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Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care

Author

Listed:
  • María Rodríguez-Barragán

    (Primary Health Centre La Mina, Gerència Territorial de Barcelona, Institut Català de la Salut, 08930 Barcelona, Spain
    Faculty of Medicine, Autonomous University of Barcelona, 08193 Bellaterra, Spain
    Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain)

  • María Isabel Fernández-San-Martín

    (Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain
    Gerència Territorial de Barcelona, Institut Català de la Salut, 08007 Barcelona, Spain)

  • Ana Clavería-Fontán

    (I-Saúde Group, Galicia Sur Health Research Institute SERGAS-UVIGO, Servicio Galego de Saúde, 36201 Galicia, Spain
    Primary Care Prevention and Health Promotion Research Network RedIAPP, 28001 Madrid, Spain)

  • Susana Aldecoa-Landesa

    (I-Saúde Group, Galicia Sur Health Research Institute SERGAS-UVIGO, Servicio Galego de Saúde, 36201 Galicia, Spain
    Primary Health Centre Beiramar, Área de Xestión Integrada de Vigo, SERGAS, 36201 Vigo, Spain)

  • Marc Casajuana-Closas

    (Faculty of Medicine, Autonomous University of Barcelona, 08193 Bellaterra, Spain
    Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain)

  • Joan Llobera

    (Primary Care Prevention and Health Promotion Research Network RedIAPP, 28001 Madrid, Spain
    Institut d’Investigació Sanitària Illes Balears, 07120 Palma, Spain
    Primary Care Research Unit of Mallorca, Balearic Islands Health Service, 07120 Palma, Spain)

  • Bárbara Oliván-Blázquez

    (Primary Care Prevention and Health Promotion Research Network RedIAPP, 28001 Madrid, Spain
    Department of Psychology and Sociology, University of Zaragoza, 50009 Zaragoza, Spain)

  • Eva Peguero-Rodríguez

    (Institut Universitari d’Investigació en Atenció Primària Jordi Gol, 08007 Barcelona, Spain
    Primary Health Centre El Castell, Institut Català de la Salut, 08860 Barcelona, Spain
    Faculty of Medicine, University of Barcelona, 08007 Barcelona, Spain)

Abstract

Depression constitutes a major public health problem due to its high prevalence and difficulty in diagnosis. The Hopkins Symptom Checklist-25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use in primary care (PC). The purpose of the study was to assess the psychometric properties of the HSCL-25 and validate its Spanish version. A multicenter cross-sectional study was carried out at six PC centers in Spain. Validity and reliability were assessed against the structured Composite International Diagnostic Interview (CIDI). Out of the 790 patients, 769 completed the HSCL-25; 738 answered all the items. Global Cronbach’s alpha was 0.92 (0.88 as calculated for the depression dimension and 0.83 for the anxiety one). Confirmatory factor analysis (CFA) showed one global factor and two correlated factors with a correlation of 0.84. Area under the curve (AUC) was 0.89 (CI 95%, 0.86–0.93%). For a 1.75 cutoff point, sensibility was 88.1% (CI 95%, 77.1–95.1%) and specificity was 76.7% (CI 95%, 73.3–79.8%). The Spanish version of the HSCL-25 has a high response percentage, validity, and reliability and is well-accepted by PC patients.

Suggested Citation

  • María Rodríguez-Barragán & María Isabel Fernández-San-Martín & Ana Clavería-Fontán & Susana Aldecoa-Landesa & Marc Casajuana-Closas & Joan Llobera & Bárbara Oliván-Blázquez & Eva Peguero-Rodríguez, 2021. "Validation and Psychometric Properties of the Spanish Version of the Hopkins Symptom Checklist-25 Scale for Depression Detection in Primary Care," IJERPH, MDPI, vol. 18(15), pages 1-15, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7843-:d:600711
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    References listed on IDEAS

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    1. Bandy Lee & Sylvia F. Kaaya & Jessie K. Mbwambo & Mary C. Smith-Fawzi & Melkizedek T. Leshabari, 2008. "Detecting Depressive Disorder With the Hopkins Symptom Checklist-25 in Tanzania," International Journal of Social Psychiatry, , vol. 54(1), pages 7-20, January.
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    Cited by:

    1. Benedicte Kirkøen & Ragnhild Elise Ørstavik & Anne Reneflot & Jens Christoffer Skogen & Børge Sivertsen & Ann Kristin Skrindo Knudsen, 2025. "The Ability of the Hopkins Symptom Checklist-5 to Identify Generalized Anxiety Disorder and Major Depressive Disorder in the General Population," IJERPH, MDPI, vol. 22(5), pages 1-14, April.

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