Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12 a comparison of five different methods.docVIP
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Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12 a comparison of five different methods
BMC Psychiatry
BioMedCentral
Research article
Open Access
Evaluating cutpoints for the MHI-5 and MCS using the GHQ-12: a
comparison of five different methods
Mark J Kelly*1, Frank D Dunstan1, Keith Lloyd2 and David L Fone1
Address: 1Dept. of Primary Care and Public Health, Centre for Health Sciences Research, School of Medicine, Cardiff University, Heath Park,
Cardiff, CF14 4YS, UK and 2Centre for Health Information, Research and Evaluation, School of Medicine, Swansea University, UK
Email: Mark J Kelly* - kellymj1@cf.ac.uk; Frank D Dunstan - dunstanfd@cf.ac.uk; Keith Lloyd - k.r.lloyd@swansea.ac.uk;
David L Fone - foned@cf.ac.uk
* Corresponding author
Published: 19 February 2008
Received: 31 May 2007
Accepted: 19 February 2008
BMC Psychiatry 2008, 8:10
doi:10.1186/1471-244X-8-10
This article is available from: /1471-244X/8/10
? 2008 Kelly et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0),
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: The Mental Health Inventory (MHI-5) and the Mental Health Component Summary
score (MCS) derived from the Short Form 36 (SF-36) instrument are well validated and reliable
scales. A drawback of their construction is that neither has a clinically validated cutpoint to define
a case of common mental disorder (CMD). This paper aims to produce cutpoints for the MHI-5
and MCS by comparison with the General Health Questionnaire (GHQ-12).
Methods: Data were analysed from wave 9 of the British Household Panel Survey (2000),
providing a sample size of 14,669 individuals. Receiver Operating Characteristic (ROC) curves
were used to compare the scales and define cutpoints for the MHI-5 and MCS, using the following
optimisation criteria: the Youden Index, the point closest to (0,1) on the
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