The Psychodiagnostic Potential of the General Health Questionnaire and its Ukrainian-Language Adaptation

Keywords: general health questionnaire, psychological diagnostics, psychometric indicators, standardisation, statistical norms, reliability, validity.

Abstract

The article provides a comprehensive analysis of the psychodiagnostic capabilities of the foreign questionnaire on general health GHQ-28, developed in 1979 by D. Goldberg and W. Hillier. The structure of the questionnaire, based on factor analysis, includes four subscales, each of which contains seven items: somatic symptoms; anxiety; social dysfunction and severe depression. It is shown that the questionnaire is widely used abroad to determine a person’s ability to perform normal functions and diagnose certain distress-related deviations in the state of mental health.

An empirical study was conducted with the participation of police officers and cadets of higher educational institutions of the Ministry of Internal Affairs of Ukraine with specific training conditions, in the course of which the Ukrainian version of the questionnaire was developed, and its psychometric indicators and average statistical norms were established. The study resulted in reliable, internally consistent scales with a high level of reproducibility. Thus, for all four scales of the questionnaire, the Cronbach’s α coefficient is greater than 0.70. The correlation coefficients between the results of the first survey and the scores obtained during the retest range from 0.87 to 0.90 (p < 0.01). The correlation between the Ukrainian version of the questionnaire and the original is also high, with correlation coefficients between the scales of the same name ranging from 0.82 to 0.91 (p < 0.05 and p < 0.01). The results of the factor analysis showed that the factor structure of the Ukrainian version fully reproduces the structure of the original, all items of the adapted questionnaire were included in the relevant factors. The study of criterion validity shows that the general health questionnaire has satisfactory indicators of the latter (based on the comparison of results with other questionnaires with known validity), the indicators of criterion validity range from 0.42 to 0.67. The questionnaire was also standardised, with average norms and standard deviations for individual scales and the overall health status indicator. The results scored by respondents on scale D (severe depression) of the questionnaire were minimal (100 % of the surveyed demonstrated a high level of health according to this indicator). Therefore, it was not possible to calculate correlations of this scale with the scales of other questionnaires. Scale D is very different from the other scales of this questionnaire in terms of the structure of the stimulus material due to the clinical nature of its statements.

Consequently, the Ukrainian version of the questionnaire is characterised by satisfactory indicators of internal consistency of scales, reliability (retest and parallel forms), and criterion validity.

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Author Biographies

V. I. Barko, State Research Institute of the Ministry of Internal Affairs of Ukraine (Kyiv)

Doctor of Psychological Sciences, Professor.

Scientific Laboratory of Psychological Support (chief researcher).

O. O. Yevdokimova, Kharkiv National University of Internal Affairs

Doctor of Psychological Sciences, Professor.

Educational and Scientific Institute No. 5,

Department of Sociology and Psychology (head).

O. M. Smirnova, Odesa State University of Internal Affairs

Candidate of Psychological Sciences, Associate Professor.

Department of Psychology and Pedagogy (professor).

V. V. Barko, National Academy of the National Guard of Ukraine (Kharkiv)

Doctor of Psychological Sciences.

Department of Psychology (associate professor).

References

Goldberg, D., & Hillier, V. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139–145. https://doi.org/10.1017/S0033291700021644.

Salter, K., Campbell, N., Richardson, M., Mehta, S., Jutai, J., Zettler, L., Moses, M., McClure, A., Mays, R., Foley, N., & Teasell, R. (2013). Outcome Measures in Stroke Rehabilitation. Canadian Partnership for Stroke Recovery. http://www.ebrsr.com/sites/default/files/Chapter%2020_Outcome%20Measures.pdf.

O’Rourke, S., MacHale, S., Signorini, D., & Dennis, M. (1998). Detecting psychiatric morbidity after stroke: Comparison of the GHQ and HAD Scale. Stroke, 29(5), 980–985. https://doi.org/10.1161/01.str.29.5.980.

Failde, I., Ramos, I., & Fernandez-Palacín, F. (2000). Comparison between the GHQ-28 and SF-36 (MH 1-5) for the assessment of the mental health in patients with ischaemic heart disease. European Journal of Epidemiology, 16(4), 311–316. https://doi.org/10.1023/a:1007688525023.

Sterling, M. (2011). General Health Questionnaire – 28 (GHQ-28). Journal of Physiotherapy, 57(4). https://doi.org/10.1016/S1836-9553(11)70060-1.

Kilic, C., Rezaki, M., Rezaki, B., Kaplan, I., Ozgen, C., Sagduyu, A., & Ozturk, M. O. (1997). General Health Questionnaire (GHQ12 & GHQ28): psychometric properties and factor structure of the scales in a Turkish primary care sample. Social Psychiatry and Psychiatric Epidemiology, 32(6), 327–331. https://doi.org/10.1007/BF00805437.

Robinson, R. G., & Price, T. R. (1982). Post-stroke depressive disorders: A follow-up study of 103 patients. Stroke, 13(5), 635–641. https://doi.org/10.1161/01.str.13.5.635.

Sakakibara, B. M., Miller, W. C., Orenczuk, S. G., & Wolfe, D. L. (2009). A systematic review of depression and anxiety measures used with individuals with spinal cord injury. Spinal Cord, 47(12), 841–851. https://doi.org/10.1038/sc.2009.93.

Lincoln, N. B., Nicholl, C. R., Flannaghan, T., Leonard, M., & Van der Gucht, E. (2003). The validity of questionnaire measures for assessing depression after stroke. Clinical Rehabilitation, 17(8), 840–846. https://doi.org/10.1191/0269215503cr687oa.

Thomas, S. A., & Lincoln, N. B. (2006). Factors relating to depression after stroke. British Journal of Clinical Psychology, 45(1), 49–61. https://doi.org/10.1348/014466505X34183.

Published
2025-07-23
How to Cite
Barko, V. I., Yevdokimova, O. O., Smirnova, O. M. and Barko, V. V. (2025) “The Psychodiagnostic Potential of the General Health Questionnaire and its Ukrainian-Language Adaptation”, Bulletin of Kharkiv National University of Internal Affairs, 109(2), pp. 406-421. doi: 10.32631/v.2025.2.34.