Evaluation of the psychometric properties of the Self-Reporting Questionnaire (SRQ-20) in a sample of Vietnamese adults

Kelcey J. Stratton, Steven H. Aggen, Lisa K. Richardson, Ron Acierno, Dean G. Kilpatrick, Mario T. Gaboury, Trinh Luong Tran, Lam Tu Trung, Nguyen Thanh Tam, Tran Tuan, La Thi Buoi, Tran Thu Ha, Tran Duc Thach, Ananda B. Amstadter

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)


Purpose: There are significant gaps in the literature on the prevalence of mental health problems and associated needs in Vietnam. A thorough understanding of culture-specific expressions of psychiatric distress is vital for the identification of the mental health needs of a community, and more research on the development and evaluation of culturally-sensitive mental health assessments is warranted. This study aims to evaluate the psychometric properties of the World Health Organization 20-item Self-Reporting Questionnaire (SRQ-20) in an epidemiologic study of Vietnamese adults. Methods: A latent variable modeling approach investigated the underlying factor structure of the SRQ-20 items. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted on SRQ-20 item-level data gathered from 4980 participants. Results: Based on scree plots and EFA results, two latent structures were deemed plausible and were subsequently subjected to further modeling. A bi-factor model (BFM) and a correlated three-factor model solution (Negative Affect, Somatic Complaints, and Hopelessness) provided reasonable fits. The BFM specifies a single dominant General Distress factor (all SRQ-20 items) with orthogonal group factors for the subsets of items: Negative Affect (9 items), Somatic Complaints (8 items), and Hopelessness (3 items). This model fit the data as well or better than the three-factor model. Results also showed differences in endorsement rates of SRQ-20 items among males and females. Conclusions: Study results provide an evaluation of the psychometric properties of a commonly used screening tool and offer insight into the presentation of mental distress in a representative sample of Vietnamese adults.

Original languageEnglish
Pages (from-to)398-405
Number of pages8
JournalComprehensive Psychiatry
Issue number4
Publication statusPublished - May 2013
Externally publishedYes

Cite this