VALIDITAS KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN PENYESUAIAN

• Main Authors: , INDIRA PRIMASARI, , Rahmat Hidayat, S.Psi, M.Sc, Ph.D
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2013
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/118636/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=58610
• Institution: Universitas Gadjah Mada

Adjustment Disorder (AD) is a common mental health problem in primary health center. This study aimed to adapt and examine the clinical validity of GHQ-12 as Adjustment Disorder screening instrument in Puskesmas. Structured Clinical Interview Diagnosis (SCID) based on Diagnostic and Statistical Manual of Mental Disorder (DSM) IV was used as a gold standard to which questionnaire was compared. The subjects were 250 adult outpatients from twenty five community health center (Puskesmas) in Sleman, Yogyakarta. Alpha Cronbach, Principal Component Analysis, dan Pearson Corelation were conducted to assess the psychometric properties. Receiver Operating Curve (ROC) dan Likelihood Ratio (LR) were conducted to assess the clinical validity. The prevalence of AD was 17.3%. A cronbach�s Alpha of .863 (likert�s scoring method), .841 (bimodal�s scoring method), .832 (CGHQ�s scoring method), a Pearson�s correlations of .397 (bimodal�s), .370 (likert�s), .402 (CGHQ�s), p<0.001). and a 3-factor structure, which are psychological distres, successful coping, and full of enjoyment were obtained, Sensitivity and specivity for GHQ-12 were .81 and .62 (for the optimum cut-off point �11 in Likert�s scoring method), .81 and .57 (for the optimum cut-off point �2 in bimodal�s scoring method), .81 and .55 (for the optimum cut-off point �4 in CGHQ�s scoring method). Positive Likelihood Ratio and negative Likelihood Ratio for GHQ-12 were 2.12 and 0.31 (Likert�s scoring method), 1.90 and 0.34 (Bimodal�s scoring method), and 1.80 and 0.35 (CGHQ�s scoring method). The GHQ-12 is valid, reliable, and accurate in Puskesmas population, and can be employed as a screening instrumen in this population.