The General Health Questionnaire: A Brief History
The General Health Questionnaire: A Brief History
doi:10.1093/occmed/kql169
Examples of some of the items in use include ‘Have you Craig Jackson
found everything getting on top of you?’; ‘Have you been
getting scared or panicky for no good reason?’ and ‘Have
you been getting edgy and bad tempered?’. Each item is
accompanied by four possible responses, typically being References
‘not at all’, ‘no more than usual’, ‘rather more than usual’
and ‘much more than usual’, scoring from 0 to 3, respec- 1. Goldberg DP et al. Manual of the General Health Question-
tively. The total possible score on the GHQ 28 ranges naire. Windsor, England: NFER Publishing, 1978.
from 0 to 84 and allows for means and distributions to 2. Feyer AM, Herbison P, Williamson AM et al. The role of
be calculated, both for the global total, as well as for the physical and psychological factors in occupational low
four sub-scales. Using the alternative binary scoring back pain: a prospective cohort study. Occup Environ Med
2000;57:116–120.
method (with the two least symptomatic answers scoring
3. Jones M, Rona RJ, Hooper R, Wesseley S. The burden of
0 and the two most symptomatic answers scoring 1), the psychological symptoms in UK Armed Forces. Occup Med
28- and 30-item versions classify any score exceeding the (Lond) 2006;56:322–328.
threshold value of 4 as achieving ‘caseness’. Any score 4. Stansfeld SA, Fuhrer R, Shipley MJ, Marmot MG. Work
exceeding the threshold value of 4 is classed as achieving characteristics predict psychiatric disorder: prospective
‘psychiatric caseness’. The caseness threshold is 3 for the results from the Whitehall II Study. Occup Environ Med
12-item version. Psychiatric caseness is a probabilistic 1999;56:302–307.
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