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Article: Psychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong

TitlePsychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong
Authors
KeywordsAdolescent
Anxiety
Depression
HADS
Psychometric properties
Issue Date2010
PublisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0962-9343
Citation
Quality Of Life Research, 2010, v. 19 n. 6, p. 865-873 How to Cite?
AbstractPurpose: The Hospital Anxiety and Depression Scale (HADS) is widely used in adult populations; however, its usefulness with adolescents has been explored less. This study sought to evaluate the reliability, validity, and factor structure of the Chinese version of HADS in a community sample of adolescents residing in Hong Kong. Methods: A prospective cohort of 5,857 students recruited from 17 secondary schools completed the HADS. Internal consistency and concurrent validity were examined. Confirmatory factor analysis was applied to test the relative fits of six factor structures of the HADS. The best fitting model was further cross-validated by male, female, splithalf samples, and age subgroups. Results: The HADS possessed adequate internal consistency, especially for the anxiety subscale. Significant concurrent intercorrelations with self-reported suicidal thoughts and the Youth Self Report Anxious/Depressed subscale were discovered and found to be stronger for females. The cross-validation supported a two-factor model, where anxiety item 7, "I can sit at ease and feel relaxed", was placed in the depression subscale. Conclusions: The HADS showed satisfactory psychometric properties as a screening instrument in assessing anxious and depressive states as two correlated but distinct factors in adolescents. Study implications and recommendations for future research were discussed.
Persistent Identifierhttp://hdl.handle.net/10722/144970
ISSN
2015 Impact Factor: 2.429
2015 SCImago Journal Rankings: 1.158
PubMed Central ID
ISI Accession Number ID
Funding AgencyGrant Number
University of Hong Kong
RGC CERGHKU 7435/03M
Funding Information:

The study was supported by the funding of University of Hong Kong Seed Fund Grant (YF Chan) and RGC CERG scheme (HKU 7435/03M, AM Lee). The authors wish to thank Jeanette Lancaster and Joan Unsicker for reviewing the manuscript and Stephanie Merkle for assisting with manuscript formatting.

References
Grants

 

DC FieldValueLanguage
dc.contributor.authorChan, YFen_HK
dc.contributor.authorLeung, DYPen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLeung, CMen_HK
dc.contributor.authorLee, AMen_HK
dc.date.accessioned2012-02-21T05:43:09Z-
dc.date.available2012-02-21T05:43:09Z-
dc.date.issued2010en_HK
dc.identifier.citationQuality Of Life Research, 2010, v. 19 n. 6, p. 865-873en_HK
dc.identifier.issn0962-9343en_HK
dc.identifier.urihttp://hdl.handle.net/10722/144970-
dc.description.abstractPurpose: The Hospital Anxiety and Depression Scale (HADS) is widely used in adult populations; however, its usefulness with adolescents has been explored less. This study sought to evaluate the reliability, validity, and factor structure of the Chinese version of HADS in a community sample of adolescents residing in Hong Kong. Methods: A prospective cohort of 5,857 students recruited from 17 secondary schools completed the HADS. Internal consistency and concurrent validity were examined. Confirmatory factor analysis was applied to test the relative fits of six factor structures of the HADS. The best fitting model was further cross-validated by male, female, splithalf samples, and age subgroups. Results: The HADS possessed adequate internal consistency, especially for the anxiety subscale. Significant concurrent intercorrelations with self-reported suicidal thoughts and the Youth Self Report Anxious/Depressed subscale were discovered and found to be stronger for females. The cross-validation supported a two-factor model, where anxiety item 7, "I can sit at ease and feel relaxed", was placed in the depression subscale. Conclusions: The HADS showed satisfactory psychometric properties as a screening instrument in assessing anxious and depressive states as two correlated but distinct factors in adolescents. Study implications and recommendations for future research were discussed.en_HK
dc.languageengen_US
dc.publisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0962-9343en_HK
dc.relation.ispartofQuality of Life Researchen_HK
dc.rightsThe Author(s)en_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong Licenseen_US
dc.subjectAdolescenten_HK
dc.subjectAnxietyen_HK
dc.subjectDepressionen_HK
dc.subjectHADSen_HK
dc.subjectPsychometric propertiesen_HK
dc.subject.meshAdolescent-
dc.subject.meshAnxiety Disorders - diagnosis - psychology-
dc.subject.meshDepressive Disorder - diagnosis - psychology-
dc.subject.meshPsychiatric Status Rating Scales-
dc.subject.meshPsychometrics-
dc.titlePsychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4551/resserv?sid=springerlink&genre=article&atitle=Psychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong&title=Quality of Life Research&issn=09629343&date=2010-08-01&volume=19&issue=6& spage=865&authors=Ya-Fen Chan, Doris Y. P. Leung, Daniel Y. T. Fong, <i>et al.</i>en_US
dc.identifier.emailLeung, DYP: dorisl@hkucc.hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailLee, AM: amlee@hku.hken_HK
dc.identifier.authorityLeung, DYP=rp00465en_HK
dc.identifier.authorityFong, DYT=rp00253en_HK
dc.identifier.authorityLee, AM=rp00483en_HK
dc.description.naturepublished_or_final_versionen_US
dc.identifier.doi10.1007/s11136-010-9645-1en_HK
dc.identifier.pmid20373037en_US
dc.identifier.pmcidPMC2892613-
dc.identifier.scopuseid_2-s2.0-77957585323en_HK
dc.identifier.hkuros178986-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77957585323&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue6en_HK
dc.identifier.spage865en_HK
dc.identifier.epage873en_HK
dc.identifier.eissn1573-2649en_US
dc.identifier.isiWOS:000279226400012-
dc.publisher.placeNetherlandsen_HK
dc.description.otherSpringer Open Choice, 21 Feb 2012en_US
dc.relation.projectA prospective longitudinal study of high-risk behaviors among adolescents in Hong Kong: the effects of modernization and culture-
dc.identifier.scopusauthoridChan, YF=55464597700en_HK
dc.identifier.scopusauthoridLeung, DYP=16304486500en_HK
dc.identifier.scopusauthoridFong, DYT=35261710300en_HK
dc.identifier.scopusauthoridLeung, CM=7402612698en_HK
dc.identifier.scopusauthoridLee, AM=7405629831en_HK
dc.identifier.citeulike6999696-

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