Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients

Background Although the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients. Methods Our study was cross-sectional...

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Autores principales: Vilela-Estrada, Ana L., Villarreal-Zegarra, David, Copez-Lonzoy, Anthony John Erik, Esenarro Valencia, Loida, Sanchez-Ramirez, José Carlos, Lamas Delgado, Fernando Antonio, Ambrosio-Melgarejo, Juan, Reategui-Rivera, C. Mahony, Finkelstein, Joseph
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Publicado: Frontiers Media SA 2024
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author Vilela-Estrada, Ana L.
Villarreal-Zegarra, David
Copez-Lonzoy, Anthony John Erik
Esenarro Valencia, Loida
Sanchez-Ramirez, José Carlos
Lamas Delgado, Fernando Antonio
Ambrosio-Melgarejo, Juan
Reategui-Rivera, C. Mahony
Finkelstein, Joseph
author_browse Ambrosio-Melgarejo, Juan
Copez-Lonzoy, Anthony John Erik
Esenarro Valencia, Loida
Finkelstein, Joseph
Lamas Delgado, Fernando Antonio
Reategui-Rivera, C. Mahony
Sanchez-Ramirez, José Carlos
Vilela-Estrada, Ana L.
Villarreal-Zegarra, David
author_facet Vilela-Estrada, Ana L.
Villarreal-Zegarra, David
Copez-Lonzoy, Anthony John Erik
Esenarro Valencia, Loida
Sanchez-Ramirez, José Carlos
Lamas Delgado, Fernando Antonio
Ambrosio-Melgarejo, Juan
Reategui-Rivera, C. Mahony
Finkelstein, Joseph
author_sort Vilela-Estrada, Ana L.
collection Producción científica
description Background Although the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients. Methods Our study was cross-sectional and non-probabilistic. It involved 467 cancer patients aged 18 years and over, who were treated at a public institution specialized in oncology. The Hospital Anxiety and Depression Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were used. We evaluated their internal structure, measurement invariance, relationship with other variables, and reliability. Results It was found that the HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). The HADS demonstrates invariance with respect to sex and years of education. It shows a moderate correlation with the Beck Anxiety Inventory and the Beck Depression Inventory. In addition, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression. Conclusion The HADS is best suited to a bifactorial structure in cancer populations, with comparisons across both sexes and varying levels of education. Its brevity, versatility, hospital-focused design, and extensive validation make the HADS a very important instrument in the detection of anxiety and depression in cancer patients.
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spelling oai:cris.upeu.edu.pe:20.500.15037/29412026-10-30T17:10:03ZPsychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patientsVilela-Estrada, Ana L.Villarreal-Zegarra, DavidCopez-Lonzoy, Anthony John ErikEsenarro Valencia, LoidaSanchez-Ramirez, José CarlosLamas Delgado, Fernando AntonioAmbrosio-Melgarejo, JuanReategui-Rivera, C. MahonyFinkelstein, JosephCancerDepressionAnxietyHospitalsPsychometricsPeruBackground Although the Hospital Anxiety and Depression Scale (HADS) has been widely studied across various populations, there is still no consensus on its factor structure. This study aims to evaluate the psychometric properties of the HADS in cancer patients. Methods Our study was cross-sectional and non-probabilistic. It involved 467 cancer patients aged 18 years and over, who were treated at a public institution specialized in oncology. The Hospital Anxiety and Depression Scale, the Beck Anxiety Inventory, and the Beck Depression Inventory were used. We evaluated their internal structure, measurement invariance, relationship with other variables, and reliability. Results It was found that the HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). The HADS demonstrates invariance with respect to sex and years of education. It shows a moderate correlation with the Beck Anxiety Inventory and the Beck Depression Inventory. In addition, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression. Conclusion The HADS is best suited to a bifactorial structure in cancer populations, with comparisons across both sexes and varying levels of education. Its brevity, versatility, hospital-focused design, and extensive validation make the HADS a very important instrument in the detection of anxiety and depression in cancer patients.Article10.3389/fpsyg.2024.14979462-s2.0-85217660064https://hdl.handle.net/20.500.15037/2941enFrontiers in PsychologyFrontiers in Psychology1664-1078Frontiers Media SA20242026-06-27T02:34:53Z2026-06-27T02:34:53Z
spellingShingle Cancer
Depression
Anxiety
Hospitals
Psychometrics
Peru
Vilela-Estrada, Ana L.
Villarreal-Zegarra, David
Copez-Lonzoy, Anthony John Erik
Esenarro Valencia, Loida
Sanchez-Ramirez, José Carlos
Lamas Delgado, Fernando Antonio
Ambrosio-Melgarejo, Juan
Reategui-Rivera, C. Mahony
Finkelstein, Joseph
Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title_full Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title_fullStr Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title_full_unstemmed Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title_short Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
title_sort psychometric properties of the spanish version of the hospital anxiety and depression scale in cancer patients
topic Cancer
Depression
Anxiety
Hospitals
Psychometrics
Peru
topic_facet Cancer
Depression
Anxiety
Hospitals
Psychometrics
Peru
url https://hdl.handle.net/20.500.15037/2941
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