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Fig. 5 | BMC Psychology

Fig. 5

From: The GAD-7 and the PHQ-8 exhibit the same mathematical pattern of item responses in the general population: analysis of data from the National Health Interview Survey

Fig. 5

Mathematical model for the item responses for Generalized Anxiety Disorder-7. A The blue line illustrates the pattern of the model of the item responses for such scales. When the relative frequency of “several days,” the ratio of “more than half the days” to “several days,” and the ratio of “nearly every day” to “more than half the days” are presented as P1, r1, and r2, respectively, the relative frequencies of “not at all,” “several days,” “more than half the days,” and “nearly every day” are expressed as 1 − P1 × (1 + r1 + r1r2), P1, P1r1, and P1r1r2, respectively. B The relative frequencies of “not at all,” “several days,” “more than half the days,” and “nearly every day” for another item (the red line) are expressed as 1 – P2 × (1 + r1 + r1r2), P2, P2r1, and P2r1r2, respectively. According to the calculation, the intersection between “not at all” and “several days,” is expressed as follows: (x, y) = (\(\frac{\text{r}1\text{r}2 + \text{r}1 + 1}{\text{r}1\text{r}2 + \text{r}1 + 2}\), \(\frac{1}{\text{r}1\text{r}2 + \text{r}1 + 2}\)). C A line chart model of the item responses between “several days” and “nearly every day” on a logarithmic scale. On the logarithmic scale, the relative frequencies of “several days,” “more than half the days,” and “nearly every day” for the blue line are expressed as logP1, logP1 + logr1, and logP1 + logr1 + logr2, respectively. Consequently, the slopes from “several days” to “more than half the days,” and from “more than half the days” to “nearly every day” are expressed as logr1 and logr2, respectively

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