Evaluation of the Psychometric and Structural Properties of the Spanish Version of the Hospital Anxiety and Depression Scale in Latina Cancer Patients
Por:
Hyland, KA, Hoogland, AI, Gonzalez, BD, Nelson, AM, Lechner, S, Tyson, DM, Barata, A, Gomez, MF, Antoni, MH, Small, B, Meade, CD, Jacobsen, PB, Jim, HSL
Publicada:
1 ago 2019
Resumen:
Context. The Hospital Anxiety and Depression Scale (HADS) is a brief self-report measure commonly used to screen for symptoms of anxiety and depression in cancer patients. The HADS has demonstrated validity in over 100 languages, including Spanish. However, validation studies have largely used European Spanish-speaking samples with a variety of medical diagnoses.
Objectives. The aim of this study was to examine the psychometric properties of the Spanish version of the HADS in a sample of Spanish-speaking Latina women with cancer in the U.S.
Methods. Participants (N = 242) completed self-report measures of anxiety and depression (HADS), quality of life (Functional Assessment of Cancer Therapy-General Version), cancer-related distress (Impact of Events Scale-Revised Version Intrusion Subscale), and cancer symptomatology (Memorial Symptom Assessment Scale-Short Form) before initiating chemotherapy and five to seven weeks later. Analyses evaluated internal consistency and test-retest reliability, construct validity, and convergent validity.
Results. Factor analysis supported a two-factor structure as proposed by the original HADS developers (X-2 [76, N = 242] = 143.3, P < 0.001, comparative fit index = 0.94, root-mean-square error of approximation = 0.06, and standardized root-mean-square residual = 0.06). The HADS and its subscales demonstrated good internal consistency (alpha = 0.83-0.88) and test-retest reliability (intraclass correlation coefficient = 0.76-0.82). Construct validity was evidenced by factor analysis and item-subscale, item-total, and subscale-total correlations. Convergent validity was demonstrated by strong positive correlations with cancer-related distress (r = 0.51-0.71) and symptom severity (r = 0.54-0.62) and strong negative correlations with quality of life (r = -0.63 to -0.76) (all P's < 0.001).
Conclusion. The Spanish version of the HADS evidenced sound psychometric properties in Latinas with cancer in the U.S., supporting its use in clinical oncology research and practice. (C) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Filiaciones:
Hyland, KA:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Univ S Florida, Tampa, FL USA
Hoogland, AI:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Univ S Florida, Tampa, FL USA
Gonzalez, BD:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Nelson, AM:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Univ S Florida, Tampa, FL USA
Lechner, S:
Univ Miami, Miami, FL USA
Tyson, DM:
Univ S Florida, Tampa, FL USA
Barata, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Barcelona, Spain
Gomez, MF:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Antoni, MH:
Univ Miami, Miami, FL USA
Small, B:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Univ S Florida, Tampa, FL USA
Meade, CD:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Jacobsen, PB:
NCI, Healthcare Delivery Res Program, Bethesda, MD 20892 USA
Jim, HSL:
H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
Green Accepted, Bronze
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