Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
BackgroundAlthough the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients.MethodsOur study was cross-sectional and...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497946/full |
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| author | Ana L. Vilela-Estrada Ana L. Vilela-Estrada David Villarreal-Zegarra Anthony Copez-Lonzoy Loida Esenarro-Valencia Loida Esenarro-Valencia Loida Esenarro-Valencia José C. Sánchez-Ramírez José C. Sánchez-Ramírez Fernando Lamas-Delgado Fernando Lamas-Delgado Fernando Lamas-Delgado Juan Ambrosio-Melgarejo C. Mahony Reategui-Rivera Joseph Finkelstein |
| author_facet | Ana L. Vilela-Estrada Ana L. Vilela-Estrada David Villarreal-Zegarra Anthony Copez-Lonzoy Loida Esenarro-Valencia Loida Esenarro-Valencia Loida Esenarro-Valencia José C. Sánchez-Ramírez José C. Sánchez-Ramírez Fernando Lamas-Delgado Fernando Lamas-Delgado Fernando Lamas-Delgado Juan Ambrosio-Melgarejo C. Mahony Reategui-Rivera Joseph Finkelstein |
| author_sort | Ana L. Vilela-Estrada |
| collection | DOAJ |
| description | BackgroundAlthough the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients.MethodsOur study was cross-sectional and non-probabilistic. It involved 467 cancer patients aged 18 years and over, who were treated at a public institution specialized in oncology. The Hospital Anxiety and Depression Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were used. We evaluated their internal structure, measurement invariance, relationship with other variables, and reliability.ResultsIt was found that the HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). The HADS demonstrates invariance with respect to sex and years of education. It shows a moderate correlation with the Beck Anxiety Inventory and the Beck Depression Inventory. In addition, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression.ConclusionThe HADS is best suited to a bifactorial structure in cancer populations, with comparisons across both sexes and varying levels of education. Its brevity, versatility, hospital-focused design, and extensive validation make the HADS a very important instrument in the detection of anxiety and depression in cancer patients. |
| format | Article |
| id | doaj-art-e0ceeca2df844aa2b8f02ca154d3a925 |
| institution | Kabale University |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj-art-e0ceeca2df844aa2b8f02ca154d3a9252025-01-29T14:44:24ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011510.3389/fpsyg.2024.14979461497946Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patientsAna L. Vilela-Estrada0Ana L. Vilela-Estrada1David Villarreal-Zegarra2Anthony Copez-Lonzoy3Loida Esenarro-Valencia4Loida Esenarro-Valencia5Loida Esenarro-Valencia6José C. Sánchez-Ramírez7José C. Sánchez-Ramírez8Fernando Lamas-Delgado9Fernando Lamas-Delgado10Fernando Lamas-Delgado11Juan Ambrosio-Melgarejo12C. Mahony Reategui-Rivera13Joseph Finkelstein14CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, PeruInstituto Peruano de Orientación Psicológica, Lima, PeruDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United StatesUnidad de Investigación en Bibliometría, Universidad San Ignacio de Loyola, Lima, PeruInstituto Nacional de Enfermedades Neoplásicas, Lima, PeruEscuela de Posgrado, Universidad Peruana Unión, Lima, PeruInstituto de Neuropsicología y Demencias, Lima, PeruInstituto Nacional de Enfermedades Neoplásicas, Lima, PeruUniversidad de Lima, Lima, PeruInstituto Nacional de Enfermedades Neoplásicas, Lima, PeruEscuela de Posgrado, Universidad Peruana Unión, Lima, PeruFacultad de Ciencias de la Salud, Universidad SanIgnacio de Loyola, Lima, Peru0National Institute of Health (Peru), Lima, PeruDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United StatesDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United StatesBackgroundAlthough the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients.MethodsOur study was cross-sectional and non-probabilistic. It involved 467 cancer patients aged 18 years and over, who were treated at a public institution specialized in oncology. The Hospital Anxiety and Depression Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were used. We evaluated their internal structure, measurement invariance, relationship with other variables, and reliability.ResultsIt was found that the HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). The HADS demonstrates invariance with respect to sex and years of education. It shows a moderate correlation with the Beck Anxiety Inventory and the Beck Depression Inventory. In addition, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression.ConclusionThe HADS is best suited to a bifactorial structure in cancer populations, with comparisons across both sexes and varying levels of education. Its brevity, versatility, hospital-focused design, and extensive validation make the HADS a very important instrument in the detection of anxiety and depression in cancer patients.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497946/fulldepressionanxietycancerpsychometricsPeruhospitals |
| spellingShingle | Ana L. Vilela-Estrada Ana L. Vilela-Estrada David Villarreal-Zegarra Anthony Copez-Lonzoy Loida Esenarro-Valencia Loida Esenarro-Valencia Loida Esenarro-Valencia José C. Sánchez-Ramírez José C. Sánchez-Ramírez Fernando Lamas-Delgado Fernando Lamas-Delgado Fernando Lamas-Delgado Juan Ambrosio-Melgarejo C. Mahony Reategui-Rivera Joseph Finkelstein Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients Frontiers in Psychology depression anxiety cancer psychometrics Peru hospitals |
| title | Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients |
| title_full | Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients |
| title_fullStr | Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients |
| title_full_unstemmed | Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients |
| title_short | Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients |
| title_sort | psychometric properties of the spanish version of the hospital anxiety and depression scale in cancer patients |
| topic | depression anxiety cancer psychometrics Peru hospitals |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1497946/full |
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