Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Quality of Life Research
Erschienen in: Quality of Life Research 10/2013

01.12.2013

Examination of the construct validity of the Swedish version of Hospital Anxiety and Depression Scale in breast cancer patients

verfasst von: Fredrik Saboonchi, Agneta Wennman-Larsen, Kristina Alexanderson, Lena-Marie Petersson

Erschienen in: Quality of Life Research | Ausgabe 10/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To examine the construct validity of the Swedish version of Hospital Anxiety and Depression Scale (HAD) in women with breast cancer.

Method

Acquired data on HAD from 727 women who recently had breast cancer surgery, were aged 20–63 years and worked before diagnosis, and had no previous breast cancer (n = 725) were subjected to confirmatory factor analysis examining the viability of three hypothesized measurement models.

Results

The analysis showed adequate fit to the data for both bi-dimensional and three-factorial models of HAD. The single-factorial model, however, was shown to have inferior fit to the data. Substantive correlations were found between anxiety and depression in the bi-dimensional model, and negative affectivity and anxiety in the three-factorial model of HAD.

Conclusions

The findings support the utility of scoring procedure based on the original bi-dimensional model, but add indication of co-occurrence of anxiety and depression in this patient population. The discriminant validity of a third factor of negative affectivity in a three-factorial model, however, remains unclear.
Literatur
1.
2.
Cancer in Sweden (in Swedish). (2011). Stockholm: Socialstyrelsen, 2011 Contract No.: 2011-3-26.
3.
Tryggvadottir, L., Gislum, M., Bray, F., Klint, A., Hakulinen, T., Storm, H. H., et al. (2010). Trends in the survival of patients diagnosed with breast cancer in the Nordic countries 1964-2003 followed up to the end of 2006. Acta Oncology, 49(5), 624–631. Epub 2010/05/01.
4.
Compas, B. E., Beckjord, E., Agocha, B., Sherman, M. L., Langrock, A., Grossman, C. I., et al. (2006). Measurement of coping and stress responses in women with breast cancer. Psychooncology, 15(12), 1038–1054. Epub 2006/09/30.
5.
Hegel, M. T., Moore, C. P., Collins, E. D., Kearing, S., Gillock, K. L., Riggs, R. L., et al. (2006). Distress, psychiatric syndromes, and impairment of function in women with newly diagnosed breast cancer. Cancer, 107(12), 2924–2931. Epub 2006/11/15.
6.
Carlson, L. E., Angen, M., Cullum, J., Goodey, E., Koopmans, J., Lamont, L., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304.PubMed
7.
Satin, J. R., Linden, W., & Phillips, M. J. (2009). Depression as a predictor of disease progression and mortality in cancer patients: A meta-analysis. Cancer, 115(22), 5349–5361. Epub 2009/09/16.
8.
Carlson, L. E., & Bultz, B. D. (2003). Cancer distress screening. Needs, models, and methods. Journal of Psychosomatic Research, 55(5):403–409. Epub 2003/10/29.
9.
Rodgers, J., Martin, C. R., Morse, R. C., Kendell, K., & Verrill, M. (2005). An investigation into the psychometric properties of the Hospital Anxiety and Depression Scale in patients with breast cancer. Health Qual Life Outcomes, 3, 41.PubMedCrossRef
10.
Andrykowski, M. A., Carpenter, J. S., Studts, J. L., Cordova, M. J., Cunningham, L. L., Beacham, A., et al. (2002). Psychological impact of benign breast biopsy: A longitudinal, comparative study. Health Psychology, 21(5), 485–494. Epub 2002/09/05.
11.
Coyne, J. C., Palmer, S. C., Shapiro, P. J., Thompson, R., & DeMichele, A. (2004). Distress, psychiatric morbidity, and prescriptions for psychotropic medication in a breast cancer waiting room sample. General Hospital Psychiatry, 26(2), 121–128. Epub 2004/03/25.
12.
Epping-Jordan, J. E., Compas, B. E., Osowiecki, D. M., Oppedisano, G., Gerhardt, C., Primo, K., et al. (1999). Psychological adjustment in breast cancer: Processes of emotional distress. Health Psychology, 18(4), 315–326. Epub 1999/08/04.
13.
Kornblith, A. B., Herndon, J. E., II, Weiss, R. B., Zhang, C., Zuckerman, E. L., Rosenberg, S., et al. (2003). Long-term adjustment of survivors of early-stage breast carcinoma, 20 years after adjuvant chemotherapy. Cancer, 98(4), 679–689. Epub 2003/08/12.
14.
Luecken, L. J., & Compas, B. E. (2002). Stress, coping, and immune function in breast cancer. Annals of Behavioral Medicine, 24(4), 336–344. Epub 2002/11/19.
15.
Schreier, A. M., & Williams, S. A. (2004). Anxiety and quality of life of women who receive radiation or chemotherapy for breast cancer. Oncology Nursing Forum, 31(1), 127–130. Epub 2004/01/15.
16.
Ahles, T. A., Saykin, A. J., Furstenberg, C. T., Cole, B., Mott, L. A., Titus-Ernstoff, L., et al. (2005). Quality of life of long-term survivors of breast cancer and lymphoma treated with standard-dose chemotherapy or local therapy. Journal of Clinical Oncology, 23(19), 4399–4405.PubMedCrossRef
17.
Saevarsdottir, T., Fridriksdottir, N., & Gunnarsdottir, S. (2010). Quality of life and symptoms of anxiety and depression of patients receiving cancer chemotherapy: Longitudinal study. Cancer Nursing, 33(1), E1–E10. Epub 2009/12/17.
18.
Guideline on cancer services. (2004). Improving supportive and palliative care for adults with cancer. UK: National Institute for Clinical Excellence.
19.
Ballenger, J. C., Davidson, J. R., Lecrubier, Y., Nutt, D. J., Jones, R. D., & Berard, R. M. (2001). Consensus statement on depression, anxiety, and oncology. Journal of Clinical Psychiatry, 62(Suppl 8), 64–67.PubMed
20.
Meijer, A., Roseman, M., Milette, K., Coyne, J. C., Stefanek, M. E., Ziegelstein, R. C., et al. (2011). Depression screening and patient outcomes in cancer: A systematic review. PLoS One, 6(11), e27181. Epub 2011/11/24.
21.
Mitchell, A. J. (2010). Short screening tools for cancer-related distress: A review and diagnostic validity meta-analysis. Journal of National Comprehensive Cancer Network, 8(4), 487–494. Epub 2010/04/23.
22.
Holland, J. C., & Bultz, B. D. (2007). National comprehensive Cancer N. The NCCN guideline for distress management: A case for making distress the sixth vital sign. Journal of National Comprehensive Cancer Network, 5(1), 3–7. Epub 2007/02/28.
23.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scand, 67(6), 361–370.CrossRef
24.
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.PubMedCrossRef
25.
Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale–a review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17–41. Epub 1997/01/01.
26.
Sellick, S. M., & Edwardson, A. D. (2007). Screening new cancer patients for psychological distress using the hospital anxiety and depression scale. Psychooncology, 16(6), 534–542.PubMedCrossRef
27.
Vodermaier, A., Linden, W., & Siu, C. (2009). Screening for emotional distress in cancer patients: A systematic review of assessment instruments. Journal of National Cancer Institute, 101(21), 1464–1488. Epub 2009/10/15.
28.
Herrmann, C. (1997). International experiences with the hospital anxiety and depression scale: A review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17–41.PubMedCrossRef
29.
Cosco, T. D., Doyle, F., Ward, M., & McGee, H. (2012). Latent structure of the Hospital Anxiety and Depression Scale: A 10-year systematic review. Journal of Psychosomatic Research, 72(3), 180–184. Epub 2012/02/14.
30.
Carey, M., Noble, N., Sanson-Fisher, R., & MacKenzie, L. (2012). Identifying psychological morbidity among people with cancer using the Hospital Anxiety and Depression Scale: Time to revisit first principles? Psychooncology, 21(3), 229–238. Epub 2011/09/16.
31.
Martin, C. R. (2005). What does the Hospital Anxiety and Depression Scale (HADS) really measure in liaison psychiatry settings? Current Psychiatry Reviews, 1(1), 69–73.CrossRef
32.
Lisspers, J., Nygren, A., & Soderman, E. (1997). Hospital Anxiety and Depression Scale (HAD): Some psychometric data for a Swedish sample. Acta Psychiatrica Scand, 96(4), 281–286.CrossRef
33.
Dunbar, M., Ford, G., Hunt, K., & Der, G. (2000). A confirmatory factor analysis of the Hospital Anxiety and Depression scale: Comparing empirically and theoretically derived structures. British Journal of Clinical Psychology, 39(Pt 1), 79–94. Epub 2000/05/02.
34.
Clark, L. A., Watson, D., & Mineka, S. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103(1), 103–116. Epub 1994/02/01.
35.
Johansen, C. (2007). Rehabilitation of cancer patients—Research perspectives. Acta Oncologica, 46(4), 441–445.PubMedCrossRef
36.
Johnston, M., Pollard, B., & Hennessey, P. (2000). Construct validation of the hospital anxiety and depression scale with clinical populations. Journal of Psychosomatic Research, 48(6), 579–584. Epub 2000/10/18.
37.
Osborne, R. H., Elsworth, G. R., Sprangers, M. A., Oort, F. J., & Hopper, J. L. (2004). The value of the Hospital Anxiety and Depression Scale (HADS) for comparing women with early onset breast cancer with population-based reference women. Quality of Life Research, 13(1), 191–206. Epub 2004/04/03.
38.
Razavi, D., Delvaux, N., Farvacques, C., & Robaye, E. (1990). Screening for adjustment disorders and major depressive disorders in cancer in-patients. British Journal of Psychiatry, 156, 79–83.PubMedCrossRef
39.
Smith, A. B., Wright, E. P., Rush, R., Stark, D. P., Velikova, G., & Selby, P. J. (2006). Rasch analysis of the dimensional structure of the Hospital Anxiety and Depression Scale. Psychooncology, 15(9), 817–827. Epub 2005/12/15.
40.
Chaturvedi, S. K. (1991). Clinical irrelevance of HAD factor structure. British Journal of Psychiatry, 159, 298. Epub 1991/08/01.
41.
Ibbotson, T., Maguire, P., Selby, P., Priestman, T., & Wallace, L. (1994). Screening for anxiety and depression in cancer patients: The effects of disease and treatment. European Journal of Cancer, 30A(1), 37–40. Epub 1994/01/01.
42.
Lewis, G., & Wessely, S. (1990). Comparison of the General Health Questionnaire and the Hospital Anxiety and Depression Scale. British Journal of Psychiatry, 157, 860–864. Epub 1990/12/01.
43.
Ramirez, A. J., Richards, M. A., Jarrett, S. R., & Fentiman, I. S. (1995). Can mood disorder in women with breast cancer be identified preoperatively? British Journal of Cancer, 72(6), 1509–1512. Epub 1995/12/01.
44.
Snaith, R. P., & Zigmond, A. S. (1994). The hospital anxiety and depression scale manual. Windsor: NFER-Nelson.
45.
Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46(12), 1417–1432. Epub 1993/12/01.
46.
Terwee, C. B., Bot, S. D. M., de Boer, M. R., van der Windt, D. A. W. M., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42.PubMedCrossRef
47.
Hammerlid, E., Ahlner-Elmqvist, M., Bjordal, K., Biorklund, A., Evensen, J., Boysen, M., et al. (1999). A prospective multicentre study in Sweden and Norway of mental distress and psychiatric morbidity in head and neck cancer patients. British Journal of Cancer, 80(5–6), 766–774. Epub 1999/06/09.
48.
Andersson, E. (1993). The hospital anxiety and depression scale: Homogeneity of the subscales. Social Behavior and Personality: An International Journal, 21(3), 197–204.CrossRef
49.
Brandberg, Y., Bolund, C., Sigurdardottir, V., Sjödén, P.-O., & Sullivan, M. (1992). Anxiety and depressive symptoms at different stages of malignant melanoma. Psycho-Oncology, 1(2), 71–78.CrossRef
50.
Bentler, P. M. (1988). Causal modeling via structural equation systems. In J. R. Nesselroade & R. B. Cattell (Eds.), Handbook of multivariate experimental psychology (2nd ed., pp. 213–235). New York: Plenum.
51.
Byrne, B. M. (2010). Structural equation modeling with AMOS: Basic concepts, applications, and programming (2nd ed.). New York, NY: Routledge/Taylor & Francis Group.
52.
Bentler, P. M. (1988). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–346.CrossRef
53.
Bentler, P. M. (1992). On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin, 112(3), 400–404. Epub 1992/11/01.
54.
Hu, L.-T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55.CrossRef
55.
Moorey, S., Greer, S., Watson, M., Gorman, C., Rowden, L., Tunmore, R., et al. (1991). The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. British Journal of Psychiatry, 158, 255–259.PubMedCrossRef
56.
Huppert, J. D. (2009). Anxiety disorders and depression comorbidity. Oxford handbook of anxiety and related disorders (PP. 576–586). New York, NY: Oxford University Press.
57.
Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599. Epub 2001/12/01.
58.
Rush, A. J., Zimmerman, M., Wisniewski, S. R., Fava, M., Hollon, S. D., Warden, D., et al. (2005). Comorbid psychiatric disorders in depressed outpatients: Demographic and clinical features. Journal of Affective Disorders, 87(1), 43–55. Epub 2005/05/17.
59.
MacCallum, R. C., Roznowski, M., & Necowitz, L. B. (1992). Model modifications in covariance structure analysis: The problem of capitalization on chance. Psychological Bulletin, 111(3), 490–504. Epub 1992/05/01.
60.
61.
Menvielle, G., Kunst, A. E., van Gils, C. H., Peeters, P. H., Boshuizen, H., Overvad, K., et al. (2011). The contribution of risk factors to the higher incidence of invasive and in situ breast cancers in women with higher levels of education in the European prospective investigation into cancer and nutrition. American Journal of Epidemiology, 173(1), 26–37.PubMedCrossRef
Metadaten
Titel
Examination of the construct validity of the Swedish version of Hospital Anxiety and Depression Scale in breast cancer patients
verfasst von
Fredrik Saboonchi
Agneta Wennman-Larsen
Kristina Alexanderson
Lena-Marie Petersson
Publikationsdatum
01.12.2013
Verlag
Springer Netherlands
Erschienen in
Quality of Life Research / Ausgabe 10/2013
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0407-8

Weitere Artikel der Ausgabe 10/2013

Quality of Life Research 10/2013 Zur Ausgabe

OriginalPaper

Factor analyses of the Hospital Anxiety and Depression Scale: a Bayesian structural equation modeling approach

OriginalPaper

A comparison of directly elicited and pre-scored preference-based measures of quality of life: the case of adhesive capsulitis

Review

Using patient-reported measurement to pave the path towards personalized medicine

OriginalPaper

Comparison of direct-measured and derived short form six dimensions (SF-6D) health preference values among chronic hepatitis B patients

OriginalPaper

An assessment of validity and responsiveness of generic measures of health-related quality of life in hearing impairment

OriginalPaper

Quality of life in nursing homes: results of a qualitative resident survey