期刊
PSYCHIATRY RESEARCH
卷 179, 期 3, 页码 342-349出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2009.07.003
关键词
Hospital Anxiety and Depression Scale (HADS); Traumatic Brain Injury (TBI); Confirmatory Factor Analysis; Multi-Trait Multi-Method/Correlated; Trait-Correlated Method approach; Diagnosis
类别
There is a lack of validated scales for screening for anxiety and depression in individuals with traumatic brain injury (TB!). The purpose of this study was to examine the factor structure of the Hospital Anxiety and Depression Scale (HADS) in individuals with TBI. A total of 294 individuals with TBI (72.1% male; mean age 37.1 years, S.D. 17.5, median post-traumatic amnesia (PTA) duration 17 days) completed the HADS 1 year post-injury. A series of confirmatory factor analyses was conducted to examine the fit of a one-, two- and three-factor solution, with and without controlling for item wording effects (Multi-Trait Multi-Method approach). The one-, two- or three-factor model fit the data only when controlling for negative item wording. The results are in support of the validity of the original anxiety and depression subscales of the HADS and demonstrate the importance of evaluating item wording effects when examining the factor structure of a questionnaire. The results would also justify the use of the HADS as a single scale of emotional distress. However, even though the three-factor solution fit the data, alternative scales should be used if the purpose of the assessment is to measure stress symptoms separately from anxiety and depression. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据