医院焦虑抑郁量表的信度及效度研究

()20171112ChinJClinicians(ElectronicEdition),January15,2017,Vol.11,No.2198孙振晓1刘化学2焦林瑛2周涛2杨洛宁2范金云2HADSHADSSASSDS615Cronbach'sαHADSSASSDSHADSCronbach'sα0.8790.8060.806ICC0.9450.9210.932P0.001HADSSASSDS0.5960.685HADSSASSDS0.5520.601HADSSASSDS0.5520.663P0.001361.415%HADSReliabilityandvalidityofhospitalanxietyanddepressionscaleSunZhenxiao1,LiuHuaxue2,JiaoLinying2,ZhouTao2,YangLuoning2,FanJinyun2.1DepartmentofPsychiatry,2DepartmentofInternalMedicine,LinyiMunicipalMentalHealthCenter,Linyi276005,ChinaCorrespondingauthor:SunZhenxiao,Email:[e-mail]stthereliabilityandvalidityofhospitalanxietyanddepressionscale.MethodsAsurveywasconductedusingHospitalAnxietyandDepressionScale(HADS),Self-RatingAnxietyScale(SAS)andSelf-RatingDepressionScale(SDS)in615patientswithcardiovasculardiseases.ReliabilitywastestedbyCronbach'sαcoefficientandtest-retestreliability.Criterion-relatedvaliditywastestedbythecorrelationbetweenthetotalscoreofHADS,thescoreofHADS-Anxietysubscale,thescoreofHADS-DepressionsubscaleandSASscore,SDSscore.Constructvaliditywastestedbyexploratoryfactoranalysis.ResultsTheHADS,HADS-anxietysubscale,HADS-depressionsubscalehadCronbach'sαof0.879,0.806,0.806respectively,andtheretestreliability(intra-classcorrelationcoefficient,ICC)was0.945,0.921,0.932(P0.001).CriterionrelatedvalidityshowedthatthecorrelationcoefficientbetweentotalscoreofHADSandSAS,SDSwas0.596,0.685respectively,thecorrelationcoefficientbetweenHADS-anxietysubscaleandSAS,SDSwas0.552,0.601respectively,thecorrelationcoefficientbetweenHADS-depressionsubscaleandSAS,SDSwas0.552,0.663respectively,allofwhichwerepositivelyrelated(P0.001).Theresultofexploratoryfactoranalysiswasthatthreefactorsexplained61.415%ofthetotalvariances.ConclusionHADShasgoodreliabilityandvalidity,whichcanbeusedtoevaluateanxietyanddepressioningeneralhospital.KeywordsHospitalanxietyanddepressionscale;Reliability;ValidityHospitalAnxietyandDepressionScaleHADSZigmondSnaith1983[1]DOI:10.3877/cma.j.issn.1674-0785.2017.02.0052014WS003827600512Email:[e-mail][2-5]HADSHADS61512()20171112ChinJClinicians(ElectronicEdition),January15,2017,Vol.11,No.2199444201411201651234563061597.62%61528746.7%32853.3%179466.3813.4735958.4%477.6%20934.0%3d48037.0574.461.12HospitalAnxietyandDepressionScaleHADS[6]223-226ZigmondSnaith198314770781011213Self-RatingAnxietyScaleSAS[7]213-214Zung201414SAS1.25SAS4Self-RatingDepressionScaleSDS[7]223-224Zung201414SDS1.25SDS2.HADS230SPSS13.0Cronbach'sαHADSSASSDSPearsonHADSHADS1HADS(xs)(r)(r)HADS12.82±6.98HADS5.74±3.500.83±0.670.764a0.815a0.81±1.100.464a0.523a0.69±0.760.764a0.744a1.14±0.800.623a0.610a0.74±0.700.655a0.761a0.76±0.560.593a0.701a0.81±0.680.519a0.654aHADS7.09±4.050.96±0.850.685a0.697a0.89±0.810.758a0.788a0.76±0.820.809a0.799a1.11±0.930.632a0.730a0.70±0.830.736a0.780a0.96±0.650.694a0.655a1.74±1.070.265a0.390aaP0.001HADSP0.001HADSr=0.713P=0.000HADS1.HADSCronbach'sα0.8790.8060.8062.230()20171112ChinJClinicians(ElectronicEdition),January15,2017,Vol.11,No.2200HADSintra-classcorrelationcoefficientICC0.9450.9210.9320.8710.988P0.001HADS1.SASSDSHADSHADSHADSSASSDSPearson2HADSSASSDSHADSSASSDS(r)HADS(A)HADS(D)HADSSASSDSHADS(A)1HADS(D)0.713a1HADS0.914a0.936a1SAS0.552a0.552a0.596a1SDS0.601a0.663a0.685a0.544a1HADSAHADSHADSDHADSaP0.0012.Kaiser-Meyer-OlkinKMOBartlett615HADS14KMO0.932Bartlettχ2=3761.982df=91P0.001133160.4231230.2180.6240.0670.6810.2650.0470.1770.5600.0260.8190.2180.0060.3150.6800.0580.7340.3750.0280.2580.3990.4800.7490.0210.2050.1520.3260.6980.8180.1940.0480.2000.7450.0400.5510.1340.2490.0380.7420.1670.0750.0230.75550.4330.461.415%HADS[6]10-11HADSCronbach'sα0.8790.8060.806Cronbach'sα0.6[8]HADS302HADS0.9450.9210.9320.8710.988HADSHADS[4-5,9-10][11]HADS[12]HADSHADSHADSSASSDSPearson0.550.901.000.700.890.400.690.200.3900.19[13]HADSHADS2HADS3[2]Friedman[3]HADS143[9]HADS846HADS143151.75%[10]HADS154143HADS1413()20171112ChinJClinicians(ElectronicEdition),January15,2017,Vol.11,No.220161.415%1431246810120.421351113379HADS3[14-15]HADS0.90.713HADSHADSHADS3HADS[1]ZigmondAS,SnaithRP.Thehospitalanxietyanddepressionscale[J].ActaPsychiatrScand,1983,67(6):361-370.[2]HermannC.InternationalexperienceswiththeHospitalAnxietyandDepressionScale-areviewofvalidationdataandclinicalresults[J].JPsychosomRes,1997,42(1):17-41.[3]FriedmanS,SamuelianJC,LancrenonS,etal.Three-dimensionalstructureofthehospitalAnxietyandDepressionScaleinalargeFrenchprimarycarepopulationsufferingfrommajordepression[J].PsychiatryResearch,2001,104(3):247-257.[4]JohnstonM,PollardB,HennesseyP.Constructvalidationofthehospitalanxietyanddepressionscalewithclinicalpopulation[J].JPsychosomRes,2000,48(6):579-584.[5]MykletunA,StordalE,DahlAA.HospitalAnxietyandDepression(HAD)scale:factorstructure,itemanalysesandinternalconsistencyinalargepopulation[J].BrJPsychaitry,2001,179(6):540-544.[6],,.[J].,1999():223-226.[7].[M/CD].:,2005.[8].-SPSS[M].:,2011:158-188.[9],,.[J].,2003,15(5):264-266.[10],.[J].,2009,38(10):1330-1332.[11],,,.[J].,2014,23(1):80-82.[12],,,.[J].,2016,25(4):372-375.[13]StreinerDL,NormanGR.Healt