Academic Journal
View in EDS

Rasch analysis of the Hospital Anxiety and Depression Scale (HADS) in patients with major depression.

Bibliographic Details
Title: Rasch analysis of the Hospital Anxiety and Depression Scale (HADS) in patients with major depression.
Alternate Title: Análisis de Rasch de la Escala Hospitalaria de Ansiedad y Depresión (Hospital Anxiety and Depression Scale, HADS) en pacientes con depresión mayor.
Authors: Xiao-Jie Huang1, Hai-Yan Ma2, Xue-Mei Wang3, Jing Zhong1, Yu-Qi Chen1, Ming-Zhi Xu1 xumingzhi@gdph.org.cn
Source: Anales de Psicología. oct-dec2023, Vol. 39 Issue 3, p395-404. 10p.
Subject Terms: *ITEM response theory, *MENTAL depression, *HEALTH outcome assessment, *MEDICAL care, *PSYCHOMETRICS, *RASCH models, *MEDICAL practice, *PSYCHOLOGICAL distress
Abstract (English): The Hospital Anxiety and Depression Scale (HADS) is a widely used screening tool for depression and anxiety in patients with medical illnesses. This study aimed to explore the psychometric properties of the HADS in screening for patients with major depression using item response theory method. A total of 460 patients with major depression completed the HADS. Rasch analyses were used to examine unidimensionality, item fit, local dependency, reliability, ordering of categories, differential item functioning (DIF) and targeting. The HADS showed a two-dimensional construct. All items fit the Rasch model. Three pairs of items showed minor but inconsiderate local dependency. Both subscales had acceptable reliability. None of the items displayed disordered categories or DIF. All items were well targeted, and participants with high and low levels of distress were less targeted than those with moderate levels of distress. Finally, a conversion table to transform the raw scores into interval measures was generated. The HADS demonstrated adequate psychometric properties in assessing depression and anxiety in patients with major depression. It was more appropriate for assessing moderate than high or low levels of distress. The conversion table can be used for more precise measurement. These results may pave the way for efficient and sensitive methods of analyzing depression symptom response in research and in clinical practice. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): La Hospital Anxiety and Depression Scale (HADS) [Escala Hospitalaria de Ansiedad y Depresión] es una herramienta ampliamente utilizada para detección de la depresión y la ansiedad en pacientes con enfermedades médicas. Este estudio tuvo como objetivo explorar las propiedades psicométricas de la HADS en la detección de pacientes con depresión mayor utilizando el método de la teoría de respuesta al ítem. Un total de 460 pacientes con depresión mayor completaron el HADS. Se utilizó el análisis de Rasch para examinar la unidimensionalidad, el ajuste de los ítems, la dependencia local, la confiabilidad, el orden de las categorías, el funcionamiento diferencial de los ítems (DIF) y la focalización. La HADS mostró una construcción bidimensional. Todos los ítems se ajustaban al modelo de Rasch. Tres pares de ítems mostraron una dependencia local menor pero desconsiderada. Ambas subescalas tuvieron una confiabilidad aceptable. Ninguno de los ítems mostró categorías desordenadas o DIF. Todos los ítems estaban bien dirigidos y los participantes con niveles altos y bajos de angustia fueron menos objetivo que aquellos con niveles moderados de angustia. Finalmente, se generó una tabla de conversión para transformar las puntuaciones brutas en medidas de intervalo. El HADS demostró propiedades psicométricas adecuadas para evaluar la depresión y la ansiedad en pacientes con depresión mayor. Fue más apropiado para evaluar niveles de angustia moderados que altos o bajos. La tabla de conversión se puede utilizar para una medición más precisa. Estos resultados pueden allanar el camino para métodos eficientes y sensibles para analizar la respuesta a los síntomas de depresión en la investigación y en la práctica clínica. [ABSTRACT FROM AUTHOR]
Copyright of Anales de Psicología is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Academic Search Complete
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:a9h&genre=article&issn=02129728&ISBN=&volume=39&issue=3&date=20231001&spage=395&pages=395-404&title=Anales de Psicología&atitle=Rasch%20analysis%20of%20the%20Hospital%20Anxiety%20and%20Depression%20Scale%20%28HADS%29%20in%20patients%20with%20major%20depression.&aulast=Xiao-Jie%20Huang&id=DOI:10.6018/analesps.550551
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
Header DbId: a9h
DbLabel: Academic Search Complete
An: 173574139
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Rasch analysis of the Hospital Anxiety and Depression Scale (HADS) in patients with major depression.
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: Análisis de Rasch de la Escala Hospitalaria de Ansiedad y Depresión (Hospital Anxiety and Depression Scale, HADS) en pacientes con depresión mayor.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Xiao-Jie+Huang%22">Xiao-Jie Huang</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hai-Yan+Ma%22">Hai-Yan Ma</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Xue-Mei+Wang%22">Xue-Mei Wang</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Jing+Zhong%22">Jing Zhong</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Yu-Qi+Chen%22">Yu-Qi Chen</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ming-Zhi+Xu%22">Ming-Zhi Xu</searchLink><relatesTo>1</relatesTo><i> xumingzhi@gdph.org.cn</i>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Anales+de+Psicología%22">Anales de Psicología</searchLink>. oct-dec2023, Vol. 39 Issue 3, p395-404. 10p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22ITEM+response+theory%22">ITEM response theory</searchLink><br />*<searchLink fieldCode="DE" term="%22MENTAL+depression%22">MENTAL depression</searchLink><br />*<searchLink fieldCode="DE" term="%22HEALTH+outcome+assessment%22">HEALTH outcome assessment</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br />*<searchLink fieldCode="DE" term="%22PSYCHOMETRICS%22">PSYCHOMETRICS</searchLink><br />*<searchLink fieldCode="DE" term="%22RASCH+models%22">RASCH models</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+practice%22">MEDICAL practice</searchLink><br />*<searchLink fieldCode="DE" term="%22PSYCHOLOGICAL+distress%22">PSYCHOLOGICAL distress</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The Hospital Anxiety and Depression Scale (HADS) is a widely used screening tool for depression and anxiety in patients with medical illnesses. This study aimed to explore the psychometric properties of the HADS in screening for patients with major depression using item response theory method. A total of 460 patients with major depression completed the HADS. Rasch analyses were used to examine unidimensionality, item fit, local dependency, reliability, ordering of categories, differential item functioning (DIF) and targeting. The HADS showed a two-dimensional construct. All items fit the Rasch model. Three pairs of items showed minor but inconsiderate local dependency. Both subscales had acceptable reliability. None of the items displayed disordered categories or DIF. All items were well targeted, and participants with high and low levels of distress were less targeted than those with moderate levels of distress. Finally, a conversion table to transform the raw scores into interval measures was generated. The HADS demonstrated adequate psychometric properties in assessing depression and anxiety in patients with major depression. It was more appropriate for assessing moderate than high or low levels of distress. The conversion table can be used for more precise measurement. These results may pave the way for efficient and sensitive methods of analyzing depression symptom response in research and in clinical practice. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: La Hospital Anxiety and Depression Scale (HADS) [Escala Hospitalaria de Ansiedad y Depresión] es una herramienta ampliamente utilizada para detección de la depresión y la ansiedad en pacientes con enfermedades médicas. Este estudio tuvo como objetivo explorar las propiedades psicométricas de la HADS en la detección de pacientes con depresión mayor utilizando el método de la teoría de respuesta al ítem. Un total de 460 pacientes con depresión mayor completaron el HADS. Se utilizó el análisis de Rasch para examinar la unidimensionalidad, el ajuste de los ítems, la dependencia local, la confiabilidad, el orden de las categorías, el funcionamiento diferencial de los ítems (DIF) y la focalización. La HADS mostró una construcción bidimensional. Todos los ítems se ajustaban al modelo de Rasch. Tres pares de ítems mostraron una dependencia local menor pero desconsiderada. Ambas subescalas tuvieron una confiabilidad aceptable. Ninguno de los ítems mostró categorías desordenadas o DIF. Todos los ítems estaban bien dirigidos y los participantes con niveles altos y bajos de angustia fueron menos objetivo que aquellos con niveles moderados de angustia. Finalmente, se generó una tabla de conversión para transformar las puntuaciones brutas en medidas de intervalo. El HADS demostró propiedades psicométricas adecuadas para evaluar la depresión y la ansiedad en pacientes con depresión mayor. Fue más apropiado para evaluar niveles de angustia moderados que altos o bajos. La tabla de conversión se puede utilizar para una medición más precisa. Estos resultados pueden allanar el camino para métodos eficientes y sensibles para analizar la respuesta a los síntomas de depresión en la investigación y en la práctica clínica. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Anales de Psicología is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=a9h&AN=173574139
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.6018/analesps.550551
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 395
    Subjects:
      – SubjectFull: ITEM response theory
        Type: general
      – SubjectFull: MENTAL depression
        Type: general
      – SubjectFull: HEALTH outcome assessment
        Type: general
      – SubjectFull: MEDICAL care
        Type: general
      – SubjectFull: PSYCHOMETRICS
        Type: general
      – SubjectFull: RASCH models
        Type: general
      – SubjectFull: MEDICAL practice
        Type: general
      – SubjectFull: PSYCHOLOGICAL distress
        Type: general
    Titles:
      – TitleFull: Rasch analysis of the Hospital Anxiety and Depression Scale (HADS) in patients with major depression.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Xiao-Jie Huang
      – PersonEntity:
          Name:
            NameFull: Hai-Yan Ma
      – PersonEntity:
          Name:
            NameFull: Xue-Mei Wang
      – PersonEntity:
          Name:
            NameFull: Jing Zhong
      – PersonEntity:
          Name:
            NameFull: Yu-Qi Chen
      – PersonEntity:
          Name:
            NameFull: Ming-Zhi Xu
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: oct-dec2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 02129728
          Numbering:
            – Type: volume
              Value: 39
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Anales de Psicología
              Type: main
ResultId 1