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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. 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. Factor structure was consistent across age and sex. The P-score is a valid measure of multidimensional mental health. COVID has infected over million people and caused almost 6. Mental health surveys published in the early stage of the pandemic recruited on average respondents and a maximum of 56, respondents Lin et al.

In children and adolescents Theberath et al. Most surveys focused on a few outcomes. Importantly, externalizing behavior is difficult to capture and measure with online surveys, while valid self-report questionnaires exist for internalizing and psychotic symptoms. P is classically conceived as a latent variable, putatively associated with an increased risk of developing mental disorders Caspi et al.