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The factor structure, measurement invariance, and internal consistency of the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) was examined with a rural, predominately Hispanic sample ( N  = 711). Findings supported use of a one-factor model across gender, age groups, and Spanish-speaking groups. Counseling practice and research implications are discussed.

Evidence for Measurement Invariance and Psychometric Reliability for Scores on the PHQ-4 From a Rural and Predominately Hispanic Community