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Dimensionality of the Hospital Anxiety and Depression Scale (HADS) in Cardiac Patients: Comparison of Mokken Scale Analysis and Factor Analysis

机译:心脏病患者医院焦虑和抑郁量表(HADS)的维度:Mokken量表分析和因素分析的比较

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摘要

The Hospital Anxiety and Depression Scale (HADS) measures anxiety and depressive symptoms and is widely used in clinical and nonclinical populations. However, there is some debate about the number of dimensions represented by the HADS. In a sample of 534 Dutch cardiac patients, this study examined (a) the dimensionality of the HADS using Mokken scale analysis and factor analysis and (b) the scale properties of the HADS. Mokken scale analysis and factor analysis suggested that three dimensions adequately capture the structure of the HADS. Of the three corresponding scales, two scales of five items each were found to be structurally sound and reliable. These scales covered the two key attributes of anxiety and (anhedonic) depression. The findings suggest that the HADS may be reduced to a 10-item questionnaire comprising two 5-item scales measuring anxiety and depressive symptoms.
机译:医院焦虑和抑郁量表(HADS)可以测量焦虑和抑郁症状,并广泛用于临床和非临床人群。但是,关于HADS代表的维数存在一些争论。在534名荷兰心脏病患者的样本中,本研究检查(a)使用Mokken量表分析和因子分析的HADS的维度,以及(b)HADS的量表性质。 Mokken量表分析和因素分析表明,三个维度足以捕获HADS的结构。在三个相应的量表中,发现两个量表各有五个项目在结构上可靠且可靠。这些量表涵盖了焦虑和(快感)抑郁的两个关键属性。这些发现表明,HADS可以简化为一个包含10个项目的问卷,其中包括两个测量焦虑和抑郁症状的5个项目的量表。

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