Structure and invariance of the Hospital Anxiety Depression Scale (HADS)  in adolescents

Faro, André; Araújo, Ludgleydson Fernandes de; Maciel, Silvana Carneiro; Lima, Tiago Jessé Souza de; Souza, Luana Elayne Cunha de

doi:10.22235/cp.v15i2.2069

Cited by 3 publications

(3 citation statements)

References 24 publications

(52 reference statements)

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“…Symptoms of anxiety were obtained through the Hospital Anxiety and Depression Scale (HADS) where signs of anxiety were assessed using a previously validated questionnaire for the adolescent population (Cronbach's Alpha coefficients: .84; Bjelland, Dahl, Haug, & Neckelmann, 2002;Faro, Araújo, Maciel, Lima, & Souza, 2021). The HADS classifies the anxiety and depression level and is composed of 14 multiple choice questions where the even questions assess the level of depression and the odd questions assess anxiety.…”

Section: Measurementsmentioning

confidence: 99%

Association between screen time exposure, anxiety, and sleep quality in adolescents

Santiago

Silva²,

Silva³

et al. 2022

Salud Ment

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Introduction. The increase in sedentary screen time can negatively affect the quality of sleep, impacting the performance of daily activities. Objective. To analyze the association between sedentary screen time and sleep quality, regardless of the symptoms of anxiety in adolescents of both genders. Method. Cross-sectional study integrating school-based epidemiological research with a representative sample (n = 666) of high school students (14 to 19 years old) in public schools in the municipality of Caruaru-PE. The translated versions into Portuguese of the Pittsburgh Sleep Quality Index (PSQI) and the Hospital Anxiety and Depression Scale (HAD) were applied to analyze sleep quality and anxiety, respectively. Binary logistic regression was used to analyze the association, considering sleep quality as an outcome. Results. There was a positive, statistically significant (p #abr# .001) correlation between sleep quality and symptoms of anxiety (r = .393). A significant association regarding the association between screen time and sleep quality was noted only in those adolescents classified as being possible or probable anxiety cases and only in exposure to the computer (OR = 2.337; 95% CI [1.01, 5.43]) and video games (OR = 8.083; 95% CI [2.0, 32.8]) after adjusting for gender, age, and school shift. Discussion and conclusion. Increased interaction with the screen and higher levels of anxiety can be more harmful to sleep in adolescents. Exposure to screen time, specifically those which have a greater interaction such as video games and computers, can have a negative impact on sleep quality, but only in adolescents with a higher risk of anxiety.

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Section: Measurementsmentioning

confidence: 99%

Association between screen time exposure, anxiety, and sleep quality in adolescents

Santiago

Silva²,

Silva³

et al. 2022

Salud Ment

View full text Add to dashboard Cite

show abstract

“…It is a screening device for anxiety and depression that, despite its name, has proven to be valid in primary care and useful in psychiatric and psychological work ( 47 , 48 ). Different studies have shown its internal consistency and satisfactory validity for populations of different ages and gender ( 49 , 50 ). Its Portuguese translation by Pais-Ribeiro et al has shown similar properties to the original and confirmed it as reliable and valid ( 47 *).…”

Section: Methodsmentioning

confidence: 99%

The psychological impact of Early Pregnancy Loss in Portugal: incidence and the effect on psychological morbidity

Mendes

Fonseca

Cameirão

2023

Front. Public Health

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IntroductionWorldwide, up to a quarter of all recognized pregnancies result in Early Pregnancy Loss (EPL), also known as miscarriage. For many women, this is a traumatic experience that leads to persistent negative mental health responses. The most common morbidity reported in studies from different countries is complicated grief, usually comorbid with depression, anxiety, and Post-Traumatic Stress Disorder (PTSD). To our best knowledge, no studies characterizing the psychological impact of EPL have been made in Portugal.MethodsAn online survey was conducted to evaluate clinical symptoms of perinatal grief, anxiety, depression, and PTSD in women who suffered a spontaneous loss within 20 weeks of gestation. Out of 1,015 women who answered this survey, 873 were considered eligible, and subsequently distributed in 7 groups according to the time passed between their loss and their participation in the study.ResultsThe proportion of women showing symptoms of all comorbidities was greater in those whose loss had happened within a month, and there was a significant gradual decrease over time in scores and proportions of clinical perinatal grief and PTSD. In terms of depression symptoms, scores dropped significantly in the group whose loss occurred 13–24 months before their participation but proportions oscillated without great changes in the other groups. Regarding anxiety, there were small oscillations, but there was no significant decrease of symptoms over time.DiscussionOverall, despite a general drop in scores for most morbidities over time, substantial proportions of women showed persistent symptoms of clinical morbidities 3 years or more after the loss. Therefore, it is essential to promote monitoring of possible complicated responses to the event, to provide appropriate and timely intervention to those women in need.

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“…The cut-off points obtained in the literature were ≥ 9 points for each disorder, proposed from theoretical and empirical criteria derived from clinical samples (Botega et al, 1995;Zigmond & Snaith, 1983). Faro, Fernandes Araújo, Maciel, Lima and Souza (2021) tested the factor structure and gender invariance of the scale in a non-clinical sample of 657 adolescents in Brazil (Mage = 16.3; SD = 1.19) and found satisfactory evidence of factor structure validity and gender invariance for this population. The Composite Reliability was also satisfactory in that study, with an average of the variance explained by the items of 0.31, with a Cronbach's alpha of .84 for the total scale; .81 and .69 for the anxiety and depression subscales, respectively.…”

Section: Instrumentsmentioning

confidence: 99%

Sintomatologia depressiva e suas repercussões na representação social da depressão: um estudo com adolescentes

et al. 2021

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A depressão tem sido retratada como o mal do século, tornando-se um problema de saúde pública que tem afetado milhões de pessoas no mundo. Este estudo objetivou compreender como os adolescentes representam a depressão. Participaram 168 estudantes do ensino médio, com idades de 14 a 18 anos, de escolas públicas e privadas de João Pessoa-Paraíba, Brasil. Utilizou-se a Técnica de Associação Livre de Palavras (TALP), Questionário sociodemográfico e a Escala de Ansiedade e Depressão Hospitalar (HADS). Observou-se a representação social da depressão ancorada em vivências subjetivas enfatizando os aspectos individuais desse fenômeno como tristeza, solidão, angústia, sofrimento e suicídio. Os adolescentes apresentaram sintomatologia depressiva em 21,4 %, sendo estes percentuais acentuados quando comparados com outros estudos na área. Espera-se que este estudo possa promover ações de prevenção no contexto escolar e reflexões sobre meios de conscientização da depressão como um transtorno de causas múltiplas.

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Structure and invariance of the Hospital Anxiety Depression Scale (HADS) in adolescents

Cited by 3 publications

References 24 publications

Association between screen time exposure, anxiety, and sleep quality in adolescents

Association between screen time exposure, anxiety, and sleep quality in adolescents

The psychological impact of Early Pregnancy Loss in Portugal: incidence and the effect on psychological morbidity

Sintomatologia depressiva e suas repercussões na representação social da depressão: um estudo com adolescentes

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