Structure and invariance of the Hospital Anxiety Depression Scale (HADS)  in adolescents

André Faro; Ludgleydson Fernandes de Araújo; Silvana  Carneiro Maciel; Tiago Jessé  Souza de Lima; Luana Elayne  Cunha de Souza

doi:10.22235/cp.v15i2.2069

Autores/as

André Faro Federal University of Sergipe, Brazil https://orcid.org/0000-0002-7348-6297
Ludgleydson Fernandes de Araújo Universidade Federal do Piauí (UFPI) http://orcid.org/0000-0003-4486-7565
Silvana Carneiro Maciel Universidade Federal da Paraíba (UFPB) http://orcid.org/0000-0003-1489-1126
Tiago Jessé Souza de Lima Universidade de Brasília (UnB) https://orcid.org/0000-0001-8840-4285
Luana Elayne Cunha de Souza Universidade de Fortaleza (Unifor) https://orcid.org/0000-0001-9425-9598

DOI:

https://doi.org/10.22235/cp.v15i2.2069

Palabras clave:

ansiedad, depresión , análisis factorial confirmatorio, invarianza de medición, adolescentes

Resumen

El principal objetivo del presente estudio fue evaluar la estructura factorial y la invarianza de género de la Escala de Ansiedad y Depresión Hospitalaria (Hospital Anxiety Depression Scale, HADS) en una muestra no clínica de 657 adolescentes (M edad = 16.3; DE = 1.19). El diseño de pesquisa fue una investigación instrumental, basada en una encuesta transversal con una muestra de adolescentes en Brasil. Los resultados mostraron evidencias satisfactorias de la validez de la estructura factorial y de la invarianza de género para este público. La confiabilidad compuesta también fue satisfactoria, así como no se detectaron problemas relacionados con el sesgo del método común. La media de la varianza explicada de los ítems fue de .31 (31 %), con un alfa de Cronbach de .84 para la escala total, .81 y .69 para las subescalas de ansiedad y depresión, respectivamente. En la discusión, se analizan preguntas relacionadas con la varianza promedio extraída de la escala, que resultó debajo de las expectativas iniciales. Se concluye que los hallazgos actuales brindan evidencias de validez a la aplicación de la HADS con adolescentes brasileños, sea con fines clínicos o de investigación científica.

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Annunziata, M.A., Muzzatti, B., & Altoè, G. (2011). Defining Hospital Anxiety and Depression Scale (HADS) structure by confirmatory factor analysis: A contribution to validation for oncological settings. Annals of Oncology, 22, 2330-2333.

Ayis, S.A, Ayerbe, L., Ashworth, M., & Wolfe, C.D.A. (2018). Evaluation of the Hospital Anxiety and Depression Scale (HADS) in screening stroke patients for symptoms: Item Response Theory (IRT). Journal of Affective Disorders, 228, 33-40. doi: 10.1016/j.jad.2017.11.037

Bjelland, I., Dahl, A.A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An update literature review. Journal of Psychosomatic Research, 52, 69-77.

Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Júnior, C., & Pereira, W. A. (1995). Mood disorders among medical in-patients: A validation study of the hospital anxiety and depression scale (HAD) [Transtornos do humor em enfermaria de clínica média e validação de escala de medida (HAD) de ansiedade e depressão]. Revista de Saúde Pública, 29, 355-363.

Bulhões, C., Ramos, E., Severo, M., Dias, S., & Barros, H. (2017). Measuring depressive symptoms during adolescence: What is the role of gender? Epidemiology and Psychiatric Sciences, 28,1-11. doi: 10.1017/S2045796017000312

Cavanagh, A., Wilson, C.J., & Kavanagh, D.J. (2017). Differences in the expression of symptoms in men versus women with depression: A systematic review and meta-analysis. Harvard Review of Psychiatry, 25(1), 29-38. doi: 10.1097/HRP.0000000000000128.

Chan, Y. F., Leung, D. Y., Fong, D. Y., Leung, C. M., & Lee, A. M. (2010). Psychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong. Quality of Life Research, 19(6), 865-873. doi: 10.1007/s11136-010-9645-1

Cosco, T. D., Doyle, F., Ward, M., & McGee, H. (2012). Latent structure of the Hospital Anxiety and Depression Scale: A 10-year systematic review. Journal of Psychosomatic Research, 72, 180-184. doi:10.1016/j.jpsychores.2011.06.008

Crawford, J. R., Henry, J. D., Crombie, C., & Taylor, E. P. (2001). Normative data for the HADS from a large non‐clinical sample. British Journal of Clinical Psychology, 40(4), 429-434. doi:10.1348/014466501163904

Djukanovic, I., Carlsson, J., & Årestedt, K. (2017). Is the Hospital Anxiety and Depression Scale (HADS) a valid measure in a general population 65-80 years old? A psychometric evaluation study. Health and Quality of Life Outcomes, 15(1), 193-203. doi: 10.1186/s12955-017-0759-9

Eysenck M. W., & Fajkowska, M. (2017). Anxiety and depression: Toward overlapping and distinctive features. Cognition & Emotion, 9931, 1-10. doi: 10.1080/02699931.2017.1330255

Faro, A. (2015). Confirmatory factor analysis and standardization of the Hospital Anxiety and Depression Scale (HADS) [Análise fatorial confirmatória e normatização da Hospital Anxiety and Depression Scale (HADS)]. Psicologia: Teoria e Pesquisa, 31(3), 349-353. doi: 10.1590/0102-37722015032072349353

Fornell, C., & Larcker, D. F. (1981). Evaluating structural equations models with unobservable variables and measurement error. Journal of Marketing, 18, 39-50.

Fredrick, S.S., Demaray, M.K., Malecki, C.K., & Dorio, N.B. (2018). Can social support buffer the association between depression and suicidal ideation in adolescent boys and girls? Psychology in the Schools, 55, 490-505. doi: 10.1002/pits.22125

Hammen, C. (2018). Risk factors for depression: An autobiographical review. Annual Review of Clinical Psychology, 14, 1-28. doi: 10.1146/annurev-clinpsy-050817-084811

Haugan, G., & Drageset, J. (2014). The Hospital Anxiety and Depression Scale: Dimensionality, reliability and construct validity among cognitively intact nursing home patients. Journal of Affective Disorders, 165, 8-15. doi: 10.1016/j.jad.2014.04.042

Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale-a review of validation data and clinical results. Journal of psychosomatic research, 42(1), 17-41. doi: 10.1016/S0022-3999(96)00216-4

Krause, E. D., Vélez, C. E., Woo, R., Hoffmann, B., Freres, D. R., Abenavoli, R. M., & Gillham, J. E. (2018). Rumination, depression, and gender in early adolescence: A longitudinal study of a bidirectional model. The Journal of Early Adolescence, 38(7), 923-946. doi: 10.1177/0272431617704956

Lin, C.-Y., & Pakpour, A. H. (2017). Using Hospital Anxiety and Depression Scale (HADS) on patients with epilepsy: Confirmatory factor analysis and Rasch models. Seizure: European Journal of Epilepsy, 45, 42-46. doi: 10.1016/j.seizure.2016.11.019

Lin, X., Chen, Z., Jin, L., Gao, W., Qu, B., Zuo, Y., Liu, R., & Yu, M. (2017). Rasch analysis of the Hospital Anxiety and Depression Scale among Chinese cataract patients. PloS One, 12(9), e0185287. doi: 10.1371/journal.pone.0185287

LoMartire, R., Ang, B.O., Gerdle, B. & Vixner, L. (2019). Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain, 00, 1-13. doi: 10.1097/j.pain.0000000000001700

Lopes, C. S., Abreu, G. D. A., Santos, D. F. D., Menezes, P. R., Carvalho, K. M. B. D., Cunha, C. D. F., ... & Szklo, M. (2016). ERICA: Prevalence of common mental disorders in Brazilian adolescentes. Revista de Saúde Pública, 50, 14s. doi: 10.1590/S01518-8787.2016050006690

Malhotra, N. K. (2011). Marketing Research: An applied Orientation. NJ: Pearson Education.

Marôco, J. (2014). Análise de equações estruturais: Fundamentos teóricos, software e aplicação. Pêro Pinheiro, Portugal: ReportNumber.

Mihalca, A. M., & Pilecka, W. (2015). The factorial structure and validity of the Hospital Anxiety and Depression Scale (HADS) in Polish adolescents. Psychiatria Polska, 49(5), 1071-1088. doi: 10.12740/PP/38139.

Nezlek, J.B., Rusanowska, M., Holas, P., & Kreptz, I. (2019). The factor structure of a Polish language version of the Hospital Anxiety Depression Scale (HADS). Current Psychology. doi: 10.1007/s12144-019-0164-0

Podsakoff, P. M., MacKenzie, S.B., & Podsakoff, N.P. (2012). Sources of method bias in social science research and recommendations on how to control it. Annual Review of Psychology, 63, 539-569.doi: 10.1146/annurev-psych-120710-100452

Roberts, M. H., Fletcher, R. B., & Merrick, P. L. (2014). The validity and clinical utility of the hospital anxiety and depression scale (HADS) with older adult New Zealanders. International Psychogeriatrics, 26, 325-333. doi: 10.1017/S104161021300197X

Salk, R.H., Hyde, J.S., & Abramson, L.Y. (2017). Gender differences in depression in representative national samples: Meta‐analyses of diagnoses and symptoms. Psychological Bulletin, 143, 783-822. doi: 10.1037/bul0000102

Stott, J., Spector, A., Orrell, M., Scior, K., Sweeney, J., & Charlesworth, G. (2017). Limited validity of the Hospital Anxiety and Depression Scale (HADS) in dementia: Evidence from a confirmatory factor analysis. International Journal of Geriatric Psychiatry, 32, 805-813. doi: 10.1002/gps.4530

Valentini, F., & Damásio, B. F. (2016). Average variance extracted and composite reliability: Reliability coefficients [Variância média extraída e confiabilidade composta: Indicadores de precisão]. Psicologia: Teoria e Pesquisa, 32(2), e322225. doi: 10.1590/0102-3772e322225

Westhoff-Bleck, M., Winter, L., Aguirre Davila, L., Herrmann-Lingen, C., Treptau, J., Bauersachs, J., Bleich, S., & Kahl, K.G. (2019). Diagnostic evaluation of the Hospital Depression Scale (HADS) and the Beck-Depression Inventory-II (BDI-II) in adults with congenital heart disease using structured clinical interview: Impact of depression severity. European Journal of Preventive Cardiology, 0, doi: 10.1177/2047487319865055