Factor Structure and Cut-Off Scores of the Hospital Anxiety and Depression Scale (Hads) in a Croatian Sample of Adult Patients Suffering From Advanced Cancer

Miljanović, Maja; Sindik, Joško; Milunović, Vibor; Škoc, Vesna Kralj; Braš, Marijana; Đorđević, Veljko

doi:10.24869/psyd.2017.451

Cited by 13 publications

(17 citation statements)

References 16 publications

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“…However, caution should be exercised when using the HADS’ total scale to evaluate general distress because relevant psychological symptoms other than anxiety or depression are excluded from the scale. More recent studies testing the psychometric properties of the HADS’ total scale showed good sensitivity and specificity, superior to other scales (73), with a cutoff score of 11/12 (12), 14/15 (73), 15/16 (74), or 16/17 (73) in different populations. Yet, the psychometric properties of the HADS’ total scale need to be further studied.…”

Section: Discussionmentioning

confidence: 96%

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

et al. 2019

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The population of people living with HIV (PLWH) is growing in number and usually results in mental health problems that impact their quality of life. Therefore, valid instruments and screening methods for psychological disorders are of great significance. The Hospital Anxiety and Depression Scale (HADS) reveals good psychometric properties, but shows ambiguous results in factor structure. This study aims to evaluate psychometric properties in terms of the internal reliability and structure validity of the Chinese version of the HADS (C-HADS) in a large sample of PLWH in China. The C-HADS was administered to 4,102 HIV-infected adults at an HIV clinic in China. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the factor structure. Measurement invariance was assessed across gender and course of infection. Internal reliability was also assessed. A bifactor model with anomalous loadings of items 7, 8, and 10 fits the data best and holds measurement invariance across gender and course of infection. Internal reliability was good with all Cronbach’s alphas > 0.70 and Spearman’s ρ between 0.30 and 0.70. The C-HADS has good psychometric properties in terms of internal reliability and structure validity of a bifactor model. The C-HADS is recommended to be used as a total scale that measures general psychological distress, instead of anxiety and depression separately, when applied to PLWH. Further studies are needed to evaluate criterion validity, the cutoff score, and the effect of wording and scoring of the HADS.

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Section: Discussionmentioning

confidence: 96%

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

et al. 2019

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“…8 T h e m a j o r c o n t r i b u t i o n o f t h e HADS, compared to other anxiety and depression measurement tools (Beck Depression Inventory [BDI] or Beck Anxiety Inventory [BAI]), 13 is its focus on cognitive aspects rather than on somatic ones, which is very important for patients with CD, whose symptoms may be confused with those of anxiety and depression that accompany the disease itself. 8 The HADS has been adapted to multiple languages 11,12,[14][15][16] and administered to patients with different physical conditions. 9,11,[16][17][18][19][20][21] Although it was initially developed for people aged 16 to 65 years, 9 its use has been extended to other age ranges, from 10 to 85 years old.…”

Section: Introductionmentioning

confidence: 99%

Factor structure of the Hospital Anxiety and Depression Scale in adolescent patients with chronic disease

Valero‐Moreno¹,

Lacomba‐Trejo²,

Casaña-Granell

et al. 2019

Arch Argent Pediat

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Introduction. The Hospital Anxiety and Depression Scale (HADS) is a screening instrument that assesses emotional symptoms in different populations and medical conditions. This study analyzes the psychometric properties and factor structure of the HADS in adolescents with chronic disease and the differences based on their medical condition. Method. The HADS was administered to a sample of 302 adolescents with chronic disease. Exploratory factor analyses were done in a subsample of 100 adolescents, while confirmatory factor analyses were performed in the rest of participants (202) to examine the validity and reliability of the HADS (14 items); an analysis of variance for a single factor was also done to study differences among diseases. Results. Patients were aged 12-16 years, with a similar sex ratio; 43 % had respiratory diseases and 47 %, endocrine disorders. The original twofactor structure (anxiety and depression) showed adequate fit indices and incorporated a secondorder factor (emotional distress). Three of the original items were removed, thus obtaining a new 11-item version. This showed adequate psychometric properties, and differences were observed between patients with type 1 diabetes mellitus and those with respiratory disease, but not in terms of short stature, in the depression factor. Conclusions. The HADS displays an adequate reliability and validity in pediatric patients with chronic disease and is useful for the early detection of anxiety and depression in the health care setting. Key words: factor structure, patient health questionnaire in the anxiety and depression scale, type 1 diabetes mellitus, chronic respiratory diseases, short stature.

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“…Kiekvienos srities balų skaičius gali būti nuo 0 iki 21, o visą skalę pildant galimas balų skaičius -0-42. Surinkti balai parodo nerimo ir depresijos simptomų sunkumo laipsnį (Miljanović et al, 2017): nuo 0 iki 7 balų -normalus nerimo arba nuotaikos lygis; nuo 8 iki 10 -nedidelio sunkumo; nuo 11 iki 14 balų vidutinio sunkumo; o nuo 15 iki 21 -sunkūs nerimo arba depresijos simptomai (Burkauskas, Bunevičius, 2013).…”

Section: Tyrimo Metodaiunclassified

Impact of Physical Exercise on Depression and Anxiety Symptoms, Quality of Life and Muscle Strength in the Elderly

Meidutė¹,

Česnaitienė²

2020

Reabilitacijos mokslai

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Background. Mood disorders affect the quality of life and functional abilities in older people. The elderly are often physically inactive, suffering from chronic diseases. It is not clear if physical exercise improves quality of life and motor function in patients with depressive and anxiety symptoms.The aim. To determine the impact of physical exercise on depression and anxiety symptoms, quality of life and muscle strength in the elderly.Methods. Eighteen individuals over 60 years of age were studied. Subjects were evaluated before and after physical exercise interventions using the following assessment methods: Hospital Anxiety and Depression Scale; Short version of the WHO Quality of Life Questionnaire WHOQOL-BREF; Manual muscle testing.Results. Subjects had decreased scores for depression, anxiety, and general psychoemotional area, improved quality of life scores in all areas, and improved muscle strength in all groups studied. The percentage change after exercise intervention was better in functional movements in those who rated their physical health worse before exercise. The percentage change in subjects who rated psychological health better before physical exercise intervention was better in the area of anxiety and overall psychoemotional status than in those who rated it worse. In the area of social relations, the percentage change did not differ between the groups (p < 0.05).Conclusion. After eight weeks of physical exercise intervention in the elderly, depression and anxiety rates were reduced, and quality of life and motor functions were improved in the subjects.Keywords. Physical exercise, depression and anxiety, the elderly, quality of life, motor functions.

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Factor Structure and Cut-Off Scores of the Hospital Anxiety and Depression Scale (Hads) in a Croatian Sample of Adult Patients Suffering From Advanced Cancer

Abstract: SUMMARY

Cited by 13 publications

References 16 publications

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

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

Factor structure of the Hospital Anxiety and Depression Scale in adolescent patients with chronic disease

Impact of Physical Exercise on Depression and Anxiety Symptoms, Quality of Life and Muscle Strength in the Elderly

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