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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2006

Open Access 01-12-2006 | Research

Structural ambiguity of the Chinese version of the hospital anxiety and depression scale in patients with coronary heart disease

Authors: Wenru Wang, Violeta Lopez, David Thompson, Colin R Martin

Published in: Health and Quality of Life Outcomes | Issue 1/2006

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Abstract

Background

The Hospital Anxiety and Depression Scale (HADS) is a widely used screening tool designed as a case detector for clinically relevant anxiety and depression. Recent studies of the HADS in coronary heart disease (CHD) patients in European countries suggest it comprises three, rather than two, underlying sub-scale dimensions. The factor structure of the Chinese version of the HADS was evaluated in patients with CHD in mainland China.

Methods

Confirmatory factor analysis (CFA) was conducted on self-report HADS forms from 154 Chinese CHD patients.

Results

Little difference was observed in model fit between best performing three-factor and two-factor models.

Conclusion

The current observations are inconsistent with recent studies highlighting a dominant underlying tri-dimensional structure to the HADS in CHD patients. The Chinese version of the HADS may perform differently to European language versions of the instrument in patients with CHD.
Literature
1.
Chen JZ: Textbook of internal medicine. Tenth edition. Beijing, People's Health Publishing House; 1997.
2.
Health Statistics Information Centre of Ministry of Health PRC: Communique of the People's Republic of China on National Health Care Development from 1997 to 2001. 2003.
3.
Lesperance F, Frasure-Smith N: Depression in patients with cardiac disease: a practical review. J Psychosom Res 2000, 48: 379–391. 10.1016/S0022-3999(99)00102-6PubMedCrossRef
4.
Martin CR, Thompson DR: Depression in coronary heart disease patients: Etiological and screening issues. Current Psychiatry Reviews 2005., in press:
5.
Wang XC, Xiong BW, Chen HJ: Depression and anxiety in patients with coronary heart disease. Chinese Journal of Infrequent Disease 2004, 11: 55–57.
6.
Frasure-Smith N, Lesperance F, Talajic M: Depression and 18-month prognosis after myocardial infarction. Circulation 1995, 91: 999–1005.PubMedCrossRef
7.
Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67: 361–370.PubMedCrossRef
8.
Leung CM, Ho S, Kan CS, Hung CH, Chen CN: Evaluation of the Chinese version of the Hospital Anxiety and Depression Scale. A cross-cultural perspective. Int J Psychosom 1993, 40: 29–34.PubMed
9.
Abiodun OA: A validity study of the Hospital Anxiety and Depression Scale in general hospital units and a community sample in Nigeria. Br J Psychiatry 1994, 165: 669–672.PubMedCrossRef
10.
Mumford DB, Tareen IA, Bajwa MA, Bhatti MR, Karim R: The translation and evaluation of an Urdu version of the Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1991, 83: 81–85.PubMedCrossRef
11.
Malasi TH, Mirza IA, el Islam MF: Validation of the Hospital Anxiety and Depression Scale in Arab patients. Acta Psychiatr Scand 1991, 84: 323–326.PubMedCrossRef
12.
Zheng LL, Wang YL, Li HC: Utility of the Hospital Anxiety and Depression Scale in the general hospital. Shanghai Archives of Psychiatry 2003, 15: 264–266.
13.
Ye WF, Xu JM: An evaluation of the Hospital Anxiety and Depression Scale in the general hospital patients. Chinese Journal of Behavior Medicine 1993, 22: 17.
14.
Xie Y, Wang QS, Pang R, Lan ZY, Zhong L: An exploration of the psychological care for pre-partum anxiety and depression in pregnant women. Chinese Journal of Nurse Training 2005, 2: 24–25.
15.
Lam CL, Pan PC, Chan AW, Chan SY, Munro C: Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese elderly in general practice? Fam Pract 1995, 12: 149–154.PubMedCrossRef
16.
Martin CR: What does the Hospital Anxiety and Depression Scale (HADS) really measure in liaison psychiatry settings? Current Psychiatry Reviews 2005, 1: 69–73. 10.2174/1573400052953510CrossRef
17.
Dunbar M, Ford G, Hunt K, Der G: A confirmatory factor analysis of the Hospital Anxiety and Depression scale: comparing empirically and theoretically derived structures. Br J Clin Psychol 2000, 39 ( Pt 1): 79–94. 10.1348/014466500163121CrossRef
18.
Barth J, Martin CR: Factor structure of the Hospital Anxiety and Depression Scale (HADS) in German coronary heart disease patients. Health Qual Life Outcomes 2005, 3: 15. 10.1186/1477-7525-3-15PubMedCentralPubMedCrossRef
19.
Martin CR, Lewin RJ, Thompson DR: A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction. Psychiatry Res 2003, 120: 85–94. 10.1016/S0165-1781(03)00162-8PubMedCrossRef
20.
Martin CR, Thompson DR, Chan DS: An examination of the psychometric properties of the Hospital Anxiety and Depression Scale in Chinese patients with acute coronary syndrome. Psychiatry Res 2004, 129: 279–288. 10.1016/j.psychres.2004.06.012PubMedCrossRef
21.
Cohen L, Stokhof LH, van der Ploeg HM, Visser FC: Identifying patients recovering from a recent myocardial infarction who require and accept psychological care. Psychol Rep 1996, 79: 1371–1377.PubMedCrossRef
22.
Lewin B, Robertson IH, Cay EL, Irving JB, Campbell M: Effects of self-help post-myocardial-infarction rehabilitation on psychological adjustment and use of health services. Lancet 1992, 339: 1036–1040. 10.1016/0140-6736(92)90547-GPubMedCrossRef
23.
Martin CR, Thompson DR: A psychometric evaluation of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction. Psychology,-Health-and-Medicine 2000 May; Vol 5(2): 193–201 2000, -2011.
24.
Muthen LK, Muthen BO: Mplus Users Guide. Third edition. Los Angeles, C.A., Muthen and Muthen.; 1998.
25.
Moorey S, Greer S, Watson M, Gorman C, Rowden L, Tunmore R, Robertson B, Bliss J: The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. Br J Psychiatry 1991, 158: 255–259.PubMedCrossRef
26.
Friedman S, Samuelian JC, Lancrenon S, Even C, Chiarelli P: Three-dimensional structure of the Hospital Anxiety and Depression Scale in a large French primary care population suffering from major depression. Psychiatry Res 2001, 104: 247–257. 10.1016/S0165-1781(01)00309-2PubMedCrossRef
27.
Razavi D, Delvaux N, Farvacques C, Robaye E: Screening for adjustment disorders and major depressive disorders in cancer in-patients. Br J Psychiatry 1990, 156: 79–83.PubMedCrossRef
28.
Caci H, Bayle FJ, Mattei V, Dossios C, Robert P, Boyer P: How does the Hospital and Anxiety and Depression Scale measure anxiety and depression in healthy subjects? Psychiatry Res 2003, 118: 89–99. 10.1016/S0165-1781(03)00044-1PubMedCrossRef
29.
Snaith RP, Zigmond AS: The Hospital Anxiety and Depression Scale Manual. Windsor, NFER, Nelson; 1994.
30.
Bentler PM, Bonett DG: Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin 1980, 88: 588–606. 10.1037//0033-2909.88.3.588CrossRef
31.
Bentler PM: Comparative fit indexes in structural models. Psychological Bulletin 1988, 107: 238–246. 10.1037/0033-2909.107.2.238CrossRef
32.
Marsh HW, Balla JR, McDonald RP: Goodness-of-fit indices in confirmatory factor analysis: the effect of sample size. Psychological Bulletin 1988, 103: 391–410. 10.1037/0033-2909.103.3.391CrossRef
33.
Kline RB: Principles and Practice of Structural Equation Modeling. New York, Guilford; 1998.
34.
Herrmann C: International experiences with the Hospital Anxiety and Depression Scale--a review of validation data and clinical results. J Psychosom Res 1997, 42: 17–41. 10.1016/S0022-3999(96)00216-4PubMedCrossRef
35.
Zhang LM, He HY: A study on anxiety and depression in elderly patients with coronary heart disease. Chinese Journal of Zhejiang Clinical Medicine 2001, 2: 83–84.
36.
Chang AM, Chau JP, Holroyd E: Translation of questionnaires and issues of equivalence. J Adv Nurs 1999, 29: 316–322. 10.1046/j.1365-2648.1999.00891.xPubMedCrossRef
37.
Yu DS, Lee DT, Woo J: Issues and challenges of instrument translation. West J Nurs Res 2004, 26: 307–320. 10.1177/0193945903260554PubMedCrossRef
Metadata
Title
Structural ambiguity of the Chinese version of the hospital anxiety and depression scale in patients with coronary heart disease
Authors
Wenru Wang
Violeta Lopez
David Thompson
Colin R Martin
Publication date
01-12-2006
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2006
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/1477-7525-4-6

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