Cross-cultural validation and measurement invariance of anxiety and depression symptoms: A study of the Brief Symptom Inventory (BSI) in 42 countries.

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Version: Final published version
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Serval ID
serval:BIB_32CC30ACBAD5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cross-cultural validation and measurement invariance of anxiety and depression symptoms: A study of the Brief Symptom Inventory (BSI) in 42 countries.
Journal
Journal of affective disorders
Author(s)
Quintana G.R., Ponce F.P., Escudero-Pastén J.I., Santibáñez-Palma J.F., Nagy L., Koós M., Kraus S.W., Demetrovics Z., Potenza M.N., Ballester-Arnal R., Batthyány D., Bergeron S., Billieux J., Briken P., Burkauskas J., Cárdenas-López G., Carvalho J., Castro-Calvo J., Chen L., Ciocca G., Corazza O., Csako R.I., Fernandez D.P., Fernandez E.F., Fujiwara H., Fuss J., Gabrhelík R., Gewirtz-Meydan A., Gjoneska B., Gola M., Grubbs J.B., Hashim H.T., Islam M.S., Ismail M., Jiménez-Martínez M.C., Jurin T., Kalina O., Klein V., Költő A., Lee C.T., Lee S.K., Lewczuk K., Lin C.Y., Lochner C., López-Alvarado S., Lukavská K., Mayta-Tristán P., Miller D.J., Orosová O., Orosz G., Quintero Garzola G.C., Ramos-Diaz J., Rigaud K., Rousseau A., Scanavino M.T., Schulmeyer M.K., Sharan P., Shibata M., Shoib S., Sigre-Leirós V., Sniewski L., Spasovski O., Steibliene V., Stein D.J., Ünsal B.C., Vaillancourt-Morel M.P., Van Hout M.C., Bőthe B.
Working group(s)
Sungkyunkwan University's research team NA
ISSN
1573-2517 (Electronic)
ISSN-L
0165-0327
Publication state
Published
Issued date
04/2024
Peer-reviewed
Oui
Volume
350
Pages
991-1006
Language
english
Abstract
Depression and anxiety are among the most prevalent mental health issues experienced worldwide. However, whereas cross-cultural studies utilize psychometrically valid and reliable scales, fewer can meaningfully compare these conditions across different groups. To address this gap, the current study aimed to psychometrically assess the Brief Symptomatology Index (BSI) in 42 countries.
Using data from the International Sex Survey (N = 82,243; M <sub>age</sub>  = 32.39; SD <sub>age</sub>  = 12.52; women: n = 46,874; 57 %), we examined the reliability of depression and anxiety symptom scores of the BSI-18, as well as evaluated evidence of construct, invariance, and criterion-related validity in predicting clinically relevant variables across countries, languages, genders, and sexual orientations.
Results corroborated an invariant, two-factor structure across all groups tested, exhibiting excellent reliability estimates for both subscales. The 'caseness' criterion effectively discriminated among those at low and high risk of depression and anxiety, yielding differential effects on the clinical criteria examined.
The predictive validation was not made against a clinical diagnosis, and the full BSI-18 scale was not examined (excluding the somatization sub-dimension), limiting the validation scope of the BSI-18. Finally, the study was conducted online, mainly by advertisements through social media, ultimately skewing our sample towards women, younger, and highly educated populations.
The results support that the BSI-12 is a valid and reliable assessment tool for assessing depression and anxiety symptoms across countries, languages, genders, and sexual orientations. Further, its caseness criterion can discriminate well between participants at high and low risk of depression and anxiety.
Keywords
Anxiety, Brief Symptom Inventory, Cross-cultural, Depression, Measurement invariance, Psychometric
Pubmed
Open Access
Yes
Create date
26/01/2024 16:03
Last modification date
13/02/2024 8:23
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