scholarly journals Revisión sistemática de la Escala de Ansiedad y Depresión Hospitalaria (HADS) en muestras mexicanas. ¿Debemos regresar al principio?

2021 ◽  
Vol 26 (3) ◽  
pp. 237-247
Author(s):  
Karina Franco-Paredes ◽  
Violeta R. Castro-López
Keyword(s):  
Systematic Review ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Translation Process ◽  
Palabras Clave ◽  
Revisión Sistemática ◽  
Adequate Internal Consistency

Systematic review of the psychometric properties of the Hospital Anxiety and Depression Scale (HADS)in Mexican samples: Should we go back to the beginning Abstract: A systematic review was run in order to find validation studies on the Hospital Anxiety and Depression Scale (HADS) in Mexican samples. Specialized databases and referencia sections of some articles were searched to locate this evidence. We found 10 articles that analyzed the psychometric properties of the HADS. The analysis showed that in all of the studies reliability was adequate and generally a two-factor structure could be supported. Nevertheless, we identified five different versions of the HADS and did not find any information about the translation process. In conclusion, the adequate internal consistency of the HADS could be confirmed but regarding the two-factor structure and cut-off points evidence is not conclusive. Key words: HADS; reliability; validity; psychometric properties; Mexico. Resumen: El propósito de esta investigación fue realizar una revisión sistemática de los estudios de validación de las propiedades psicométricas de la Escala de Ansiedad y Depresión Hospitalaria (HADS) en muestras mexicanas. Se realizó una búsqueda en bases de datos especializadas y en las referencias de los artículos. Se encontraron 10 estudios en los que se analizaron las propiedades psicométricas de la HADS. El análisis mostró que en todas las invesigaciones se evaluó la fiabilidad y ésta fue adecuada; en general, los estudios apoyan una estructura de dos factores. Sin embargo, se identificaron cinco versiones diferentes de la HADS y no se encontró información sobre cómo se realizó la traducción. En conclusión, se confirma que la consistencia interna de la HADS es adecuada, si bien los estudios apoyan la estructura de dos factores la evidencia no es concluyente, como tampoco lo es respecto a los puntos de corte. Palabras clave: HADS; fiabilidad; validez; propiedades psicométricas; México.

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 Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population

2001 ◽  
Vol 179 (6) ◽  
pp. 540-544 ◽  
Author(s):  
Arnstein Mykletun ◽  
Eystein Stordal ◽  
Alv A. Dahl
Keyword(s):  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Rating Scale ◽  
Large Population ◽  
Principal Component ◽  
Health Study ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Had Scale

BackgroundThe Hospital Anxiety and Depression (HAD) rating scale is a commonly used questionnaire. Former studies have given inconsistent results as to the psychometric properties of the HAD scale.AimsTo examine the psychometric properties of the HAD scale in a large population.MethodAll inhabitants aged 20–89 years (n=92 100) were invited to take part in The Nord-Tr⊘ndelag Health Study, Norway. A total of 65 648 subjects participated, and only completed HAD scale forms (n=51 930) formed the basis for the psychometric examinations.ResultsPrincipal component analysis extracted two factors in the HAD scale that accounted for 57% of the variance. The anxiety and depression sub-scales shared 30% of the variance. Both sub-scales were found to be internally consistent, with values of Cronbach's coefficient (a) being 0.80 and 0.76, respectively.ConclusionsBased on data from a large population, the basic psychometric properties of the HAD scale as a self-rating instrument should be considered as quite good in terms of factor structure, intercorrelation, homogeneity and internal consistency.

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