A psychometric evaluation of the French Canadian version of the Hospital Anxiety and Depression Scale in a large primary care population

Roberge, Pasquale; Doré, Isabelle; Menear, Matthew; Chartrand, Élise; Ciampi, Antonio; Duhoux, Arnaud; Fournier, Louise

doi:10.1016/j.jad.2012.10.029

Cited by 99 publications

(72 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Este estudo reuniu evidências da validade estrutural da escala HADS em uma amostra brasileira não-clínica, no modelo de dois fatores correlacionados e com um fator de segunda ordem, bem como nas subescalas (HADS-A e HADS-D), corroborando achados compatíveis com pesquisas em outros países (Bjelland et al, 2002;Roberge et al, 2013).…”

Section: Discussionunclassified

“…Desde sua adaptação para o Brasil (Botega, Bio, Zomignani, Garcia Júnior, & Pereira, 1995), não há, até então, análise confirmatória da estrutura da HADS neste país, o que já é encontrado em outros países (López et al, 2012;Martin, Thompson, & Barth, 2008;Roberge et al, 2013). Por se tratar de uma escala bastante utilizada em nível mundial (Bjelland et al, 2002;López et al, 2012;Roberge et al, 2013) e que agrega características desejáveis para a condução de surveys no âmbito da saúde mental (por exemplo, pela parcimônia na quantidade de itens), julgou-se relevante a busca por evidências da estrutura latente e, também, a análise preditiva dos pontos de corte a partir de uma amostragem não-clínica.…”

Section: Confirmatory Factor Analysis and Standardization Of The Hospunclassified

“…Por se tratar de uma escala bastante utilizada em nível mundial (Bjelland et al, 2002;López et al, 2012;Roberge et al, 2013) e que agrega características desejáveis para a condução de surveys no âmbito da saúde mental (por exemplo, pela parcimônia na quantidade de itens), julgou-se relevante a busca por evidências da estrutura latente e, também, a análise preditiva dos pontos de corte a partir de uma amostragem não-clínica.…”

Section: Confirmatory Factor Analysis and Standardization Of The Hospunclassified

See 2 more Smart Citations

Análise Fatorial Confirmatória e Normatização da Hospital Anxiety and Depression Scale (HADS)

Faro

2015

Psic.: Teor. e Pesq.

View full text Add to dashboard Cite

1 André Faro 2 Universidade Federal de SergipeRESUMO -Os principais objetivos deste estudo foram realizar a análise fatorial confirmatória da Hospital Anxiety and Depression Scale (HADS) e conduzir análises de curvas ROC para a normatização de seus pontos de corte, em uma amostra não-clínica. Os resultados exibiram evidências de validade estrutural da HADS e foram propostas mudanças para os parâmetros diagnósticos da ansiedade (≥7 pontos) e depressão (≥6 pontos). Ao final, destaca-se a necessidade de cautela na interpretação dos escores e decisão diagnóstica, principalmente na mensuração da depressão.Palavras-chave: análise fatorial confirmatória, curva ROC, HADS, ansiedade, depressão Confirmatory Factor Analysis and Standardization of the Hospital Anxiety and Depression Scale (HADS)ABSTRACT -The main objectives of this study were to perform a confirmatory factor analysis of the Hospital Anxiety and Depression Scale (HADS) and to conduct ROC curves for standardization of cut-off points, in a nonclinical sample. The results showed evidences of the structural validity of HADS and changes were proposed to the diagnostic parameters of anxiety (≥7 points) and depression (≥6 points). Finally, we highlight that caution is needed for the interpretation of the scores and diagnostic decision, especially for the depression measure.Keywords: confirmatory factor analysis, ROC curve, HADS, anxiety, depression No Brasil, os transtornos de ansiedade atingem de 12% a 20% da população e os transtornos depressivos variam entre 11% e 18%. Combinados, a prevalência chega a 24% na população em geral (Andrade et al., 2012). A ansiedade e a depressão figuram entre as principais causas de incapacidade no mundo, estando associadas a elevados riscos de morte prematura, doenças cardíacas, diversos tipos de câncer e mortalidade por causas externas, sendo uma relevante questão de saúde pública (Andrade et al., 2013;Russ et al., 2012).A Hospital Anxiety and Depression Scale (HADS) foi desenvolvida por Zigmond e Snaith (1983) com o objetivo de identificar casos (possíveis ou prováveis) de transtornos de ansiedade e/ou depressão leves em populações não-clínicas. Embora os autores não tenham deixado claros os conceitos clínicos que orientaram a construção do instrumento, Bjelland, Dahl, Haug e Neckelmann (2002), em uma revisão da validade da HADS, encontraram que a escala se mostrou compatível tanto aos critérios diagnósticos do DSM-III, como do DSM-IV.Desde sua adaptação para o Brasil (Botega, Bio, Zomignani, Garcia Júnior, & Pereira, 1995), não há, até então, análise confirmatória da estrutura da HADS neste país, o que já é encontrado em outros países (López et al., 2012;Martin, Thompson, & Barth, 2008;Roberge et al., 2013). Por se tratar de uma escala bastante utilizada em nível mundial (Bjelland et al., 2002;López et al., 2012;Roberge et al., 2013) e que agrega características desejáveis para a condução de surveys no âmbito da saúde mental (por exemplo, pela parcimônia na quantidade de itens), julgou-se relevante a busca por evidências da es...

show abstract

Section: Discussionunclassified

Section: Confirmatory Factor Analysis and Standardization Of The Hospunclassified

See 1 more Smart Citation

Análise Fatorial Confirmatória e Normatização da Hospital Anxiety and Depression Scale (HADS)

Faro

2015

Psic.: Teor. e Pesq.

View full text Add to dashboard Cite

show abstract

“…Scores were totalled across both depression and anxiety items to create one overall affective distress score with a maximum of 42. Overall HADS scores across the two subscales have been used in a range of samples including those in primary care [26] and those with musculoskeletal pain [27]. …”

Section: Methodsmentioning

confidence: 99%

‘Isn’t it ironic?’ Beliefs about the unacceptability of emotions and emotional suppression relate to worse outcomes in fibromyalgia

2017

View full text Add to dashboard Cite

Beliefs about the unacceptability of experiencing and expressing emotions have been found to be related to worse outcomes in people with persistent physical symptoms. The current study tested mediation models regarding emotional suppression, beliefs about emotions, support-seeking and global impact in fibromyalgia. One hundred eighty-two participants took part in an online questionnaire testing potential mechanisms of this relationship using mediation analysis. The model tested emotional suppression and affective distress as serial mediators of the relationship between beliefs about emotions and global impact. In parallel paths, two forms of support-seeking were tested (personal/emotional and symptom-related support-seeking) as mediators. Emotional suppression and affective distress significantly serially mediated the relationship between beliefs about emotions and global impact. Neither support-seeking variable significantly mediated this relationship. Results indicate a potential mechanism through which beliefs about emotions and global impact might relate which might provide a theoretical basis for future research on treatments for fibromyalgia.

show abstract

“…32 This score was used in the English and French versions of the HADS to demonstrate good psychometric properties. [33][34][35] Finally, participants' sociodemographic information (age, sex, education, marital status, perceived level of income, occupational status, urbanicity, whether the subject has a family doctor, and whether the subject has private insurance) was collected at T0 and T1.…”

Section: Methodsmentioning

confidence: 99%

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

et al. 2015

Self Cite

View full text Add to dashboard Cite

Objective: To evaluate the mental health care needs perceived as unmet by adults in Quebec who had experienced depressive and (or) anxious symptomatology (DAS) in the previous 2 years and who used primary care services, and to identify the reasons associated with different types of unmet needs for care (UNCs) and the determinants of reporting UNCs. Method:Longitudinal data from the Dialogue Project were used. The sample consisted of 1288 adults who presented a common mental disorder and who consulted a general practitioner. The Hospital Anxiety and Depression Scale was used to measure DAS, and the Perceived Need for Care Questionnaire facilitated the assessment of the different types of UNCs and their motives.Results: About 40% of the participants perceived UNCs. Psychotherapy, help to improve ability to work, as well as general information on mental health and services were the most mentioned UNCs. The main reasons associated with reporting UNCs for psychotherapy and psychosocial interventions are "couldn't afford to pay" and "didn't know how or where to get help," respectively. The factors associated with mentioning UNCs (compared with met needs) are to present a high DAS or a DAS that increased during the past 12 months, to perceive oneself as poor or to not have private health insurance. Conclusions:To reduce the UNCs and, further, to reduce DAS, it is necessary to improve the availability and affordability of psychotherapy and psychosocial intervention services, and to inform users on the types of services available and how to access them. Raisons et déterminants de perception des besoins de santé mentale non comblés dans ls soins de première ligne au QuébecObjectif : Évaluer les besoins de soins de santé mentale perçus comme étant non comblés par des adultes québécois qui ont eu une symptomatologie dépressive et (ou) anxieuse (SDA) dans les 2 années précédentes et qui ont utilisé des services de non comblés (BSNC) et les déterminants pour déclarer ces BSNC.Méthode : Les données longitudinales du projet Dialogue ont été utilisées. L'échantillon se composait de 1288 adultes qui présentaient un trouble mental commun et qui mesurer la SDA, et le questionnaire des besoins de soins perçus a éclairé l'évaluation des différents types de BSNC et de ce qui les motivait.

show abstract

A psychometric evaluation of the French Canadian version of the Hospital Anxiety and Depression Scale in a large primary care population

Cited by 99 publications

References 37 publications

Análise Fatorial Confirmatória e Normatização da Hospital Anxiety and Depression Scale (HADS)

Análise Fatorial Confirmatória e Normatização da Hospital Anxiety and Depression Scale (HADS)

‘Isn’t it ironic?’ Beliefs about the unacceptability of emotions and emotional suppression relate to worse outcomes in fibromyalgia

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

Contact Info

Product

Resources

About