ArticleGlobal mental health (Cambridge, England)2026
Revisiting the factor structure of the EURO-D, a depressive symptomatology scale: An exploratory graph analysis in 26 European countries.
Article in Global mental health (Cambridge, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Despite the widely use and multiple validations of the EURO-D scale, its factor structure is still under debate. Exploratory Graph Analysis (EGA), a novel network psychometric method, offers a promising approach to examining dimensionality. METHODOLOGY: 45,390 participants (mean age = 71.27, 57.4% women) from 26 European countries. The sample was randomly split into a derivation sample (
resultsEGA consistently revealed a two-factor structure with minor differences in the placement of suicidality and fatigue items across estimation methods. CFA results confirmed an adequate model fit for both solutions.
conclusionThis study combines exploratory (EGA) and confirmatory (CFA) approaches, supporting a two-factor structure for the EU-RO-D scale with alternative placements for fatigue and suicidality items. Results are discussed in contrast to previous studies reporting two and three-factor solutions with different assignments of these items.
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