Work

Mokken scaling analysis of the Hospital Anxiety and Depression Scale in individuals with cardiovascular disease

Year: 2011

Type: article

Abstract: OBJECTIVE: The Hospital Anxiety and Depression Scale (HADS) is a prolifically used scale of anxiety and depression. The original bidimensional anxiety-depression latent structure of the HADS has come under significant scrutiny, with previous studies revealing one-, two-, three- and four-dimensional structures. The current study examines the latent structure of the HADS using a non-parametric item response theory method. METHOD: Using data conglomerated from four independent studies of cardiovascular disease employing the HADS (n=893), Mokken scaling procedure was conducted to assess the latent structure of the HADS. RESULTS: A single scale consisting of 12 of 14 HADS items was revealed, indicating a unidimensional latent HADS structure. DISCUSSION: The HADS was initially intended to measure mutually exclusive levels of anxiety and depression; however, the current study indicates that a single dimension of general psychological distress is captured.

Source: General Hospital Psychiatry

DOI: 10.1016/j.genhosppsych.2011.11.005

Authors: Theodore D. Cosco, Frank Doyle, Roger Watson, Mark Ward, Hannah McGee

Institutions: Royal College of Surgeons in Ireland, University of Sheffield, Trinity College Dublin

Language: English

Topic: Psychometric Methodologies and Testing

Subfield: Management Science and Operations Research

Field: Decision Sciences

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W1966195504

FWCI: 7.362

Cites: 56

Cited by: 30

Related to: 10