Adjustment disorder as proposed for ICD-11: Dimensionality and symptom differentiation
Although Adjustment Disorder as a diagnostic category is widely used in clinical practice it is critically discussed that it has not been conceptualized as a category with unique symptoms. Hence, the conceptualization of Adjustment Disorder is subject to substantive change in ICD-11 including core symptoms and additional features in a uni-faceted concept. Adjustment Disorder was assessed with a self-rating instrument in a representative sample of the German general population (N=2512). Confirmatory factor analyses (CFA) were applied to test the dimensionality of symptoms according to the new diagnostic concept. Latent class analysis (LCA) was applied to test whether there are distinguishabl…
Cross-cultural measurement invariance of the General Health Questionnaire-12 in a German and a Colombian population sample
While the General Health Questionnaire, 12-item version (GHQ-12) has been widely used in cross-cultural comparisons, rigorous tests of the measurement equivalence of different language versions are still lacking. Thus, our study aims at investigating configural, metric and scalar invariance across the German and the Spanish version of the GHQ-12 in two population samples. The GHQ-12 was applied in two large-scale population-based samples in Germany (N = 1,977) and Colombia (N = 1,500). To investigate measurement equivalence, confirmatory factor analyses were conducted in both samples. In the German sample mean GHQ-12 total scores were higher than in the Colombian sample. A one-factor model …
Associations Between the Residential Environment and Physical Activity in German College Students and the Role of Self-Efficacy as a Mediator
Social-ecological models suggest that influences on physical activity should be examined on multiple levels, but most of the empirical studies in this area have investigated the different levels separately. To integrate the different levels, we examined self-efficacy with respect to physical exercise as a mediator of the relation between environmental characteristics and physical activity. In a cross-sectional German study, 1,292 college students completed a questionnaire that included measures of their perceived residential environment, self-efficacy, and physical activity. Structural equation modeling was used to assess direct and indirect effects on physical activity. The cycling and wa…