Psychometric properties of the Brief Symptom Inventory support the hypothesis of a general psychopathological factor

Trends Psychiatry Psychother. 2022 May 19:44:e20210207. doi: 10.47626/2237-6089-2021-0207.

Abstract

Introduction: The existence of a general factor related to psychiatric symptoms is supported by studies using a variety of methods in both clinical and non-clinical samples.

Objectives: This study aims to evaluate the replicability of the internal structure of the Brief Symptom Inventory in a large Brazilian sample.

Methods: Participants were 6,427 Brazilian subjects (81% female). Mean age was 42.1 years (standard deviation [SD] = 13.6, Min = 13, Max = 80). All participants completed the online version of the Brief Symptom Inventory. This scale presents a general score (GSI) and nine specific clusters of symptoms (depression, anxiety, phobic anxiety, interpersonal sensibility, psychoticism, paranoid ideation, obsessive-compulsive behavior, hostility, and somatization symptoms).

Results: Confirmatory factor analysis was performed to assess the factor structure of the BSI. The results showed that the best-fitting model was a bifactor solution and the general factor was the main dimension explaining most of the reliable variability in the data.

Conclusion: The findings suggest that the BSI's internal structure was replicated in a non-clinical sample and that the general factor is the most reliable score. However, it is necessary to better understand the meaning of the general factor scores in a non-clinical sample to increase interpretability of scores.

Keywords: Psychological factors; mental disorders; psychometrics; reproducibility of results.

MeSH terms

  • Adult
  • Anxiety Disorders / diagnosis
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Mental Disorders* / psychology
  • Psychometrics / methods
  • Surveys and Questionnaires