liu.seSök publikationer i DiVA
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Is the Hospital Anxiety and Depression Scale (HADS) a valid measure in a general population 65-80 years old? A psychometric evaluation study
Linnaeus University, Sweden.
Linnaeus University, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Linnaeus University, Sweden; Kalmar County Hospital, Sweden.
2017 (Engelska)Ingår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 15, artikel-id 193Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: The HADS (Hospital Anxiety and Depression Scale) aims to measure symptoms of anxiety (HADS Anxiety) and depression (HADS Depression). The HADS is widely used but has shown ambiguous results both regarding the factor structure and sex differences in the prevalence of depressive symptoms. There is also a lack of psychometric evaluations of the HADS in non-clinical samples of older people. The aim of the study was to evaluate the factor structure of the HADS in a general population 65-80 years old and to exam possible presence of differential item functioning (DIF) with respect to sex. Methods: This study was based on data from a Swedish sample, randomized from the total population in the age group 65-80 years (n = 6659). Confirmatory factor analyses (CFA) were performed to examine the factor structure. Ordinal regression analyses were conducted to detect DIF for sex. Reliability was examined by both ordinal as well as traditional Cronbachs alpha. Results: The CFA showed a two-factor model with cross-loadings for two items (7 and 8) had excellent model fit. Internal consistency was good in both subscales, measured with ordinal and traditional alpha. Floor effects were presented for all items. No indication for meaningful DIF regarding sex was found for any of the subscales. Conclusions: HADS Anxiety and HADS Depression are unidimensional measures with acceptable internal consistency and are invariant with regard to sex. Despite pronounced ceiling effects and cross-loadings for item 7 and 8, the hypothesized two-factor model of HADS can be recommended to assess psychological distress among a general population 65-80 years old.

Ort, förlag, år, upplaga, sidor
BIOMED CENTRAL LTD , 2017. Vol. 15, artikel-id 193
Nyckelord [en]
Validation; Psychometric; Elderly; Anxiety; Depression
Nationell ämneskategori
Psykiatri
Identifikatorer
URN: urn:nbn:se:liu:diva-142152DOI: 10.1186/s12955-017-0759-9ISI: 000412833800001PubMedID: 28978356OAI: oai:DiVA.org:liu-142152DiVA, id: diva2:1151694
Tillgänglig från: 2017-10-24 Skapad: 2017-10-24 Senast uppdaterad: 2017-11-29

Open Access i DiVA

fulltext(579 kB)139 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 579 kBChecksumma SHA-512
aa4c11e136bfc6f1f40e60ae6c8bfb8c4be84f3a9c592af2a271cbdbe38e046ffdee24a80a501c982c4f9adb92b04c5f52a572afcfaa38802074d6f976c09d3a
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMed

Sök vidare i DiVA

Av författaren/redaktören
Årestedt, Kristofer
Av organisationen
Avdelningen för omvårdnadMedicinska fakulteten
I samma tidskrift
Health and Quality of Life Outcomes
Psykiatri

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 139 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 193 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf