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An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome.
Psychiatry Res. 2004 Dec 30; 129(3):279-88.PR

Abstract

The psychometric properties of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for patients with acute coronary syndrome (ACS) were investigated in a translated Chinese version of the instrument. A confirmatory factor analysis (CFA) was conducted on the HADS to establish its psychometric properties in 138 ACS patients over two observation points (within 1 week and 6 months post-admission for ACS). Internal and test-retest reliability values for the HADS total and HADS anxiety sub-scales were found to be acceptable. The HADS depression sub-scale lacked acceptable internal reliability. The underlying factor structure of the HADS comprised three distinct factors, though inconsistency between the best three-factor model fit was observed between observation points. The HADS was confirmed to be a useful screening instrument to assess symptoms of psychological distress in ACS patients. Further research is required to determine the most appropriate use of HADS sub-scale structures in clinical populations.

Authors+Show Affiliations

Department of Health Sciences, University of York, Alcuin College, C Block, Heslington, York YO10 5DD, UK. cm29@york.ac.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15661322

Citation

Martin, Colin R., et al. "An Examination of the Psychometric Properties of the Hospital Anxiety and Depression Scale in Chinese Patients With Acute Coronary Syndrome." Psychiatry Research, vol. 129, no. 3, 2004, pp. 279-88.
Martin CR, Thompson DR, Chan DS. An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome. Psychiatry Res. 2004;129(3):279-88.
Martin, C. R., Thompson, D. R., & Chan, D. S. (2004). An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome. Psychiatry Research, 129(3), 279-88.
Martin CR, Thompson DR, Chan DS. An Examination of the Psychometric Properties of the Hospital Anxiety and Depression Scale in Chinese Patients With Acute Coronary Syndrome. Psychiatry Res. 2004 Dec 30;129(3):279-88. PubMed PMID: 15661322.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome. AU - Martin,Colin R, AU - Thompson,David R, AU - Chan,Dominic S, PY - 2003/10/03/received PY - 2004/02/25/revised PY - 2004/06/12/accepted PY - 2005/1/22/pubmed PY - 2005/6/1/medline PY - 2005/1/22/entrez SP - 279 EP - 88 JF - Psychiatry research JO - Psychiatry Res VL - 129 IS - 3 N2 - The psychometric properties of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for patients with acute coronary syndrome (ACS) were investigated in a translated Chinese version of the instrument. A confirmatory factor analysis (CFA) was conducted on the HADS to establish its psychometric properties in 138 ACS patients over two observation points (within 1 week and 6 months post-admission for ACS). Internal and test-retest reliability values for the HADS total and HADS anxiety sub-scales were found to be acceptable. The HADS depression sub-scale lacked acceptable internal reliability. The underlying factor structure of the HADS comprised three distinct factors, though inconsistency between the best three-factor model fit was observed between observation points. The HADS was confirmed to be a useful screening instrument to assess symptoms of psychological distress in ACS patients. Further research is required to determine the most appropriate use of HADS sub-scale structures in clinical populations. SN - 0165-1781 UR - https://www.unboundmedicine.com/medline/citation/15661322/An_examination_of_the_psychometric_properties_of_the_Hospital_Anxiety_and_Depression_Scale_in_Chinese_patients_with_acute_coronary_syndrome_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165178104001696 DB - PRIME DP - Unbound Medicine ER -