A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction

Colin R. Martin; Robert J.P. Lewin; David, R. Thompson

doi:10.1016/S0165-1781(03)00162-8

A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction

Colin R. Martin^*, Robert J.P. Lewin, David, R. Thompson

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

95 Citations (Scopus)

Abstract

The utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for coronary care patients following acute myocardial infarction (MI) was investigated. A confirmatory factor analysis was conducted on the HADS to determine its psychometric properties in 335 MI patients over three observation points (1 week, 6 weeks and 6 months). Internal and test-retest reliabilities of the HADS total and HADS sub-scale scores were generally found to be acceptable. The underlying factor structure of the HADS comprised three distinct factors. Support was found for the use of the HADS sub-scales to assess dimensions of anhedonia, psychic anxiety and psychomotor agitation. The HADS may be a useful screening instrument to assess post-MI patients for symptoms of psychological distress. Further research is required to determine the three-factor structure of the HADS in other clinical groups.

Original language	English
Pages (from-to)	85-94
Number of pages	10
Journal	Psychiatry Research
Volume	120
Issue number	1
DOIs	https://doi.org/10.1016/S0165-1781(03)00162-8
Publication status	Published - 30 Aug 2003

Keywords

Factor structure
Hospital Anxiety and Depression Scale
Myocardial infarction

ASJC Scopus subject areas

Psychiatry and Mental health
Biological Psychiatry

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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A confirmatory factor analysis of the Hospital Anxiety and Depression Scale in coronary care patients following acute myocardial infarction

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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