Factor analyses of the Hospital Anxiety and Depression Scale: A Bayesian structural equation modeling approach

FongT.C.T.; HoR.T.H.

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Factor analyses of the Hospital Anxiety and Depression Scale: A Bayesian structural equation modeling approach

机译：Factor analyses of the Hospital Anxiety and Depression Scale: A Bayesian structural equation modeling approach

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Purpose The latent structure of the Hospital Anxiety and Depression Scale (HADS) has caused inconsistent results in the literature. The HADS is frequently analyzed via maximum likelihood confirmatory factor analysis (ML-CFA). However, the overly restrictive assumption of exact zero cross-loadings and residual correlations in ML-CFA can lead to poor model fits and distorted factor structures. This study applied Bayesian structural equation modeling (BSEM) to evaluate the latent structure of the HADS. Methods Three a priori models, the two-factor, threefactor, and bifactor models, were investigated in a Chinese community sample (N = 312) and clinical sample (N = 198) using ML-CFA and BSEM. BSEM specified approximate zero cross-loadings and residual correlations through the use of zero-mean, small-variance informative priors. The model comparison was based on the Bayesian information criterion (BIC). Results Using ML-CFA, none of the three models provided an adequate fit for either sample. The BSEM twofactor model with approximate zero cross-loadings and residual correlations fitted both samples well with the lowest BIC of the three models and displayed a simple and parsimonious factor-loading pattern. Conclusions The study demonstrated that the two-factor structure fitted the HADS well, suggesting its usefulness in assessing the symptoms of anxiety and depression in clinical practice. BSEM is a sophisticated and flexible statistical technique that better reflects substantive theories and locates the source of model misfit. Future use of BSEM is recommended to evaluate the latent structure of other psychological instruments.

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《Quality of life research: An international journal of quality of life aspects of treatment, care and rehabilitation》 |2013年第10期|2857-2863|共7页
作者
FongT.C.T.; HoR.T.H.;
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Centre on Behavioral Health, University of Hong Kong, 2/F, Hong Kong Jockey Club Building for;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Bayesian structural equation modeling; Confirmatory factor analysis; Hospital Anxiety and Depression Scale (HADS); Informative priors; Maximum likelihood;

Factor analyses of the Hospital Anxiety and Depression Scale: A Bayesian structural equation modeling approach

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