Título Latent structure and measurement invariance of the Hospital Anxiety and Depression Scale in cancer outpatients
Autores Zeilinger, Elisabeth L. , Nader, Ingo W. , Wiedermann, Wolfgang , RUIZ GUTIÉRREZ COLOSIA, MENCIA, Unseld, Matthias , Lubowitzki, Simone , Raderer, Markus , Staber, Philipp B. , Valent, Peter , Gaiger, Alexander
Publicación externa No
Medio Int. J. Clin. Health Psychol.
Alcance Article
Naturaleza Científica
Cuartil JCR 1
Cuartil SJR 1
Impacto JCR 8.80000
Impacto SJR 2.32400
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85131082766&doi=10.1016%2fj.ijchp.2022.100315&partnerID=40&md5=0a818b3756753889c22349b278b2243d
Fecha de publicacion 01/09/2022
ISI 000806796200002
Scopus Id 2-s2.0-85131082766
DOI 10.1016/j.ijchp.2022.100315
Abstract Background/Objective: The aim of the present study was to compare competing psychometric models and analyze measurement invariance of the Hospital Anxiety and Depression Scale (HADS) in cancer outpatients. Method: The sample included 3,260 cancer outpatients. Latent structure of the HADS was analyzed using confirmatory factor analysis (CFA) with robust maximum likelihood estimation (MLR). Measurement invariance was tested for age, time of response, gender, and cancer type by comparing nested multigroup CFA models with parameter restrictions. Results: Except for the one-factor solutions, all models showed acceptable model fit and measurement invariance. The model with the best fit was the originally proposed two-factor model with exclusion of two items. The one-factor solutions showed inacceptable model fit and were not invariant for age and gender. Conclusions: The HADS has a robust two-factor structure in cancer outpatients. We recommend excluding item 7 and 10 when screening for anxiety and depression. (C) 2022 The Authors. Published by Elsevier B.V.
Palabras clave Anxiety; Depression; Factor structure; Psychometric properties; Instrumental study
Miembros de la Universidad Loyola

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