Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease : results from the DenHeart survey. / Christensen, Anne Vinggaard; Dixon, Jane K; Juel, Knud; Ekholm, Ola; Rasmussen, Trine Bernholdt; Borregaard, Britt; Mols, Rikke Elmose; Thrysøe, Lars; Thorup, Charlotte Brun; Berg, Selina Kikkenborg.

I: Health and Quality of Life Outcomes, Bind 18, Nr. 1, 9, 2020.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Christensen, AV, Dixon, JK, Juel, K, Ekholm, O, Rasmussen, TB, Borregaard, B, Mols, RE, Thrysøe, L, Thorup, CB & Berg, SK 2020, 'Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey', Health and Quality of Life Outcomes, bind 18, nr. 1, 9. https://doi.org/10.1186/s12955-019-1264-0

APA

Christensen, A. V., Dixon, J. K., Juel, K., Ekholm, O., Rasmussen, T. B., Borregaard, B., Mols, R. E., Thrysøe, L., Thorup, C. B., & Berg, S. K. (2020). Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey. Health and Quality of Life Outcomes, 18(1), [9]. https://doi.org/10.1186/s12955-019-1264-0

CBE

Christensen AV, Dixon JK, Juel K, Ekholm O, Rasmussen TB, Borregaard B, Mols RE, Thrysøe L, Thorup CB, Berg SK. 2020. Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey. Health and Quality of Life Outcomes. 18(1):Article 9. https://doi.org/10.1186/s12955-019-1264-0

MLA

Vancouver

Christensen AV, Dixon JK, Juel K, Ekholm O, Rasmussen TB, Borregaard B o.a. Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey. Health and Quality of Life Outcomes. 2020;18(1). 9. https://doi.org/10.1186/s12955-019-1264-0

Author

Christensen, Anne Vinggaard ; Dixon, Jane K ; Juel, Knud ; Ekholm, Ola ; Rasmussen, Trine Bernholdt ; Borregaard, Britt ; Mols, Rikke Elmose ; Thrysøe, Lars ; Thorup, Charlotte Brun ; Berg, Selina Kikkenborg. / Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease : results from the DenHeart survey. I: Health and Quality of Life Outcomes. 2020 ; Bind 18, Nr. 1.

Bibtex

@article{0653790406a446548593495dd0344856,
title = "Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey",
abstract = "BACKGROUND: Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease.METHODS: The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach's alpha, and differential item functioning by gender was examined using ordinal logistic regression.RESULTS: A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach's alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items.CONCLUSIONS: The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research.TRIAL REGISTRATION: ClinicalTrials.gov: NCT01926145.",
keywords = "Cardiac patients, Hospital anxiety and depression scale, Psychometric evaluation, Reliability, Validity",
author = "Christensen, {Anne Vinggaard} and Dixon, {Jane K} and Knud Juel and Ola Ekholm and Rasmussen, {Trine Bernholdt} and Britt Borregaard and Mols, {Rikke Elmose} and Lars Thrys{\o}e and Thorup, {Charlotte Brun} and Berg, {Selina Kikkenborg}",
year = "2020",
doi = "10.1186/s12955-019-1264-0",
language = "English",
volume = "18",
journal = "Health and Quality of Life Outcomes",
issn = "1477-7525",
publisher = "BioMed Central",
number = "1",

}

RIS

TY - JOUR

T1 - Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease

T2 - results from the DenHeart survey

AU - Christensen, Anne Vinggaard

AU - Dixon, Jane K

AU - Juel, Knud

AU - Ekholm, Ola

AU - Rasmussen, Trine Bernholdt

AU - Borregaard, Britt

AU - Mols, Rikke Elmose

AU - Thrysøe, Lars

AU - Thorup, Charlotte Brun

AU - Berg, Selina Kikkenborg

PY - 2020

Y1 - 2020

N2 - BACKGROUND: Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease.METHODS: The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach's alpha, and differential item functioning by gender was examined using ordinal logistic regression.RESULTS: A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach's alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items.CONCLUSIONS: The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research.TRIAL REGISTRATION: ClinicalTrials.gov: NCT01926145.

AB - BACKGROUND: Anxiety and depression symptoms are common among cardiac patients. The Hospital Anxiety and Depression Scale (HADS) is frequently used to measure symptoms of anxiety and depression; however, no study on the validity and reliability of the scale in Danish cardiac patients has been done. The aim, therefore, was to evaluate the psychometric properties of HADS in a large sample of Danish patients with the four most common cardiac diagnoses: ischemic heart disease, arrhythmias, heart failure and heart valve disease.METHODS: The DenHeart study was designed as a national cross-sectional survey including the HADS, SF-12 and HeartQoL and combined with data from national registers. Psychometric evaluation included analyses of floor and ceiling effects, structural validity using both exploratory and confirmatory factor analysis and hypotheses testing of convergent and divergent validity by relating the HADS scores to the SF-12 and HeartQoL. Internal consistency reliability was evaluated by Cronbach's alpha, and differential item functioning by gender was examined using ordinal logistic regression.RESULTS: A total of 12,806 patients (response rate 51%) answered the HADS. Exploratory factor analysis supported the original two-factor structure of the HADS, while confirmatory factor analysis supported a three-factor structure consisting of the original depression subscale and two anxiety subscales as suggested in a previous study. There were floor effects on all items and ceiling effect on item 8. The hypotheses regarding convergent validity were confirmed but those regarding divergent validity for HADS-D were not. Internal consistency was good with a Cronbach's alpha of 0.87 for HADS-A and 0.82 for HADS-D. There were no indications of noticeable differential item functioning by gender for any items.CONCLUSIONS: The present study supported the evidence of convergent validity and high internal consistency for both HADS outcomes in a large sample of Danish patients with cardiac disease. There are, however, conflicting results regarding the factor structure of the scale consistent with previous research.TRIAL REGISTRATION: ClinicalTrials.gov: NCT01926145.

KW - Cardiac patients

KW - Hospital anxiety and depression scale

KW - Psychometric evaluation

KW - Reliability

KW - Validity

UR - http://www.scopus.com/inward/record.url?scp=85077689158&partnerID=8YFLogxK

U2 - 10.1186/s12955-019-1264-0

DO - 10.1186/s12955-019-1264-0

M3 - Journal article

C2 - 31910859

VL - 18

JO - Health and Quality of Life Outcomes

JF - Health and Quality of Life Outcomes

SN - 1477-7525

IS - 1

M1 - 9

ER -