
pages = "2691--2697",
journal = "Quality of Life Research",
issn = "0962-9343",
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number = "10",

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Exner, A, Kleinstäuber, M, Maier, W, Fuchs, A, Petersen, JJ, Schäfer, I, Gensichen, J, Riedel-Heller, SG, Weyerer, S, Bickel, H, König, H-H, Wiese, B, Schön, G, Scherer, M, van den Bussche, H & Terluin, B 2018, 'Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people' Quality of Life Research, vol. 27, no. 10, pp. 2691-2697. https://doi.org/10.1007/s11136-018-1924-2

Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people. / Exner, Anna; Kleinstäuber, Maria; Maier, Wolfgang; Fuchs, Angela; Petersen, Juliana J.; Schäfer, Ingmar; Gensichen, Jochen; Riedel-Heller, Steffi G.; Weyerer, Siegfried; Bickel, Horst; König, Hans-Helmut; Wiese, Birgitt; Schön, Gerhard; Scherer, Martin; van den Bussche, Hendrik; Terluin, Berend.

In: Quality of Life Research, Vol. 27, No. 10, 2018, p. 2691-2697.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Cross-cultural validation of the German version of the Four-Dimensional Symptom Questionnaire (4DSQ) in multimorbid elderly people

AU - Exner, Anna

AU - Kleinstäuber, Maria

AU - Maier, Wolfgang

AU - Fuchs, Angela

AU - Petersen, Juliana J.

AU - Schäfer, Ingmar

AU - Gensichen, Jochen

AU - Riedel-Heller, Steffi G.

AU - Weyerer, Siegfried

AU - Bickel, Horst

AU - König, Hans-Helmut

AU - Wiese, Birgitt

AU - Schön, Gerhard

AU - Scherer, Martin

AU - van den Bussche, Hendrik

AU - Terluin, Berend

PY - 2018

Y1 - 2018

N2 - Purpose: Psychosomatic symptoms and mental health problems are highly prevalent in multimorbid elderly people challenging general practitioners to differentiate between normal stress and psychopathological conditions. The 4DSQ is a Dutch questionnaire developed to detect anxiety, depression, somatization, and distress in primary care. This study aims to analyze measurement equivalence between a German version and the original Dutch instrument. Methods: A Dutch and a German sample of multimorbid elderly people, matched by gender and age, were analyzed. Equivalence of scale structures was assessed by confirmatory factor analysis (CFA). To evaluate measurement equivalence across languages, differential item functioning (DIF) was analyzed using Mantel–Haenszel method and hybrid ordinal logistic regression analysis. Differential test functioning (DTF) was assessed using Rasch analysis. Results: A total of 185 German and 185 Dutch participants completed the questionnaire. The CFA confirmed one-factor models for all scales of both 4DSQ versions. Nine items in three scales were flagged with DIF. The anxiety scale showed to be free of DIF. DTF analysis revealed negligible scale impact of DIF. Conclusions: The German 4DSQ demonstrated measurement equivalence to the original Dutch instrument. Hence, it can be considered a valid questionnaire for the screening for mental health problems in primary care.

AB - Purpose: Psychosomatic symptoms and mental health problems are highly prevalent in multimorbid elderly people challenging general practitioners to differentiate between normal stress and psychopathological conditions. The 4DSQ is a Dutch questionnaire developed to detect anxiety, depression, somatization, and distress in primary care. This study aims to analyze measurement equivalence between a German version and the original Dutch instrument. Methods: A Dutch and a German sample of multimorbid elderly people, matched by gender and age, were analyzed. Equivalence of scale structures was assessed by confirmatory factor analysis (CFA). To evaluate measurement equivalence across languages, differential item functioning (DIF) was analyzed using Mantel–Haenszel method and hybrid ordinal logistic regression analysis. Differential test functioning (DTF) was assessed using Rasch analysis. Results: A total of 185 German and 185 Dutch participants completed the questionnaire. The CFA confirmed one-factor models for all scales of both 4DSQ versions. Nine items in three scales were flagged with DIF. The anxiety scale showed to be free of DIF. DTF analysis revealed negligible scale impact of DIF. Conclusions: The German 4DSQ demonstrated measurement equivalence to the original Dutch instrument. Hence, it can be considered a valid questionnaire for the screening for mental health problems in primary care.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/29951867

U2 - 10.1007/s11136-018-1924-2

DO - 10.1007/s11136-018-1924-2

M3 - Article

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SP - 2691

EP - 2697

JO - Quality of Life Research

JF - Quality of Life Research

SN - 0962-9343

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