Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia
Depression and anxiety are common complaints in patients with multiple sclerosis (MS). The study objective was to investigate the factor structure, internal consistency, and correlates of the Croatian version of the Hospital Anxiety and Depression Scale (HADS) in patients with MS. A total of 179 pat...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:3a53a085eac44fe6a273bf9b24fc61b82021-12-01T18:56:57ZPsychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia1664-107810.3389/fpsyg.2021.794353https://doaj.org/article/3a53a085eac44fe6a273bf9b24fc61b82021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.794353/fullhttps://doaj.org/toc/1664-1078Depression and anxiety are common complaints in patients with multiple sclerosis (MS). The study objective was to investigate the factor structure, internal consistency, and correlates of the Croatian version of the Hospital Anxiety and Depression Scale (HADS) in patients with MS. A total of 179 patients with MS and 999 controls were included in the online survey. All subjects completed the HADS and self-administered questionnaires capturing information of demographic, education level, disease-related variables, and the Multiple Sclerosis Impact Scale-29 (MSIS-29). Psychometric properties were examined by estimating the validity, reliability, and factor structure of the HADS in patients with MS. The two HADS subscales (anxiety and depression) had excellent internal consistencies (Cronbach’s α value 0.82–0.83), and factor analysis confirmed a two-factor structure. The convergent validity of the HADS subscales appeared to be good due to the significant correlations between HADS and MSIS-29. Receiver operating characteristic (ROC) analysis indicates that the HADS subscales have a significant diagnostic validity for group differentiation. Hierarchical regression analysis using MSIS-29 subscales as criterion variables showed consistent evidence for the incremental validity of the HADS. The HADS is a reliable and valid self-assessment scale in patients with MS and is suggested to be used in clinical monitoring of the psychiatric and psychological status of patients with MS.Ana JerkovićAna ProrokovićMeri MatijacaJelena VukoAna PoljičaninAna PoljičaninAngela MastelićAna Ćurković KatićVana KoštaLea KusturaKrešimir DolićZoran ÐogašZoran ÐogašMaja Rogić VidakovićFrontiers Media S.A.articleHospital Anxiety and Depression Scale (HADS)psychometricsdepressionmultiple sclerosisanxietyPsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021) |
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Hospital Anxiety and Depression Scale (HADS) psychometrics depression multiple sclerosis anxiety Psychology BF1-990 |
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Hospital Anxiety and Depression Scale (HADS) psychometrics depression multiple sclerosis anxiety Psychology BF1-990 Ana Jerković Ana Proroković Meri Matijaca Jelena Vuko Ana Poljičanin Ana Poljičanin Angela Mastelić Ana Ćurković Katić Vana Košta Lea Kustura Krešimir Dolić Zoran Ðogaš Zoran Ðogaš Maja Rogić Vidaković Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| description |
Depression and anxiety are common complaints in patients with multiple sclerosis (MS). The study objective was to investigate the factor structure, internal consistency, and correlates of the Croatian version of the Hospital Anxiety and Depression Scale (HADS) in patients with MS. A total of 179 patients with MS and 999 controls were included in the online survey. All subjects completed the HADS and self-administered questionnaires capturing information of demographic, education level, disease-related variables, and the Multiple Sclerosis Impact Scale-29 (MSIS-29). Psychometric properties were examined by estimating the validity, reliability, and factor structure of the HADS in patients with MS. The two HADS subscales (anxiety and depression) had excellent internal consistencies (Cronbach’s α value 0.82–0.83), and factor analysis confirmed a two-factor structure. The convergent validity of the HADS subscales appeared to be good due to the significant correlations between HADS and MSIS-29. Receiver operating characteristic (ROC) analysis indicates that the HADS subscales have a significant diagnostic validity for group differentiation. Hierarchical regression analysis using MSIS-29 subscales as criterion variables showed consistent evidence for the incremental validity of the HADS. The HADS is a reliable and valid self-assessment scale in patients with MS and is suggested to be used in clinical monitoring of the psychiatric and psychological status of patients with MS. |
| format |
article |
| author |
Ana Jerković Ana Proroković Meri Matijaca Jelena Vuko Ana Poljičanin Ana Poljičanin Angela Mastelić Ana Ćurković Katić Vana Košta Lea Kustura Krešimir Dolić Zoran Ðogaš Zoran Ðogaš Maja Rogić Vidaković |
| author_facet |
Ana Jerković Ana Proroković Meri Matijaca Jelena Vuko Ana Poljičanin Ana Poljičanin Angela Mastelić Ana Ćurković Katić Vana Košta Lea Kustura Krešimir Dolić Zoran Ðogaš Zoran Ðogaš Maja Rogić Vidaković |
| author_sort |
Ana Jerković |
| title |
Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| title_short |
Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| title_full |
Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| title_fullStr |
Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| title_full_unstemmed |
Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia |
| title_sort |
psychometric properties of the hads measure of anxiety and depression among multiple sclerosis patients in croatia |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/3a53a085eac44fe6a273bf9b24fc61b8 |
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