A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction

Martin, C.R., Lewin, R. J. P. and Thompson, D. R. (2003) A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction. Psychiatry Research, 120 1: 85-94.


Author Martin, C.R.
Lewin, R. J. P.
Thompson, D. R.
Title A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction
Journal name Psychiatry Research   Check publisher's open access policy
ISSN 0165-1781
Publication date 2003
Sub-type Article (original research)
DOI 10.1016/S0165-1781(03)00162-8
Volume 120
Issue 1
Start page 85
End page 94
Total pages 10
Place of publication Amsterdam
Publisher Elsevier North-Holland Biomedical Press.
Language eng
Subject 110299 Cardiovascular Medicine and Haematology not elsewhere classified
111099 Nursing not elsewhere classified
Abstract The utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for coronary care patients following acute myocardial infarction (MI) was investigated. A confirmatory factor analysis was conducted on the HADS to determine its psychometric properties in 335 MI patients over three observation points (1 week, 6 weeks and 6 months). Internal and test–retest reliabilities of the HADS total and HADS sub-scale scores were generally found to be acceptable. The underlying factor structure of the HADS comprised three distinct factors. Support was found for the use of the HADS sub-scales to assess dimensions of anhedonia, psychic anxiety and psychomotor agitation. The HADS may be a useful screening instrument to assess post-MI patients for symptoms of psychological distress. Further research is required to determine the three-factor structure of the HADS in other clinical groups
Keyword Hospital Anxiety and Depression Scale
factor structure
Myocardial Infarction
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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