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Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors
INTRODUCTION: Anxiety and depression are significant concerns in breast cancer patients, and it may remain for a long term after primary treatments. The hospital anxiety and depression scale (HADS) is widely used to measure depressive and anxiety symptoms in clinical practices. The purpose of this s...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288677/ https://www.ncbi.nlm.nih.gov/pubmed/32522209 http://dx.doi.org/10.1186/s12955-020-01429-6 |
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author | Hajian-Tilaki, Karimollah Hajian-Tilaki, Erfaneh |
author_facet | Hajian-Tilaki, Karimollah Hajian-Tilaki, Erfaneh |
author_sort | Hajian-Tilaki, Karimollah |
collection | PubMed |
description | INTRODUCTION: Anxiety and depression are significant concerns in breast cancer patients, and it may remain for a long term after primary treatments. The hospital anxiety and depression scale (HADS) is widely used to measure depressive and anxiety symptoms in clinical practices. The purpose of this study was to assess the psychometric properties of the Persian version of this scale in Iranian breast cancer survivors. METHODS: A total of 305 patients with breast cancer, refered to Cancer Hospital in northen Iran and completed the primary treatments were enrolled in. All patients responded to a 14-item HADS. We performed confirmatory factor analysis (CFA) to examine the factor structure of HADS and the item-scale analysis in order to estimate the item reliability and consider the Cronbach’s alpha as a measure of internal consistency. RESULTS: With a threshold of ≥8, the prevalence of anxiety and depression symptoms (moderate/severe) was 78.9 and 66.9%, respectively. The Cronbach’s alpha coefficients for anxiety and depression were 0.81 and 0.78, respectively. The CFA confirmed the two-factor structure model for HADS, indicating a good fitting summary indexes (χ2/df = 2.83, NFI = 0.88, RFI = 0.82, IFI = 0.92, CFI = 0.92, and RMSEA = 0.078). CONCLUSION: The CFA and item reliability analysis have indicated an excellent psychometric property of the Persian version of HADS to measure depressive and anxiety symptoms in breast cancer survivors. Thus, HADS is a useful screening tool to identify post-breast cancer anxiety and depressive disorders. |
format | Online Article Text |
id | pubmed-7288677 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72886772020-06-12 Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors Hajian-Tilaki, Karimollah Hajian-Tilaki, Erfaneh Health Qual Life Outcomes Research INTRODUCTION: Anxiety and depression are significant concerns in breast cancer patients, and it may remain for a long term after primary treatments. The hospital anxiety and depression scale (HADS) is widely used to measure depressive and anxiety symptoms in clinical practices. The purpose of this study was to assess the psychometric properties of the Persian version of this scale in Iranian breast cancer survivors. METHODS: A total of 305 patients with breast cancer, refered to Cancer Hospital in northen Iran and completed the primary treatments were enrolled in. All patients responded to a 14-item HADS. We performed confirmatory factor analysis (CFA) to examine the factor structure of HADS and the item-scale analysis in order to estimate the item reliability and consider the Cronbach’s alpha as a measure of internal consistency. RESULTS: With a threshold of ≥8, the prevalence of anxiety and depression symptoms (moderate/severe) was 78.9 and 66.9%, respectively. The Cronbach’s alpha coefficients for anxiety and depression were 0.81 and 0.78, respectively. The CFA confirmed the two-factor structure model for HADS, indicating a good fitting summary indexes (χ2/df = 2.83, NFI = 0.88, RFI = 0.82, IFI = 0.92, CFI = 0.92, and RMSEA = 0.078). CONCLUSION: The CFA and item reliability analysis have indicated an excellent psychometric property of the Persian version of HADS to measure depressive and anxiety symptoms in breast cancer survivors. Thus, HADS is a useful screening tool to identify post-breast cancer anxiety and depressive disorders. BioMed Central 2020-06-10 /pmc/articles/PMC7288677/ /pubmed/32522209 http://dx.doi.org/10.1186/s12955-020-01429-6 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hajian-Tilaki, Karimollah Hajian-Tilaki, Erfaneh Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title | Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title_full | Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title_fullStr | Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title_full_unstemmed | Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title_short | Factor structure and reliability of Persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
title_sort | factor structure and reliability of persian version of hospital anxiety and depression scale in patients with breast cancer survivors |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288677/ https://www.ncbi.nlm.nih.gov/pubmed/32522209 http://dx.doi.org/10.1186/s12955-020-01429-6 |
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