A psychometric evaluation of the Hospital Anxiety and Depression Scale in cardiac patients: Addressing factor structure and gender invariance

被引:38
作者
Hunt-Shanks, Tiffany [1 ]
Blanchard, Christopher [2 ]
Reid, Robert [3 ]
Fortier, Michelle [4 ]
Cappelli, Mario [5 ]
机构
[1] Univ Ottawa, Sch Psychol, Ottawa, ON K1N 6N5, Canada
[2] Dalhousie Univ, Dept Med, QEII Hlth Sci Ctr, Halifax, NS, Canada
[3] Univ Ottawa, Inst Heart, Minto Prevent & Rehabil Ctr, Ottawa, ON K1N 6N5, Canada
[4] Univ Ottawa, Sch Human Kinet, Ottawa, ON K1N 6N5, Canada
[5] Univ Ottawa, Childrens Hosp Eastern Ontario, Ottawa, ON K1N 6N5, Canada
关键词
CORONARY-HEART-DISEASE; CONFIRMATORY FACTOR-ANALYSIS; GOODNESS-OF-FIT; MYOCARDIAL-INFARCTION; TRIPARTITE MODEL; RISK-FACTOR; PROGNOSIS; HEALTH; REHABILITATION; MORTALITY;
D O I
10.1348/135910709X432745
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objectives. The present study examined the factor structure of the Hospital Anxiety and Depression Scale ( HADS) and tested measurement invariance between genders in a representative sample of cardiac patients across 2 years. Design. Confirmatory factor analysis and structural equational modelling were used to assess the factor structure, measurement, and structural invariance of the HADS. Methods. Eight hundred and one cardiac patients completed the HADS at baseline, 6, 12, and 24 months. Results. Confirmatory factor analysis consistently supported a three-factor structure of the HADS, with the best fitting model comprised of negative affect, autonomic anxiety, and depression. Structural equation modelling showed that the HADS was invariant by gender among cardiac patients. Conclusions. The HADS can be appropriately used with both male and female cardiac patients to assess three domains of psychological distress. Future investigations should consider the predictive validity and relevance of the HADS subscales with respect to diagnostic distinctions and clinical outcomes among cardiac patients and other clinical populations.
引用
收藏
页码:97 / 114
页数:18
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