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RETRACTED ARTICLE

A psychometric evaluation of the Chinese version of the Hospital Anxiety and Depression Scale in patients with coronary heart disease.

Abstract

AIM

To evaluate further the psychometric properties of the Chinese version of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression in Chinese patients with coronary heart disease in Xian, China.

BACKGROUND

There is considerable evidence that anxiety and depression are common in patients with coronary heart disease (CHD) and are associated with increased morbidity and mortality. A valid, reliable and sensitive screening tool that can be used readily on this group of patients would be useful for assessment, intervention and outcome evaluation.

DESIGN

A single group, cross-sectional study.

METHOD

Measurement performance was tested on 314 Chinese patients with coronary heart disease and repeated on 173 of them two weeks later.

RESULTS

The Chinese version of HADS (C-HADS) had acceptable internal consistency and test-retest reliability, with a Cronbach alpha of 0.85 and intraclass correlation coefficient of 0.90, respectively. There was acceptable concurrent validity with significant (p < 0.05) correlations between the anxiety and depression subscales of the C-HADS and CHD patients' perceived health status as measured by the Chinese Mandarin version of the Short Form-36 health survey (CM:SF-36). Principal components analysis revealed a three-factor solution accounting for 53% of the total variance. The three underlying sub-scale dimensions are depression, psychic anxiety and psychomotor anxiety. The responsiveness of the C-HADS was also satisfactory with significant correlation between the changes in the C-HADS score and the changes in the Mental Health domain of the CM:SF-36 (p < 0.01). Finally, over one-third of the patients demonstrated psychological distress. Conclusion. Empirical data support the C-HADS as a reliable and valid screening instrument for the assessment of anxiety and depression in Chinese-speaking patients with CHD. A tri-dimensional scoring approach should be considered as potentially clinically useful for this group of patients.

RELEVANCE TO CLINICAL PRACTICE

The C-HADS can guide and evaluate the delivery of psychological care for Chinese patients with CHD.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China. wwenru@yahoo.com.cn

    , ,

    Source

    Journal of clinical nursing 18:17 2009 Sep pg 2436-43

    MeSH

    Anxiety
    China
    Coronary Disease
    Depression
    Female
    Humans
    Male
    Psychiatric Status Rating Scales
    Psychometrics

    Pub Type(s)

    Evaluation Studies
    Journal Article
    Retracted Publication

    Language

    eng

    PubMed ID

    19694877

    Citation

    Wang, Wenru, et al. "A Psychometric Evaluation of the Chinese Version of the Hospital Anxiety and Depression Scale in Patients With Coronary Heart Disease." Journal of Clinical Nursing, vol. 18, no. 17, 2009, pp. 2436-43.
    Wang W, Chair SY, Thompson DR, et al. A psychometric evaluation of the Chinese version of the Hospital Anxiety and Depression Scale in patients with coronary heart disease. J Clin Nurs. 2009;18(17):2436-43.
    Wang, W., Chair, S. Y., Thompson, D. R., & Twinn, S. F. (2009). A psychometric evaluation of the Chinese version of the Hospital Anxiety and Depression Scale in patients with coronary heart disease. Journal of Clinical Nursing, 18(17), pp. 2436-43. doi:10.1111/j.1365-2702.2009.02807.x.
    Wang W, et al. A Psychometric Evaluation of the Chinese Version of the Hospital Anxiety and Depression Scale in Patients With Coronary Heart Disease. J Clin Nurs. 2009;18(17):2436-43. PubMed PMID: 19694877.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A psychometric evaluation of the Chinese version of the Hospital Anxiety and Depression Scale in patients with coronary heart disease. AU - Wang,Wenru, AU - Chair,Sek Ying, AU - Thompson,David R, AU - Twinn,Sheila F, PY - 2009/8/22/entrez PY - 2009/8/22/pubmed PY - 2009/12/29/medline SP - 2436 EP - 43 JF - Journal of clinical nursing JO - J Clin Nurs VL - 18 IS - 17 N2 - AIM: To evaluate further the psychometric properties of the Chinese version of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depression in Chinese patients with coronary heart disease in Xian, China. BACKGROUND: There is considerable evidence that anxiety and depression are common in patients with coronary heart disease (CHD) and are associated with increased morbidity and mortality. A valid, reliable and sensitive screening tool that can be used readily on this group of patients would be useful for assessment, intervention and outcome evaluation. DESIGN: A single group, cross-sectional study. METHOD: Measurement performance was tested on 314 Chinese patients with coronary heart disease and repeated on 173 of them two weeks later. RESULTS: The Chinese version of HADS (C-HADS) had acceptable internal consistency and test-retest reliability, with a Cronbach alpha of 0.85 and intraclass correlation coefficient of 0.90, respectively. There was acceptable concurrent validity with significant (p < 0.05) correlations between the anxiety and depression subscales of the C-HADS and CHD patients' perceived health status as measured by the Chinese Mandarin version of the Short Form-36 health survey (CM:SF-36). Principal components analysis revealed a three-factor solution accounting for 53% of the total variance. The three underlying sub-scale dimensions are depression, psychic anxiety and psychomotor anxiety. The responsiveness of the C-HADS was also satisfactory with significant correlation between the changes in the C-HADS score and the changes in the Mental Health domain of the CM:SF-36 (p < 0.01). Finally, over one-third of the patients demonstrated psychological distress. Conclusion. Empirical data support the C-HADS as a reliable and valid screening instrument for the assessment of anxiety and depression in Chinese-speaking patients with CHD. A tri-dimensional scoring approach should be considered as potentially clinically useful for this group of patients. RELEVANCE TO CLINICAL PRACTICE: The C-HADS can guide and evaluate the delivery of psychological care for Chinese patients with CHD. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/19694877/A_psychometric_evaluation_of_the_Chinese_version_of_the_Hospital_Anxiety_and_Depression_Scale_in_patients_with_coronary_heart_disease_ L2 - https://doi.org/10.1111/j.1365-2702.2009.02807.x DB - PRIME DP - Unbound Medicine ER -