Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women
Maki Ogawa,1 Yuichiro Watanabe,1 Takaharu Motegi,1 Naoki Fukui,1 Koyo Hashijiri,1 Ryusuke Tsuboya,1 Takuro Sugai,1 Jun Egawa,1 Rie Araki,2 Kazufumi Haino,3 Masayuki Yamaguchi,3 Koji Nishijima,4 Takayuki Enomoto,3 Toshiyuki Someya1 1Department of Psychiatry, Niigata University Graduate School of Medi...
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Dove Medical Press
2021
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oai:doaj.org-article:12116fc7a3c74a6497386273f33b1f292021-12-02T12:45:19ZFactor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women1178-2021https://doaj.org/article/12116fc7a3c74a6497386273f33b1f292021-01-01T00:00:00Zhttps://www.dovepress.com/factor-structure-and-measurement-invariance-of-the-hospital-anxiety-an-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Maki Ogawa,1 Yuichiro Watanabe,1 Takaharu Motegi,1 Naoki Fukui,1 Koyo Hashijiri,1 Ryusuke Tsuboya,1 Takuro Sugai,1 Jun Egawa,1 Rie Araki,2 Kazufumi Haino,3 Masayuki Yamaguchi,3 Koji Nishijima,4 Takayuki Enomoto,3 Toshiyuki Someya1 1Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan; 2Nursing, Niigata University Medical and Dental Hospital, Niigata, Japan; 3Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan; 4General Center for Perinatal, Maternal and Neonatal Medicine, Niigata University Medical and Dental Hospital, Niigata, JapanCorrespondence: Yuichiro WatanabeDepartment of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, 757 Asahimachidori-Ichibancho, Chuo-ku, Niigata 951-8510, JapanTel +81-25-227-2213Fax +81-25-227-0777Email yuichiro@med.niigata-u.ac.jpPurpose: The Hospital Anxiety and Depression Scale (HADS) is a self-report questionnaire widely used to assess anxiety and depression. To the best of our knowledge, only four studies have examined the factor structure of the HADS for assessing pregnant women, with conflicting results. This study aimed to assess the factor structure and measurement invariance of the HADS for use with pregnant Japanese women.Participants and Methods: A total of 936 pregnant Japanese women completed the HADS questionnaire at three time points: the first and third trimester of pregnancy, and postpartum. We examined the factor structure of the HADS in Group 1 (n = 466) using exploratory factor analysis (EFA). We then compared the models identified in Group 1 with those from previous studies using confirmatory factor analysis (CFA) in Group 2 (n = 470). We performed multiple-group CFA for Group 2 to test the measurement invariance of the best-fit model across the three time points.Results: The EFA for the Group 1 data at the three time points revealed a two-factor model. In the CFA, the two-factor model from Group 1 showed the best fit with the data at the three time points. In the multiple-group CFA for Group 2, we confirmed the configural and metric invariance of the two-factor model across the three time points.Conclusion: Our findings provide evidence for a two-factor structure and weak measurement invariance of the HADS in pregnant Japanese women during the peripartum period.Keywords: confirmatory factor analysis, exploratory factor analysis, Hospital Anxiety and Depression ScaleOgawa MWatanabe YMotegi TFukui NHashijiri KTsuboya RSugai TEgawa JAraki RHaino KYamaguchi MNishijima KEnomoto TSomeya TDove Medical Pressarticleconfirmatory factor analysisexploratory factor analysishospital anxiety and depression scaleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 221-227 (2021) |
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DOAJ |
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confirmatory factor analysis exploratory factor analysis hospital anxiety and depression scale Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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confirmatory factor analysis exploratory factor analysis hospital anxiety and depression scale Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ogawa M Watanabe Y Motegi T Fukui N Hashijiri K Tsuboya R Sugai T Egawa J Araki R Haino K Yamaguchi M Nishijima K Enomoto T Someya T Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| description |
Maki Ogawa,1 Yuichiro Watanabe,1 Takaharu Motegi,1 Naoki Fukui,1 Koyo Hashijiri,1 Ryusuke Tsuboya,1 Takuro Sugai,1 Jun Egawa,1 Rie Araki,2 Kazufumi Haino,3 Masayuki Yamaguchi,3 Koji Nishijima,4 Takayuki Enomoto,3 Toshiyuki Someya1 1Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan; 2Nursing, Niigata University Medical and Dental Hospital, Niigata, Japan; 3Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan; 4General Center for Perinatal, Maternal and Neonatal Medicine, Niigata University Medical and Dental Hospital, Niigata, JapanCorrespondence: Yuichiro WatanabeDepartment of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, 757 Asahimachidori-Ichibancho, Chuo-ku, Niigata 951-8510, JapanTel +81-25-227-2213Fax +81-25-227-0777Email yuichiro@med.niigata-u.ac.jpPurpose: The Hospital Anxiety and Depression Scale (HADS) is a self-report questionnaire widely used to assess anxiety and depression. To the best of our knowledge, only four studies have examined the factor structure of the HADS for assessing pregnant women, with conflicting results. This study aimed to assess the factor structure and measurement invariance of the HADS for use with pregnant Japanese women.Participants and Methods: A total of 936 pregnant Japanese women completed the HADS questionnaire at three time points: the first and third trimester of pregnancy, and postpartum. We examined the factor structure of the HADS in Group 1 (n = 466) using exploratory factor analysis (EFA). We then compared the models identified in Group 1 with those from previous studies using confirmatory factor analysis (CFA) in Group 2 (n = 470). We performed multiple-group CFA for Group 2 to test the measurement invariance of the best-fit model across the three time points.Results: The EFA for the Group 1 data at the three time points revealed a two-factor model. In the CFA, the two-factor model from Group 1 showed the best fit with the data at the three time points. In the multiple-group CFA for Group 2, we confirmed the configural and metric invariance of the two-factor model across the three time points.Conclusion: Our findings provide evidence for a two-factor structure and weak measurement invariance of the HADS in pregnant Japanese women during the peripartum period.Keywords: confirmatory factor analysis, exploratory factor analysis, Hospital Anxiety and Depression Scale |
| format |
article |
| author |
Ogawa M Watanabe Y Motegi T Fukui N Hashijiri K Tsuboya R Sugai T Egawa J Araki R Haino K Yamaguchi M Nishijima K Enomoto T Someya T |
| author_facet |
Ogawa M Watanabe Y Motegi T Fukui N Hashijiri K Tsuboya R Sugai T Egawa J Araki R Haino K Yamaguchi M Nishijima K Enomoto T Someya T |
| author_sort |
Ogawa M |
| title |
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| title_short |
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| title_full |
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| title_fullStr |
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| title_full_unstemmed |
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women |
| title_sort |
factor structure and measurement invariance of the hospital anxiety and depression scale across the peripartum period among pregnant japanese women |
| publisher |
Dove Medical Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/12116fc7a3c74a6497386273f33b1f29 |
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