The factor structure of a Polish language version of the hospital anxiety depression scale (HADS)

Nezlek, John B.; Rusanowska, Marzena; Holas, Paweł; Krejtz, Izabela

doi:10.1007/s12144-019-0164-0

Cited by 12 publications

(12 citation statements)

References 20 publications

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“…The results of this study provide evidence of the validity of the structure of the HADS in a sample of adolescents, in accordance with results obtained with adult test subjects (Faro, 2015;Lin & Pakpour, 2017;Nezlek, Rusanowska, Holas & Kreptz, 2019;Roberts, Fletcher & Merrick, 2014) and adolescents (Chan et al, 2010). We detected a good fit of the bifactorial HADS model with the inclusion of five cross-loadings between items.…”

Section: Discussionsupporting

confidence: 89%

“…Since the HADS is a measure for screening symptoms of anxiety and depression, the cross-loadings point to the expected co-occurrence of characteristics of the clinical situations (Eysenck & Fajkowska, 2017), making it plausible, under justifiable conditions, to associate measurement errors. In any event, as pointed out by Nezlek et al (2019), this type of modification of the model implies a certain limitation on its replicability for similar samples in other populations.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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The main objective of this study was to test the factorial structure and gender invariance of the Hospital Anxiety Depression Scale (HADS) in a non-clinical sample of 657 adolescents (Mage = 16.3 years; SD = 1.19). The research design was an instrumental investigation, based on a cross-sectional survey with a sample of adolescents in Brazil. The results presented satisfactory evidence of the validity of the factorial structure and gender invariance for the sample. The composite reliability was also satisfactory, and no problems were detected related to common method bias. The mean of the items explained variance was .31 (31 %), with a Cronbach’s Alpha at .84 for the total scale, .81 and .69 for the anxiety and depression subscales, respectively. In the discussion, we analyzed questions related to the average variance extracted of the scale, which was lower than expected. Thus, we conclude that the current findings provide validity evidence to the application of the HADS with Brazilian adolescents for clinical or research purposes.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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“…The Hospital Anxiety and Depression Scale (HADS) is a 14-item self-assessment measure that detects states of depression and anxiety [ 61 ]. Its good psychometric properties and comprehensiveness make it commonly used as a screening measure for psychological morbidity in both clinical and nonclinical samples [ 62 , 63 ]. To meet the specific requirements of this research, we used the seven-item subscale to measure anxiety (e.g., “worrying thoughts go through my mind”).…”

Section: Methodsmentioning

confidence: 99%

Offline Victimization, Psychological Morbidity, and Problematic Online Behavior among Chinese Secondary School Students

Shek

2021

IJERPH

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Despite the rise of child victimization in different societies, few researchers have examined its consequences in terms of psychological morbidity (such as depression and anxiety) and problematic online behavior (such as Internet addiction and cyberbullying) in a single study. Moreover, no study has investigated the role of psychological morbidity in mediating the impact of victimization on problematic online behavior (indexed by Internet addiction and cyberbullying) in a single model. Based on a survey of 2843 Chinese secondary students (49.3% male; Mage = 13.97) from six public secondary schools in Fujian, China, we found that experience of victimization was positively associated with depression and anxiety, as well as Internet addiction and cyberbullying. Depression mediated the links between victimization and both Internet addiction and cyberbullying, with the mediating effect on Internet addiction found to be stronger for girls. While anxiety did not mediate the association between victimization and cyberbullying, it mediated the relationship between victimization and Internet addiction in boys. These findings enrich our understanding of the negative outcomes of victimization, as well as directions for intervention.

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“…the Eating Attitudes Test (EAT-26 [34,35];) and the Eating Beliefs Questionnaire (EBQ-18 [3];). The participants were then asked to provide their weight and height to calculate the BMI and to complete the Hospital Anxiety and Depression Scale (HADS [36,37];), the Toronto Alexithymia Scale (TAS-20 [38,39];), the Cognitive Emotion Regulation Questionnaire (CERQ [24,40];), and the Difficulties in Emotion Regulation Scale (DERS [41];). The control group underwent the same test procedure.…”

Section: Methodsmentioning

confidence: 99%

Examining emotion regulation in binge-eating disorder

Walenda

Kostecka

Santangelo

et al. 2021

bord personal disord emot dysregul

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Background Inefficient mechanisms of emotional regulation appear essential in understanding the development and maintenance of binge-eating disorder (BED). Previous research focused mainly on a very limited emotion regulation strategies in BED, such as rumination, suppression, and positive reappraisal. Therefore, the aim of the study was to assess a wider range of emotional regulation strategies (i.e. acceptance, refocusing on planning, positive refocusing, positive reappraisal, putting into perspective, self-blame, other-blame, rumination, and catastrophizing), as well as associations between those strategies and binge-eating-related beliefs (negative, positive, and permissive), and clinical variables (eating disorders symptoms, both anxiety, depressive symptoms, and alexithymia). Methods Women diagnosed with BED (n = 35) according to the DSM-5 criteria and healthy women (n = 41) aged 22–60 years were assessed using: the Eating Attitudes Test-26, the Eating Beliefs Questionnaire-18, the Hospital Anxiety and Depression Scale, the Toronto Alexithymia Scale-20, the Cognitive Emotion Regulation Questionnaire, and the Difficulties in Emotion Regulation Scale. Statistical analyses included: Student t - tests or Mann–Whitney U tests for testing group differences between BED and HC group, and Pearson’s r coefficient or Spearman’s rho for exploring associations between the emotion regulation difficulties and strategies, and clinical variables and binge-eating-related beliefs in both groups. Results The BED group presented with a significantly higher level of emotion regulation difficulties such as: nonacceptance of emotional responses, lack of emotional clarity, difficulties engaging in goal-directed behavior, impulse control difficulties, and limited access to emotion regulation strategies compared to the healthy controls. Moreover, patients with BED were significantly more likely to use maladaptive strategies (rumination and self-blame) and less likely to use adaptive strategies (positive refocusing and putting into perspective). In the clinical group, various difficulties in emotion regulation difficulties occurred to be positively correlated with the level of alexithymia, and anxiety and depressive symptoms. Regarding emotion regulation strategies, self-blame and catastrophizing were positively related to anxiety symptoms, but solely catastrophizing was related to the severity of eating disorder psychopathology. Conclusions Our results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology.

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The factor structure of a Polish language version of the hospital anxiety depression scale (HADS)

Cited by 12 publications

References 20 publications

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

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

Offline Victimization, Psychological Morbidity, and Problematic Online Behavior among Chinese Secondary School Students

Examining emotion regulation in binge-eating disorder

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