| Literature DB >> 29720953 |
Mingshu Li1,2, Meng-Cheng Wang1,2,3, Yiyun Shou4, Chuxian Zhong1,2, Fen Ren5, Xintong Zhang1,2, Wendeng Yang1,3.
Abstract
This study aimed to examine the psychometric properties and factorial invariance of the Brief Symptom Inventory-18 (BSI-18). Confirmatory factor analyses (CFAs) were performed to verify the BSI-18's factor structure in a large sample of Chinese insurance professionals (N = 2363, 62.7% women; age range = 19-70). Multigroup CFA were performed to test the measurement invariance of the model with the best fit across genders. In addition, structural equation modeling was conducted to test the correlations between the BSI-18 and two covariates - social support perception and grit trait. Results indicated that the bi-factor model best fit the data and was also equivalent across genders. The BSI-18's general factor, and somatization and depression dimensions were significantly related to social support perception and grit trait, whereas the anxiety dimension was not. Overall, our findings suggested that the BSI-18's can be a promising tool in assessing general psychological distress in Chinese employees.Entities:
Keywords: Brief Symptom Inventory-18; Chinese insurance professionals; bi-factor model; measurement invariance; psychometric properties
Year: 2018 PMID: 29720953 PMCID: PMC5915545 DOI: 10.3389/fpsyg.2018.00519
Source DB: PubMed Journal: Front Psychol ISSN: 1664-1078
Sample demographic statistics.
| Category | Frequency | Percentage | |
|---|---|---|---|
| Gender | Male | 865 | 36.6 |
| Female | 1481 | 62.7 | |
| Unreported | 17 | 0.7 | |
| Nation | Han nationality | 2275 | 96.3 |
| Other | 62 | 2.6 | |
| Unreported | 26 | 1.1 | |
| Age | 19–30 | 820 | 34.7 |
| 31–40 | 836 | 35.4 | |
| 41–60 | 624 | 26.4 | |
| >60 | 5 | 0.2 | |
| Unreported | 78 | 3.3 | |
| Education background | ≤High school | 800 | 33.9 |
| Junior college | 962 | 40.7 | |
| Master degree and above | 583 | 24.7 | |
| Unreported | 18 | 0.8 | |
| Marital status | Unmarried | 760 | 32.2 |
| Married | 1425 | 60.3 | |
| Other | 140 | 5.9 | |
| Unreported | 38 | 1.6 | |
| Total | 2363 | 100 | |
Descriptive statistics and skewness and kurtosis for all scales included.
| M( | Skewness | Kurtosis | |
|---|---|---|---|
| BSI1 | 1.44 (0.745) | 2.084 | 5.109 |
| BSI2 | 1.65 (0.912) | 1.477 | 1.875 |
| BSI3 | 1.72 (0.986) | 1.407 | 1.429 |
| BSI4 | 1.27 (0.684) | 3.064 | 10.042 |
| BSI5 | 1.68 (1.038) | 1.683 | 2.217 |
| BSI6 | 1.88 (1.045) | 1.261 | 1.087 |
| BSI7 | 1.41 (0.816) | 2.322 | 5.443 |
| BSI8 | 1.62 (0.981) | 1.789 | 2.745 |
| BSI9 | 1.49 (0.924) | 2.127 | 4.142 |
| BSI10 | 1.23 (0.661) | 3.487 | 13.252 |
| BSI11 | 1.52 (0.914) | 2.012 | 3.806 |
| BSI12 | 1.37 (0.817) | 2.655 | 7.149 |
| BSI13 | 1.26 (0.679) | 3.219 | 11.338 |
| BSI14 | 1.54 (0.943) | 1.989 | 3.610 |
| BSI15 | 1.47 (0.862) | 2.209 | 4.941 |
| BSI16 | 1.51 (0.892) | 2.041 | 4.033 |
| BSI17 | 1.13 (0.575) | 5.096 | 27.325 |
| BSI18 | 1.34 (0.787) | 2.824 | 8.332 |
| BSI-18 total | 26.15 (10.903) | 2.290 | 6.307 |
| GRIT total | 29.88 (5.222) | -0.122 | -0.280 |
| PSSS total | 39.78 (8.629) | -0.443 | 0.502 |
Goodness-of-fit indices for the five tested models of the BSI-18.
| Model | WLSMVχ2 | Δχ2 | Δ | TLI | CFI | RMSEA (90% CI) | AIC | BIC | ΔBIC | |
|---|---|---|---|---|---|---|---|---|---|---|
| Single-factor | 2678.274∗ | 135 | – | – | 0.949 | 0.955 | 0.089 (0.086, 0.092) | 56378.054 | 56896.955 | – |
| Three-factor | 1631.443∗ | 132 | 1046.831 | 3 | 0.969 | 0.973 | 0.069 (0.066, 0.072) | 55674.591 | 56210.789 | 686.166 |
| Four-factor | 1538.652∗ | 129 | 92.791 | 3 | 0.970 | 0.975 | 0.068 (0.065, 0.071) | 55559.49 | 56112.984 | 97.805 |
| Three-factor bi-factor | ||||||||||
| Four factor bi-factor | 968.816∗ | 117 | 10.882 | 0 | 0.980 | 0.985 | 0.056 (0.052, 0.059) | 55195.282 | 55967.684 | 44.433 |
The standardized factor loadings for the BSI-18 bi-factor model.
| 18 items | |||||
|---|---|---|---|---|---|
| Somatization | Depression | Anxiety | General | ||
| Item 1 | Faintness | 0.390*** | 0.633*** | ||
| Item 4 | Pains in chest | 0.537*** | 0.701*** | ||
| Item 7 | Nausea | 0.449*** | 0.672*** | ||
| Item 10 | Trouble getting breath | 0.499*** | 0.767*** | ||
| Item 13 | Numbness | 0.427*** | 0.743*** | ||
| Item 16 | Feeling weak | 0.193*** | 0.797*** | ||
| Item 2 | Feeling no interest in things | 0.056* | 0.729*** | ||
| Item 5 | Feeling lonely | 0.077** | 0.801*** | ||
| Item 8 | Feeling blue | 0.048* | 0.875*** | ||
| Item 11 | Feeling of worthlessness | 0.473*** | 0.751*** | ||
| Item 14 | Feeling hopeless about future | 0.468*** | 0.763*** | ||
| Item 17 | Suicidal thoughts | 0.161*** | 0.812*** | ||
| Item 3 | Nervousness | -0.251*** | 0.853*** | ||
| Item 6 | Feeling tense | -0.064* | 0.825*** | ||
| Item 15 | Feeling restless | 0.056** | 0.883*** | ||
| Item 9 | Suddenly scared | 0.202*** | 0.888*** | ||
| Item 12 | Spells of panic | 0.311*** | 0.895*** | ||
| Item 18 | Feeling fearful | 0.210*** | 0.872*** | ||
Fit indices for measurement invariance.
| Model | WLSMVχ2 | Δχ2 | Δ | TLI | CFI | ΔTLI | ΔCFI | RMSEA (90% CI) | |
|---|---|---|---|---|---|---|---|---|---|
| Bi-factor boys | 447.379∗ | 117 | – | – | 0.982 | 0.986 | – | – | 0.057 (0.052, 0.063) |
| Bi-factor girls | 573.146∗ | 117 | – | – | 0.982 | 0.986 | – | – | 0.051 (0.047, 0.056) |
| A-Metric invariance | 956.841∗ | 266 | – | – | 0.986 | 0.988 | – | – | 0.047 (0.044, 0.050) |
| B-Scalar invariance | 846.772∗ | 320 | 108.271 | +54 | 0.991 | 0.991 | +0.005 | +.003 | 0.038 (0.034, 0.041) |
Correlations between Grit, PSSS, and the BSI-18 general and dimension factors.
| GRIT | PSSS | |||||
|---|---|---|---|---|---|---|
| Factor | GRIT total | Effort | Interest | PSSST | Family | Friend |
| General BSI | -0.374*** | -0.239*** | -0.356*** | -0.331*** | -0.293*** | -0.298*** |
| Somatization | 0.082*** | 0.068** | 0.057** | 0.096*** | 0.075** | 0.089*** |
| Depression | -0.039* | -0.020 | -0.044** | -0.031 | -0.024 | -0.037* |
| Anxiety | 0.011 | 0.006 | 0.011 | 0.003 | 0.004 | 0.004 |