The Factor Structure and Factor Stability of the Hospital Anxiety and Depression Scale in Patients with Cancer

1991 ◽  
Vol 158 (2) ◽  
pp. 255-259 ◽  
Author(s):  
Stirling Moorey ◽  
Steven Greer ◽  
Maggie Watson ◽  
Christine Gorman ◽  
Linda Rowden ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Cancer Patients ◽  
Emotional Disturbance ◽  
Factor Structure ◽  
Depression Scale ◽  
Total Sample ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Patients With Cancer ◽  
Correlated Factors

An exploratory factor analysis of the HAD was carried out in 568 cancer patients. Two distinct, but correlated, factors emerged which corresponded to the questionnaire's anxiety and depression subscales. The factor structure proved stable when subsamples of the total sample were investigated. The internal consistency of the two subscales was also high. These results provide support for the use of the separate subscales of the HAD in studies of emotional disturbance in cancer patients.

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 Validity and reliability of Hospital Anxiety and Depression Scale in cancer patients in Peru

2021 ◽  
Author(s):  
Ana L Vilela-Estrada ◽  
Juan Ambrosio-Melgarejo ◽  
Loida Esenarro-Valencia ◽  
José C Sánchez-Ramírez ◽  
Fernando Lamas-Delgado ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Factor Structure ◽  
Depression Scale ◽  
Extensive Study ◽  
Public Institution ◽  
Anxiety And Depression ◽  
General Factor ◽  
Validity And Reliability ◽  
Hospital Anxiety ◽  
Specific Factors

Abstract The Hospital Anxiety and Depression Scale (HADS) despite being widely studied in various populations, there is still no consensus on its factor structure. Our study aims to evaluate the psychometric properties of HADS in people with cancer. It involved 467 patients-diagnosed with cancer, who could read and write and were treated in a public institution specialized in cancer. It was found that HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). HADS proves to be invariant according to sex and years of education. It is moderately related to Beck's anxiety and depression inventory. Also, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression. Its brevity, versatility, hospital-focused design, and extensive study make HADS a very important instrument in the detection of anxiety and depression in cancer patients.

scholarly journals Relation Between Malnutrition and the Presence of Symptoms of Anxiety and Depression in Hospitalized Cancer Patients

2021 ◽  
Author(s):  
Francisco Jose Sanchez Torralvo ◽  
Victoria Contreras Bolívar ◽  
María Ruiz Vico ◽  
José Abuín Fernández ◽  
Inmaculada Gonzalez Almendros ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Nutritional Assessment ◽  
Depressive Symptomatology ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Average Score ◽  
Sectional Study ◽  
Hospital Anxiety ◽  
Patients With Cancer ◽  
Depression Symptomatology

Abstract BackgroundAnxiety and depression are a common issue in patients with cancer, yet understudied among hospitalized patients. The aim of this study was to estimate the prevalence of anxiety and depression symptomatology in cancer inpatients and its relationship with malnutrition. MethodsCross-sectional study in hospitalized cancer patients. A nutritional assessment was done using GLIM criteria to diagnose malnutrition. Data regarding anxiety and depression symptomatology was obtained with the Hospital Anxiety and Depression Scale (HADS).ResultsA total of 282 inpatients were assessed. GLIM criteria found 20% (66) of well-nourished and 80% (216) with malnutrition. HADS presented an average score of 8.3±4.4 with respect to anxiety and an average score of 7.7 ± 4.6 with respect to depression. 54 % showed a possible presence of anxiety and 45.3% showed a possible presence of depression.In malnourished patients, HADS score tended to be higher with respect to anxiety (8.5±4.3 in malnourished vs 7.1 ± 4.6 in well-nourished; p=0.06) and was significantly higher with respect to depression (8.2 ± 4.6 in malnourished vs 5.3 ± 4.0 in well-nourished; p<0.001).After controlling for potential confounders, malnourished patients were 1.98 times more likely to present anxious symptomatology (95% CI 1.01-3.98; p=0.049) and 6.29 times more likely to present depressive symptomatology (95% CI 1.73-20.47; p=0.005).ConclusionsThe presence of anxiety and depression symptomatology in oncological inpatients is high. There is an association between malnutrition and presenting anxious and depressive symptomatology in hospitalized cancer patients.

Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patients

2007 ◽  
Vol 63 (1) ◽  
pp. 83-91 ◽  
Author(s):  
Jane Walker ◽  
Kirstine Postma ◽  
Gillian S. McHugh ◽  
Robert Rush ◽  
Brian Coyle ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Cancer Patients ◽  
Screening Tool ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Major Depressive

scholarly journals Psychometric Properties and Factor Structure of the Chinese Version of the Hospital Anxiety and Depression Scale in People Living With HIV

2019 ◽  
Vol 10 ◽  
Author(s):  
Zhiyuan Yang ◽  
Xiaojie Huang ◽  
Xinchao Liu ◽  
Jianhua Hou ◽  
Wenfang Wu ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Factor Structure ◽  
Depression Scale ◽  
Chinese Version ◽  
Anxiety And Depression ◽  
People Living With Hiv ◽  
Hospital Anxiety ◽  
Living With Hiv

Hospital Anxiety and Depression Scale (HADS) accuracy in cancer patients

2019 ◽  
Vol 28 (8) ◽  
pp. 3921-3926 ◽  
Author(s):  
Maria Antonietta Annunziata ◽  
Barbara Muzzatti ◽  
Ettore Bidoli ◽  
Cristiana Flaiban ◽  
Francesca Bomben ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety

scholarly journals The structure of the Hospital Anxiety and Depression Scale in four cohorts of community-based, healthy older people: the HALCyon program

2010 ◽  
Vol 22 (4) ◽  
pp. 559-571 ◽  
Author(s):  
Catharine R. Gale ◽  
Michael Allerhand ◽  
Avan Aihie Sayer ◽  
Cyrus Cooper ◽  
Elaine M. Dennison ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Exploratory Factor Analysis ◽  
Factor Model ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Men And Women ◽  
Confirmatory Factor

ABSTRACTBackground: The Hospital Anxiety and Depression Scale (HADS) is widely used but evaluation of its psychometric properties has produced equivocal results. Little is known about its structure in non-clinical samples of older people.Methods: We used data from four cohorts in the HALCyon collaborative research program into healthy aging: the Caerphilly Prospective Study, the Hertfordshire Ageing Study, the Hertfordshire Cohort Study, and the Lothian Birth Cohort 1921. We used exploratory factor analysis and confirmatory factor analysis with multi-group comparisons to establish the structure of the HADS and test for factorial invariance between samples.Results: Exploratory factor analysis showed a bi-dimensional structure (anxiety and depression) of the scale in men and women in each cohort. We tested a hypothesized three-factor model but high correlations between two of the factors made a two-factor model more psychologically plausible. Multi-group confirmatory factor analysis revealed that the sizes of the respective item loadings on the two factors were effectively identical in men and women from the same cohort. There was more variation between cohorts, particularly those from different parts of the U.K. and in whom the HADS was administered differently. Differences in social-class distribution accounted for part of this variation.Conclusions: Scoring the HADS as two subscales of anxiety and depression is appropriate in non-clinical populations of older men and women. However, there were differences between cohorts in the way that individual items were linked with the constructs of anxiety and depression, perhaps due to differences in sociocultural factors and/or in the administration of the scale.

scholarly journals Hospital anxiety and depression scale cutoff scores for cancer patients in acute care

2009 ◽  
Vol 100 (6) ◽  
pp. 908-912 ◽  
Author(s):  
S Singer ◽  
S Kuhnt ◽  
H Götze ◽  
J Hauss ◽  
A Hinz ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Acute Care ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cutoff Scores
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