An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome

Martin, Colin R., Thompson, David R. and Chan, Dominic 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: 279-288.


Author Martin, Colin R.
Thompson, David R.
Chan, Dominic S.
Title An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
Publication date 2004
Sub-type Article (original research)
DOI 10.1016/j.psychres.2004.06.012
Volume 129
Issue 3
Start page 279
End page 288
Total pages 10
Place of publication Amsterdam
Publisher Elsevier North-Holland Biomedical Press
Language eng
Subject 110299 Cardiovascular Medicine and Haematology not elsewhere classified
170106 Health, Clinical and Counselling Psychology
111099 Nursing not elsewhere classified
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 threefactor 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
Keyword Hospital Anxiety and Depression Scale
Factor structure
Acute coronary syndrome
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Nursing and Midwifery Publications
 
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