Validation of the Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) questionnaire for adults

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Marco Solmi - , University of Ottawa, King's College London (KCL), University of Southampton, Charité – Universitätsmedizin Berlin (Author)
  • Trevor Thompson - , University of Greenwich (Author)
  • Andrés Estradé - , King's College London (KCL), Universidad Católica del Uruguay (Author)
  • Agorastos Agorastos - , Aristotle University of Thessaloniki (Author)
  • Joaquim Radua - , King's College London (KCL), University of Barcelona, Karolinska Institutet (Author)
  • Samuele Cortese - , University of Southampton (Author)
  • Elena Dragioti - , University of Ottawa, University of Ioannina (Author)
  • Friedrich Leisch - , University of Natural Resources and Life Sciences, Vienna (Author)
  • Davy Vancampfort - , KU Leuven (Author)
  • Lau Caspar Thygesen - , University of Southern Denmark (Author)
  • Harald Aschauer - , Austrian Science Fund (FWF) (Author)
  • Monika Schlögelhofer - , Austrian Science Fund (FWF) (Author)
  • Elena Aschauer - , Austrian Science Fund (FWF) (Author)
  • Andres Schneeberger - , University of California at San Diego (Author)
  • Christian G. Huber - , University of Basel (Author)
  • Gregor Hasler - , University of Fribourg (Author)
  • Philippe Conus - , University of Lausanne (Author)
  • Kim Q. Do Cuénod - , University of Lausanne (Author)
  • Roland von Känel - , University of Zurich (Author)
  • Gonzalo Arrondo - , University of Southampton, University of Navarra (Author)
  • Paolo Fusar-Poli - , King's College London (KCL), South London and Maudsley NHS Foundation Trust, University of Pavia (Author)
  • Philip Gorwood - , Université Paris Cité, GHU Paris Psychiatrie & Neuro sciences (Author)
  • Pierre Michel Llorca - , Université Clermont Auvergne (Author)
  • Marie Odile Krebs - , GHU Paris Psychiatrie & Neuro sciences, Université Paris Cité (Author)
  • Elisabetta Scanferla - , Université Paris Cité (Author)
  • Taishiro Kishimoto - , Keio University (Author)
  • Golam Rabbani - , The National Foundation of Mental Health of Bangladesh (Author)
  • Karolina Skonieczna-Żydecka - , Pomeranian Medical University in Szczecin (Author)
  • Paolo Brambilla - , University of Milan, IRCCS Fondazione Ca'Granda – Ospedale Maggiore Policlinico - Milano (Author)
  • Angela Favaro - , University of Padua (Author)
  • Akihiro Takamiya - , Keio University (Author)
  • Leonardo Zoccante - , Ospedale Policlinico (Author)
  • Marco Colizzi - , University of Udine (Author)
  • Julie Bourgin - , GHNE (Author)
  • Karol Kamiński - , Medical University of Białystok (Author)
  • Maryam Moghadasin - , Kharazmi University (Author)
  • Soraya Seedat - , University of Stellenbosch (Author)
  • Evan Matthews - , South East Technological University (Author)
  • John Wells - , South East Technological University (Author)
  • Emilia Vassilopoulou - , University of Nicosia (Author)
  • Ary Gadelha - , Federal University of São Paulo (Author)
  • Kuan Pin Su - , China Medical University Taichung (Author)
  • Jun Soo Kwon - , Seoul National University (Author)
  • Minah Kim - , Seoul National University (Author)
  • Tae Young Lee - , Pusan National University (Author)
  • Oleg Papsuev - , Moscow Research Institute of Psychiatry (Author)
  • Denisa Manková - , National Institute of Mental Health (Author)
  • Andrea Boscutti - , University of Milan (Author)
  • Cristiano Gerunda - , University of Padua (Author)
  • Diego Saccon - , AULSS4 Veneto Orientale (Author)
  • Elena Righi - , University of Modena and Reggio Emilia (Author)
  • Francesco Monaco - , ASL Salerno (Author)
  • Giovanni Croatto - , University of Padua (Author)
  • Guido Cereda - , University of Milan (Author)
  • Jacopo Demurtas - , University of Modena and Reggio Emilia (Author)
  • Natascia Brondino - , University of Pavia (Author)
  • Nicola Veronese - , University of Palermo (Author)
  • Paolo Enrico - , University of Milan (Author)
  • Pierluigi Politi - , University of Pavia (Author)
  • Valentina Ciappolino - , IRCCS Fondazione Ca'Granda – Ospedale Maggiore Policlinico - Milano (Author)
  • Andrea Pfennig - , Department of Psychiatry and Psychotherapy (Author)
  • Andreas Bechdolf - , Charité – Universitätsmedizin Berlin (Author)
  • Andreas Meyer-Lindenberg - , Heidelberg University  (Author)
  • Kai G. Kahl - , Hannover Medical School (MHH) (Author)
  • Katharina Domschke - , University of Freiburg (Author)
  • Michael Bauer - , Department of Psychiatry and Psychotherapy (Author)
  • Nikolaos Koutsouleris - , Ludwig Maximilian University of Munich (Author)
  • Sibylle Winter - , Charité – Universitätsmedizin Berlin (Author)
  • Stefan Borgwardt - , University of Lübeck (Author)
  • Istvan Bitter - , Semmelweis University (Author)
  • Judit Balazs - , Eotvos Lorand University, Bjørknes University College (Author)
  • Pál Czobor - , Semmelweis University (Author)
  • Zsolt Unoka - , Semmelweis University (Author)
  • Dimitris Mavridis - , University of Ioannina (Author)
  • Konstantinos Tsamakis - , King's College London (KCL) (Author)
  • Vasilios P. Bozikas - , Aristotle University of Thessaloniki (Author)
  • Chavit Tunvirachaisakul - , Chulalongkorn University (Author)
  • Michael Maes - , Chulalongkorn University (Author)
  • Teerayuth Rungnirundorn - , Chulalongkorn University (Author)
  • Thitiporn Supasitthumrong - , Chulalongkorn University (Author)
  • Ariful Haque - , The National Foundation of Mental Health of Bangladesh (Author)
  • Andre R. Brunoni - , Universidade de São Paulo (Author)
  • Carlos Gustavo Costardi - , Federal University of São Paulo (Author)
  • Felipe Barreto Schuch - , Universidade Federal de Santa Maria, Universidad Autónoma de Chile, Universidade Federal do Rio de Janeiro (Author)
  • Guilherme Polanczyk - , Universidade de São Paulo (Author)
  • Jhoanne Merlyn Luiz - , Universidade do Extremo Sul Catarinense (Author)
  • Lais Fonseca - , Federal University of São Paulo (Author)
  • Luana V. Aparicio - , Universidade de São Paulo (Author)
  • Samira S. Valvassori - , Universidade do Extremo Sul Catarinense (Author)
  • Merete Nordentoft - , University of Copenhagen (Author)
  • Per Vendsborg - , Psykiatrifonden (Author)
  • Sofie Have Hoffmann - , University of Southern Denmark (Author)
  • Jihed Sehli - , University of Fribourg (Author)
  • Norman Sartorius - , Association for the Improvement of Mental Health Programmes (AMH) (Author)
  • Sabina Heuss - , University of Applied Sciences and Arts Northwestern Switzerland (Author)
  • Daniel Guinart - , Zucker Hillside Hospital, Hofstra University, Autonomous University of Barcelona (Author)
  • Jane Hamilton - , University of Texas Health Science Center at Houston (Author)
  • John Kane - , Zucker Hillside Hospital, Feinstein Institutes for Medical Research (Author)
  • Jose Rubio - , Zucker Hillside Hospital, Feinstein Institutes for Medical Research (Author)
  • Michael Sand - (Author)
  • Ai Koyanagi - , ICREA (Author)
  • Aleix Solanes - , University of Barcelona (Author)
  • Alvaro Andreu-Bernabeu - , Complutense University (Author)
  • Antonia San José Cáceres - , Complutense University (Author)
  • Celso Arango - , Complutense University (Author)
  • Covadonga M. Díaz-Caneja - , Complutense University (Author)
  • Diego Hidalgo-Mazzei - , University of Barcelona (Author)
  • Eduard Vieta - , University of Barcelona (Author)
  • Javier Gonzalez-Peñas - , Complutense University (Author)
  • Lydia Fortea - , University of Barcelona (Author)
  • Mara Parellada - , Complutense University (Author)
  • Miquel A. Fullana - , University of Barcelona (Author)
  • Norma Verdolini - , Mental Health Center of Perugia (Author)
  • Eva Andrlíková - , National Institute of Mental Health (Author)
  • Karolina Janků - , National Institute of Mental Health (Author)
  • Mark John Millan - , University of Glasgow (Author)
  • Mihaela Honciuc - , Université Clermont Auvergne (Author)
  • Anna Moniuszko-Malinowska - , Medical University of Białystok (Author)
  • Igor Łoniewski - , Pomeranian Medical University in Szczecin, Sanprobi Sp. z o. o. Sp. k. (Author)
  • Jerzy Samochowiec - , Pomeranian Medical University in Szczecin (Author)
  • Łukasz Kiszkiel - , University of Białystok (Author)
  • Maria Marlicz - , Pomeranian Medical University in Szczecin (Author)
  • Paweł Sowa - , Medical University of Białystok (Author)
  • Wojciech Marlicz - , Pomeranian Medical University in Szczecin, The Centre for Digestive Diseases Endoklinika (Author)
  • Georgina Spies - , University of Stellenbosch (Author)
  • Brendon Stubbs - , King's College London (KCL) (Author)
  • Joseph Firth - , University of Manchester (Author)
  • Sarah Sullivan - , University of Bristol (Author)
  • Asli Enez Darcin - , Istanbul Topkapi University (Author)
  • Hatice Aksu - , Adnan Menderes University (Author)
  • Nesrin Dilbaz - , Uskudar University (Author)
  • Onur Noyan - , Uskudar University (Author)
  • Momoko Kitazawa - , Keio University (Author)
  • Shunya Kurokawa - , Keio University (Author)
  • Yuki Tazawa - , Keio University (Author)
  • Alejandro Anselmi - , Universidad Católica del Uruguay (Author)
  • Cecilia Cracco - , Universidad Católica del Uruguay (Author)
  • Ana Inés Machado - , Universidad Católica del Uruguay (Author)
  • Natalia Estrade - , Universidad Católica del Uruguay (Author)
  • Diego De Leo - , Griffith University Queensland (Author)
  • Jackie Curtis - , Mindgardens Neuroscience Network (Author)
  • Michael Berk - , Deakin University (Author)
  • Philip Ward - , University of New South Wales (Author)
  • Scott Teasdale - , Deakin University (Author)
  • Simon Rosenbaum - , University of New South Wales (Author)
  • Wolfgang Marx - , Deakin University (Author)
  • Adrian Vasile Horodnic - , Grigore T. Popa University of Medicine and Pharmacy (Author)
  • Liviu Oprea - , Grigore T. Popa University of Medicine and Pharmacy (Author)
  • Ovidiu Alexinschi - , Institute of Psychiatry “Socola” (Author)
  • Petru Ifteni - , Transilvania University of Brasov (Author)
  • Serban Turliuc - , Grigore T. Popa University of Medicine and Pharmacy (Author)
  • Tudor Ciuhodaru - , Emergency Hospital “Nicolae Oblu” (Author)
  • Alexandra Bolos - , Grigore T. Popa University of Medicine and Pharmacy (Author)
  • Valentin Matei - , Carol Davila University of Medicine and Pharmacy (Author)
  • Dorien H. Nieman - , University of Amsterdam (Author)
  • Iris Sommer - , University of Groningen (Author)
  • Jim van Os - , Utrecht University (Author)
  • Therese van Amelsvoort - , Maastricht University (Author)
  • Ching Fang Sun - , China Medical University Taichung, Virginia Polytechnic Institute and State University (Author)
  • Ta wei Guu - , China Medical University Taichung (Author)
  • Can Jiao - , Shenzhen University (Author)
  • Jieting Zhang - , Shenzhen University (Author)
  • Jialin Fan - , Shenzhen University (Author)
  • Liye Zou - , Shenzhen University (Author)
  • Xin Yu - , Peking University (Author)
  • Xinli Chi - , Shenzhen University (Author)
  • Philippe de Timary - , Université catholique de Louvain (Author)
  • Ruud van Winkel - , KU Leuven (Author)
  • Bernardo Ng - , Asociación Psiquiátrica Mexicana (Author)
  • Edilberto Pena - , Asociación Psiquiátrica Mexicana (Author)
  • Ramon Arellano - , Asociación Psiquiátrica Mexicana (Author)
  • Raquel Roman - , Asociación Psiquiátrica Mexicana (Author)
  • Thelma Sanchez - , Asociación Psiquiátrica Mexicana (Author)
  • Larisa Movina - , Moscow Research Institute of Psychiatry (Author)
  • Pedro Morgado - , University of Minho (Author)
  • Sofia Brissos - , Lisbon's Psychiatric Hospital Centre (Author)
  • Oleg Aizberg - , Belarusian Medical Academy of Postgraduate Education (Author)
  • Anna Mosina - , Clienia AG (Author)
  • Damir Krinitski - , Integrated Psychiatry Winterthur (IPW) (Author)
  • James Mugisha - , Kyambogo University (Author)
  • Dena Sadeghi-Bahmani - , Stanford University, University of Basel (Author)
  • Farshad Sheybani - , Mashhad University of Medical Sciences (Author)
  • Masoud Sadeghi - , Kermanshah University of Medical Sciences (Author)
  • Samira Hadi - , Kharazmi University (Author)
  • Serge Brand - , University of Basel, Kermanshah University of Medical Sciences, Tehran University of Medical Sciences (Author)
  • Antonia Errazuriz - , Pontificia Universidad Católica de Chile (Author)
  • Nicolas Crossley - , Pontificia Universidad Católica de Chile (Author)
  • Dragana Ignjatovic Ristic - , University of Kragujevac (Author)
  • Carlos López-Jaramillo - , Universidad de Antioquia (Author)
  • Dimitris Efthymiou - , University of Nicosia (Author)
  • Praveenlal Kuttichira - , Jubilee Mission Medical College & Research Institute (JMMCRI) (Author)
  • Roy Abraham Kallivayalil - , Pushpagiri Institute of Medical Sciences and Research Centre (Author)
  • Afzal Javed - , Pakistan Psychiatric Research Centre (Author)
  • Muhammad Iqbal Afridi - , College of Physicians and Surgeons, Jinnah Post Graduate Medical Center, Jinnah Sindh Medical University (Author)
  • Bawo James - , Federal Neuropsychiatric Hospital (Author)
  • Omonefe Joy Seb-Akahomen - , Irrua Specialist Teaching Hospital (Author)
  • Jess Fiedorowicz - , University of Ottawa (Author)
  • Andre F. Carvalho - , Deakin University (Author)
  • Jeff Daskalakis - , University of California at San Diego (Author)
  • Lakshmi N. Yatham - , University of British Columbia (Author)
  • Lin Yang - , University of Calgary , Alberta Health Services (Author)
  • Tarek Okasha - , Ain Shams University (Author)
  • Aïcha Dahdouh - , University of Oran 1 Ahmed Ben Bella (Author)
  • Björn Gerdle - , Linköping University (Author)
  • Jari Tiihonen - , Karolinska Institutet, University of Eastern Finland (Author)
  • Jae Il Shin - , Yonsei University (Author)
  • Jinhee Lee - , Yonsei University Mirae Campus (Author)
  • Ahmed Mhalla - , University of Monastir (Author)
  • Lotfi Gaha - , University of Monastir (Author)
  • Takoua Brahim - , University of Monastir (Author)
  • Kuanysh Altynbekov - , Republican Scientific and Practical Center of Mental Health (Author)
  • Nikolay Negay - , Republican Scientific and Practical Center of Mental Health (Author)
  • Saltanat Nurmagambetova - , Republican Scientific and Practical Center of Mental Health (Author)
  • Yasser Abu Jamei - , Gaza Community Mental Health Programme (Author)
  • Mark Weiser - , Sheba Medical Center at Tel Hashomer (Author)
  • Christoph U. Correll - , Charité – Universitätsmedizin Berlin, Zucker Hillside Hospital, Hofstra University, Northwell Health System (Author)

Abstract

Background: The Collaborative Outcome study on Health and Functioning during Infection Times (COH-FIT; www.coh-fit.com) is an anonymous and global online survey measuring health and functioning during the COVID-19 pandemic. The aim of this study was to test concurrently the validity of COH-FIT items and the internal validity of the co-primary outcome, a composite psychopathology “P-score”. Methods: The COH-FIT survey has been translated into 30 languages (two blind forward-translations, consensus, one independent English back-translation, final harmonization). To measure mental health, 1–4 items (“COH-FIT items”) were extracted from validated questionnaires (e.g. Patient Health Questionnaire 9). COH-FIT items measured anxiety, depressive, post-traumatic, obsessive-compulsive, bipolar and psychotic symptoms, as well as stress, sleep and concentration. COH-FIT Items which correlated r ≥ 0.5 with validated companion questionnaires, were initially retained. A P-score factor structure was then identified from these items using exploratory factor analysis (EFA) and confirmatory factor analyses (CFA) on data split into training and validation sets. Consistency of results across languages, gender and age was assessed. Results: From >150,000 adult responses by May 6th, 2022, a subset of 22,456 completed both COH-FIT items and validated questionnaires. Concurrent validity was consistently demonstrated across different languages for COH-FIT items. CFA confirmed EFA results of five first-order factors (anxiety, depression, post-traumatic, psychotic, psychophysiologic symptoms) and revealed a single second-order factor P-score, with high internal reliability (ω = 0.95). Factor structure was consistent across age and sex. Conclusions: COH-FIT is a valid instrument to globally measure mental health during infection times. The P-score is a valid measure of multidimensional mental health.

Details

Original languageEnglish
Pages (from-to)249-261
Number of pages13
JournalJournal of Affective Disorders
Volume326
Publication statusPublished - 1 Apr 2023
Peer-reviewedYes

External IDs

PubMed 36586617
ORCID /0000-0002-2666-859X/work/147674255
ORCID /0000-0002-3415-5583/work/150329714

Keywords

Sustainable Development Goals

Keywords

  • COH-FIT, Covid-19, Pandemic, Survey: P-factor: well-being: mental health: psychiatry: psychometric, Reproducibility of Results, Pandemics, Humans, Psychometrics, Factor Analysis, Statistical, COVID-19, Adult, Surveys and Questionnaires, Outcome Assessment, Health Care