A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction
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...
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| Veröffentlicht in: | Psychiatry research 2003-08, Vol.120 (1), p.85-94 |
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| creator | Martin, Colin R. Lewin, Robert J.P. Thompson, David R. |
| description | 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. |
| doi_str_mv | 10.1016/S0165-1781(03)00162-8 |
| format | Article |
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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.</description><identifier>ISSN: 0165-1781</identifier><identifier>EISSN: 1872-7123</identifier><identifier>DOI: 10.1016/S0165-1781(03)00162-8</identifier><identifier>PMID: 14500117</identifier><identifier>CODEN: PSRSDR</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Aged ; Aged, 80 and over ; Anxiety - diagnosis ; Anxiety - psychology ; Biological and medical sciences ; Coronary Care Units ; Depression - diagnosis ; Depression - psychology ; England ; Factor structure ; Female ; Follow-Up Studies ; Hospital Anxiety and Depression Scale ; Humans ; Male ; Mass Screening ; Medical sciences ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - psychology ; Myocardial Infarction - rehabilitation ; Personality Inventory - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics - statistics & numerical data ; Psychometrics. Diagnostic aid systems ; Psychomotor Agitation - diagnosis ; Psychomotor Agitation - psychology ; Psychopathology. Psychiatry ; Reproducibility of Results ; Sick Role ; Techniques and methods</subject><ispartof>Psychiatry research, 2003-08, Vol.120 (1), p.85-94</ispartof><rights>2003 Elsevier Ireland Ltd</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-d2cc41498be6a9e59ed3a9614b5cc222d24c46a2741100e35f1a652c3a4fc083</citedby><cites>FETCH-LOGICAL-c391t-d2cc41498be6a9e59ed3a9614b5cc222d24c46a2741100e35f1a652c3a4fc083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0165-1781(03)00162-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15139207$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14500117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, Colin R.</creatorcontrib><creatorcontrib>Lewin, Robert J.P.</creatorcontrib><creatorcontrib>Thompson, David R.</creatorcontrib><title>A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction</title><title>Psychiatry research</title><addtitle>Psychiatry Res</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Coronary Care Units</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>England</subject><subject>Factor structure</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospital Anxiety and Depression Scale</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - psychology</subject><subject>Myocardial Infarction - rehabilitation</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics - statistics & numerical data</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychomotor Agitation - diagnosis</subject><subject>Psychomotor Agitation - psychology</subject><subject>Psychopathology. Psychiatry</subject><subject>Reproducibility of Results</subject><subject>Sick Role</subject><subject>Techniques and methods</subject><issn>0165-1781</issn><issn>1872-7123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctuFDEQRS1ERIbAJ4C8AcGiwY9-rqJReAQpEotkb9VUl8Go225sDzDfkJ-OJzMiy2yqVNKpW_a9jL2S4oMUsv14XUpTya6X74R-L8qkqv4JW8m-U1UnlX7KVv-RU_Y8pV9CCCWH4Rk7lXVTNmS3YrdrjsFbF2fIIe64BSydg4dpl1ziwfL8k_hlSIvLMPG1_-co7wow8k-0RErJBc-vESbizhexGDwUIYRIfIHsyOfEbZim8Nf5Hxxwm4nPu1CA0RVF5y1EzEXlBTuxMCV6eexn7ObL55uLy-rq-9dvF-urCvUgczUqxFrWQ7-hFgZqBho1DK2sNw2iUmpUNdYtqK6WUgjSjZXQNgo11BZFr8_Y24PsEsPvLaVsZpeQpgk8hW0yXdOJdhBtAZsDiDGkFMmaJbq5fM5IYfYhmPsQzN5hI7S5D8HsD7w-HthuZhofto6uF-DNEYBUjLMRPLr0wDVSD0rsufMDR8WNP46iSVj8RBpdJMxmDO6Rp9wBQTKmEw</recordid><startdate>20030830</startdate><enddate>20030830</enddate><creator>Martin, Colin R.</creator><creator>Lewin, Robert J.P.</creator><creator>Thompson, David R.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030830</creationdate><title>A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction</title><author>Martin, Colin R. ; Lewin, Robert J.P. ; Thompson, David R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-d2cc41498be6a9e59ed3a9614b5cc222d24c46a2741100e35f1a652c3a4fc083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - psychology</topic><topic>Biological and medical sciences</topic><topic>Coronary Care Units</topic><topic>Depression - diagnosis</topic><topic>Depression - psychology</topic><topic>England</topic><topic>Factor structure</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospital Anxiety and Depression Scale</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - psychology</topic><topic>Myocardial Infarction - rehabilitation</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics - statistics & numerical data</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychomotor Agitation - diagnosis</topic><topic>Psychomotor Agitation - psychology</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Sick Role</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, Colin R.</creatorcontrib><creatorcontrib>Lewin, Robert J.P.</creatorcontrib><creatorcontrib>Thompson, David R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, Colin R.</au><au>Lewin, Robert J.P.</au><au>Thompson, David R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction</atitle><jtitle>Psychiatry research</jtitle><addtitle>Psychiatry Res</addtitle><date>2003-08-30</date><risdate>2003</risdate><volume>120</volume><issue>1</issue><spage>85</spage><epage>94</epage><pages>85-94</pages><issn>0165-1781</issn><eissn>1872-7123</eissn><coden>PSRSDR</coden><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.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>14500117</pmid><doi>10.1016/S0165-1781(03)00162-8</doi><tpages>10</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Anxiety - diagnosis Anxiety - psychology Biological and medical sciences Coronary Care Units Depression - diagnosis Depression - psychology England Factor structure Female Follow-Up Studies Hospital Anxiety and Depression Scale Humans Male Mass Screening Medical sciences Middle Aged Myocardial infarction Myocardial Infarction - psychology Myocardial Infarction - rehabilitation Personality Inventory - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics - statistics & numerical data Psychometrics. Diagnostic aid systems Psychomotor Agitation - diagnosis Psychomotor Agitation - psychology Psychopathology. Psychiatry Reproducibility of Results Sick Role Techniques and methods |
| title | A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction |
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