scholarly journals Factor Structure of the Mood and Anxiety Symptom Questionnaire does not Generalize to an Anxious/Depressed Sample

2006 ◽  
Vol 40 (11-12) ◽  
pp. 1016-1024 ◽  
Author(s):  
Mark J Boschen ◽  
Tian P.S. Oei
Keyword(s):  
Factor Structure ◽  
Anxiety Symptom ◽  
Clinical Sample ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Tripartite Model ◽  
Unit Of Analysis ◽  
Symptom Questionnaire ◽  
Confirmatory Factor ◽  
Anxiety Depression

Objective: The tripartite model of anxiety and depression has been proposed as a representation of the structure of anxiety and depression symptoms. The Mood and Anxiety Symptom Questionnaire (MASQ) has been put forwards as a valid measure of the tripartite model of anxiety and depression symptoms. This research set out to examine the factor structure of anxiety and depression symptoms in a clinical sample to assess the MASQ's validity for use in this population. Method: The present study uses confirmatory factor analytic methods to examine the psychometric properties of the MASQ in 470 outpatients with anxiety and mood disorder. Results: The results showed that none of the previously reported two-factor, three-factor or five-factor models adequately fit the data, irrespective of whether items or subscales were used as the unit of analysis. Conclusion: It was concluded that the factor structure of the MASQ in a mixed anxiety/ depression clinical sample does not support a structure consistent with the tripartite model. This suggests that researchers using the MASQ with anxious/depressed individuals should be mindful of the instrument's psychometric limitations.

The Spielberger trait anxiety inventory measures more than anxiety

2003 ◽  
Vol 18 (8) ◽  
pp. 394-400 ◽  
Author(s):  
Hervé Caci ◽  
Franck J. Baylé ◽  
Christelle Dossios ◽  
Philippe Robert ◽  
Patrice Boyer
Keyword(s):  
Trait Anxiety ◽  
Clinical Sample ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety And Depression ◽  
Scale Factors ◽  
Five Factors ◽  
Confirmatory Factor ◽  
Item Content ◽  
Anxiety Depression

AbstractObjectiveResearchers tried to explain the overlap between anxiety and depression by suggesting that some items of self-administered questionnaires were badly selected and that both constructs should rather be considered as multidimensional. Thus, we hypothesise that the Spielberger trait anxiety inventory (TAI) includes items related to depression.MethodA non-clinical sample of 193 subjects filled out the TAI and the Hospitalised Anxiety–Depression Scale. Factors were postulated on the basis of item content and submitted to confirmatory factor analysis (CFA).ResultsWe found five factors: a 10-item anxiety factor containing three factors, a four-item unsuccessfulness factor correlated with the HADS anhedonia factor, and a six-item happiness factor.ConclusionThe TAI scale encompasses measures of anxiety, depression and well-being. Consequently, the overlap with other measures of depression may result from item selection. This work awaits replication in independent normal and pathological samples.

On Clark-Watson's Tripartite Model of Anxiety and Depression

1997 ◽  
Vol 80 (1) ◽  
pp. 125-126 ◽  
Author(s):  
Alan Bedford
Keyword(s):  
Psychological Distress ◽  
Positive Affect ◽  
Factor Structure ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Tripartite Model ◽  
Somatic Anxiety ◽  
General Psychological Distress ◽  
Three Factor ◽  
High Positive Affect

Clark and Watson's tripartite model of anxiety and depression symptoms is reinterpreted using their data. It is suggested that a parsimonious view of the factor loadings is a three-factor structure of “general psychological distress,” “high positive affect,” and “somatic anxiety.”

scholarly journals Anxiety and Depression among Hypertensive Outpatients in Afghanistan: A Cross-Sectional Study in Andkhoy City

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Mohammad Shoaib Hamrah ◽  
Mohammad Hassan Hamrah ◽  
Hideki Ishii ◽  
Susumu Suzuki ◽  
Mohammad Hussain Hamrah ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Diseases ◽  
National Level ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Comorbid Anxiety ◽  
Anxiety Depression

There is a relationship between mental and physical health. Depression and anxiety are linked with the development of several chronic diseases. The purpose of the present study was to determine the prevalence and factors associated with anxiety and depression among adult hypertensive outpatients in Afghanistan. Methods. Two hundred thirty-four consecutive hypertensive patients from December 2015 to August 2016 were recruited to complete the Hospital Anxiety and Depression Scale (HADS) questionnaire, which has scores for classifying the participants having anxiety and depression symptoms. Results. Of the total 234 patients, 81 (34.6%) were males and 153 (65.4%) were females. The mean age was 54.6±12.7 for the hypertensive patients with anxiety and 63.8±15.0 for the hypertensive patients with depression while this figure was 49.5±10.2 for the adult participants in general population in Kabul city (Saeed, 2013). The prevalence of anxiety and depression (42.3% vs. 58.1%) among hypertensive persons is compared with the same mental disorders among Afghan refugees (39.3% vs. 22.1%) in Dalakee Refugee Camp (in Iran) (Hosseini Divkolaye and Burkle, 2017). Of the total participants, 99 had anxiety (42.3%), 136 had depression (58.1%), and 66 had (28.2%) comorbid anxiety-depression. Multivariate analysis was used. For anxiety age, female gender, smoking, diabetes mellitus, and 2 or more chronic diseases had a significant association. For depression, age and diabetes mellitus had a significant association, and for comorbid anxiety, depression, age, diabetes mellitus, and 2 or more chronic diseases had a significant association. Conclusion. This study shows that anxiety and depression are highly prevalent among hypertensive patients in an outpatient clinic in Afghanistan. There was an association between some sociodemographic and clinical characteristics and anxiety and depression. More studies are needed on a national level to inform the development of strategies for the prevention and control of psychological distress among patients with chronic diseases in Afghanistan.

Giving G a Meaning: An Application of the Bifactor-(S-1) Approach to Realize a More Symptom-Oriented Modeling of the Beck Depression Inventory–II

Assessment ◽  
2018 ◽  
Vol 27 (7) ◽  
pp. 1429-1447 ◽  
Author(s):  
Manuel Heinrich ◽  
Pavle Zagorscak ◽  
Michael Eid ◽  
Christine Knaevelsrud
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Beck Depression Inventory ◽  
Factor Structure ◽  
Clinical Sample ◽  
First Order ◽  
Confirmatory Factor ◽  
Bifactor Models ◽  
Current Article ◽  
Analysis Models

The Beck Depression Inventory–II is one of the most frequently used scales to assess depressive burden. Despite many psychometric evaluations, its factor structure is still a topic of debate. An increasing number of articles using fully symmetrical bifactor models have been published recently. However, they all produce anomalous results, which lead to psychometric and interpretational difficulties. To avoid anomalous results, the bifactor-(S-1) approach has recently been proposed as alternative for fitting bifactor structures. The current article compares the applicability of fully symmetrical bifactor models and symptom-oriented bifactor-(S-1) and first-order confirmatory factor analysis models in a large clinical sample ( N = 3,279) of adults. The results suggest that bifactor-(S-1) models are preferable when bifactor structures are of interest, since they reduce problematic results observed in fully symmetrical bifactor models and give the G factor an unambiguous meaning. Otherwise, symptom-oriented first-order confirmatory factor analysis models present a reasonable alternative.

scholarly journals Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Anne Vinggaard Christensen ◽  
Jane K. Dixon ◽  
Knud Juel ◽  
Ola Ekholm ◽  
Trine Bernholdt Rasmussen ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Divergent Validity ◽  
Hospital Anxiety ◽  
Item Functioning ◽  
Confirmatory Factor

Abstract Background Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease. Methods The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach’s alpha, and differential item functioning by gender was examined using ordinal logistic regression. Results A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach’s alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items. Conclusions The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research. Trial registration ClinicalTrials.gov: NCT01926145.

scholarly journals Confirmatory factor structure of anxiety and depression: evidence of item variance across childhood

2011 ◽  
Vol 20 (4) ◽  
pp. 194-202 ◽  
Author(s):  
Khrista R. Boylan ◽  
Jessie L. Miller ◽  
Tracy Vaillancourt ◽  
Peter Szatmari
Keyword(s):  
Factor Structure ◽  
Anxiety And Depression ◽  
Confirmatory Factor

scholarly journals Effectiveness and Safety of Xinkeshu Tablet (XKS) on Coronary Heart Disease Patients Combined with Anxiety and Depression Symptoms After Percutaneous Coronary Intervention: A Protocol for Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Mingtai Chen ◽  
Yingnan Chen ◽  
Ling Men ◽  
Xiaoling Zhong ◽  
Shudong Yang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Coronary Heart Disease ◽  
Percutaneous Coronary Intervention ◽  
Meta Analysis ◽  
Depression Scale ◽  
Coronary Intervention ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Percutaneous Coronary ◽  
Anxiety Depression

Abstract Backgroud: It’s known that coronary heart disease (CHD) patients after percutaneous coronary intervention (PCI) was significantly associated with anxiety and depression symptoms. Several studies have showed that Xinkeshu tablet (XKS), a kind of Chinese herbal medicine (CHM) , could effectively improve post-PCI postoperative mood disorders in CHD patients. However, the intensity of evidence has been poor, limiting the further clinical application of XKS to patients above. This systematic review and meta-analysis will assess studies of the effectiveness and safety of XKS in CHD patients with anxiety and depression symptoms after PCI. Methods: A systematic literature search for articles up to July 2020 will be performed in following electronic databases: PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Chinese Scientific Journals Database (VIP) Database, Chinese Biomedical Database (CBM), Chinese Biomedical Literature Service System (SinoMed) and Wanfang Database. Inclusion criteria are randomized controlled trials of XKS applied on patients with CHD and depression. The primary outcome measures will be CHD-related clinical evaluation (frequency of acute attack angina, severity of angina pectoris, electrocardiographic changes, amount of nitroglycerin) and the scores or reducing fractions of depressive and anxiety measuring scales (the Hospital Anxiety / Depression Scale or other widely used anxiety / depression scale). The safety outcome measures will be adverse events, liver and kidney function. RevMan 5.3 software will be used for data synthesis, sensitivity analysis, subgroup analysis and risk of bias assessment. A funnel plot will be developed to evaluate reporting bias. Stata 12.0 will be used for meta-regression and Egger tests. We will use the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to assess the quality of evidence. Discussion: This study will provide a high-quality synthesis of the effects and safety of XKS for CHD patients with anxiety and depression symptoms after PCI. Ethics and dissemination This systematic review does not require ethics approval and will be submitted to a peer-reviewed journal. Trial registration number PROSPERO CRD42019131346.

scholarly journals Assessment of self-efficacy for caregiving in oncology: Italian validation of the caregiver inventory (CGI-I)

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
S. Serpentini ◽  
B. Guandalini ◽  
G. Tosin ◽  
L. Ronconi ◽  
G. Cristaldi ◽  
...  
Keyword(s):  
Factor Structure ◽  
Self Efficacy ◽  
Medical Information ◽  
Short Form ◽  
Depression Scale ◽  
Care Recipient ◽  
Fit Indices ◽  
Confirmatory Factor ◽  
Need Support ◽  
Anxiety Depression

Abstract Background The Caregiver Inventory (CGI), a measure of self-efficacy for caregiving that takes into account aspects of caregiving that are neglected by current measures of caregiving, was translated into Italian and validated. Methods Ninety-one caregivers from a variety of locations in Italy completed the CGI-Italian (CGI-I) as well as the Hospital Anxiety and Depression Scale (HADS) and the Family Strain Questionnaire - Short Form (FSQ-SF). Results A confirmatory factor analysis based on the original CGI factor structure resulted in an adequate fit of the CGI-I using standard fit indices. Thus, the original factor structure was validated in the CGI-I: Managing Medical Information (α = 0.87), Caring for Care Recipient (α = 0.68), Caring for Oneself (α = 0.78), and Managing Difficult Interactions/Emotions (α = 0.55). The CGI-I total score was inversely related to anxiety (HADS, r = − 0.35, p = <.05), and depression (HADS, r = − 0.45, p = <.05). In addition, the CGI-I was inversely related to caregiver stress (FSQ-SF, r = − 0.39, p = <.05). Care of Oneself and Managing Difficult Interactions/Emotions emerged as the strongest and most robust negative relationships with anxiety, depression, and caregiver stress, which replicated, with similar constructs, findings from the original CGI. Conclusions The results of this study established the CGI-I as a reliable and valid measure of self-efficacy for caregiving. This study also confirms the importance of self-care and managing difficult communication in the process of successfully navigating the demands of caregiving and in constructing interventions for caregivers who need support.

scholarly journals Anxiety, depression and cardiac anxiety in patients with implantable cardioverter-defibrillator according to gender and age

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e61117
Author(s):  
Isabelle Brigliadori Ignácio ◽  
Paolla Algarte Fernandes ◽  
Suellen Rodrigues de Oliveira Maier ◽  
Carina Aparecida Marost Dessotte
Keyword(s):  
Implantable Cardioverter Defibrillator ◽  
Statistical Significance ◽  
University Hospital ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
Cardioverter Defibrillator ◽  
Cardiac Anxiety ◽  
Gender And Age ◽  
Anxiety Depression

Objective: to investigate the relationship between gender and age with symptoms of anxiety, depression and cardiac anxiety in patients with implantable cardioverter-defibrillator. Methods: cross-sectional study, with 76 patients with device attended in a university hospital. For data collection, a sociodemographic/clinical form and two validated scales were used in Brazil. In the analysis, the chi-square tests, exact Fischer and Mann-Whitney, with a significance level of 5% were adopted. Results: it was observed that the groups were homogeneous in terms of gender and age. Women presented higher medians in both anxiety and depression symptoms, with statistical significance. They also presented higher medians in symptoms of cardiac anxiety, but without statistical significance. Regarding age, no significant differences were found for the symptoms investigated. Conclusion: women presented more symptoms of anxiety and depression; however there was no relationship between the age of the patients and their symptoms.

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