{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:50:26Z","timestamp":1792601426396,"version":"4.5.0"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"unspecified","delay-in-days":158,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526102752_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) in Mexican cancer patients, and to evaluate their utility as brief screening measures for depressive and anxiety symptoms in oncology care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102752_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study, 357 adult patients receiving oncological treatment at a cancer hospital in Mexico completed the culturally adapted Spanish versions of the PHQ-9 and GAD-7. Exploratory and confirmatory factor analyses were conducted to assess the factorial structure of both instruments, and internal consistency was evaluated using Cronbach\u2019s alpha. Concurrent validity was examined through correlations with related measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102752_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The PHQ-9 yielded a 2-factor structure with acceptable\u00a0internal consistency (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.837), while the GAD-7 showed a 1-factor structure with good internal consistency (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.881). The PHQ-9 explained 55.3% of the variance and the GAD-7 explained 58.5%. Confirmatory factor analyses indicated adequate model fit for both instruments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102752_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Findings suggest that the PHQ-9 and GAD-7 are brief, valid, and reliable tools for detecting depressive and anxiety symptoms in Mexican cancer patients. Their use may facilitate the early identification of symptoms of anxiety and depression in oncology settings and support both clinical care and psycho-oncology research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102752","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T10:00:47Z","timestamp":1780912847000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Psychometric properties of the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7 in Mexican cancer patients"],"prefix":"10.1017","volume":"24","author":[{"given":"Oscar","family":"Galindo-V\u00e1zquez","sequence":"first","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Ru\u00edz-Garc\u00eda","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Mar\u00eda","family":"\u00c1lvarez-G\u00f3mez","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"Lerma Talamantes","sequence":"additional","affiliation":[{"name":"Autonomous University of the State of Hidalgo (UAEH)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Marcela","family":"Gonz\u00e1lez Ling","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00f3nica","family":"Ram\u00edrez Orozco","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramiro","family":"Espinoza Zamora","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra Berenice","family":"Uriostegui Gardu\u00f1o","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier Eliud","family":"N\u00fa\u00f1ez-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3090-8098","authenticated-orcid":false,"given":"Marcos","family":"Espinoza Bello","sequence":"additional","affiliation":[{"name":"National Cancer Institute (INCan)"},{"name":"National Autonomous University of Mexico (UNAM)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0942-5657","authenticated-orcid":false,"given":"Rosario","family":"Costas-Mu\u00f1iz","sequence":"additional","affiliation":[{"name":"Immigrant Health & Cancer Disparities Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"S1478951526102752_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000618"},{"key":"S1478951526102752_ref15","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0728-6"},{"key":"S1478951526102752_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-025-06599-5"},{"key":"S1478951526102752_ref18","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.4.373"},{"key":"S1478951526102752_ref19","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1503\/cmaj.130403","article-title":"Recommendations on screening for depression in adults","volume":"185","author":"Joffres","year":"2013","journal-title":"CMAJ : Canadian Medical Association Journal"},{"key":"S1478951526102752_ref17","volume-title":"Evaluaci\u00f3n y Abordaje Psicol\u00f3gico en Personas Adultas Con C\u00e1ncer en Tercer Nivell","year":"2017"},{"key":"S1478951526102752_ref33","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.39.5632"},{"key":"S1478951526102752_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-021-01324-1"},{"key":"S1478951526102752_ref16","doi-asserted-by":"publisher","DOI":"10.5093\/clysa2020a11"},{"key":"S1478951526102752_ref21","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S1478951526102752_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2018.06.005"},{"key":"S1478951526102752_ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-023-07675-w"},{"key":"S1478951526102752_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s12094-019-02123-w"},{"key":"S1478951526102752_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijchp.2022.100350"},{"key":"S1478951526102752_ref34","doi-asserted-by":"publisher","DOI":"10.1007\/s11357-025-01676-9"},{"key":"S1478951526102752_ref6","unstructured":"British Coulumbia (2013) Major Depressive Disorder in Adults: Diagnosis & Management. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e162"}}