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1、BlackwellPublishingLtdOxford,UKJEPJournalofEvaluationinClinicalPractice13561294©2007TheAuthors;Journalcompilation©2007BlackwellPublishingLtd?2007142281287OriginalArticleFactorstructureoftheHADSC.R.MartinJournalofEvaluationinClinicalPracticeISSN1356-1294FactorstructureoftheHospitalAn
2、xietyandDepressionScaleincoronaryheartdiseasepatientsinthreecountries123ColinR.MartinPhD,DavidR.ThompsonPhDandJürgenBarthPhD1Reader,FacultyofHealth,LeedsMetropolitanUniversity,Leeds,UK2Professor,FacultyofMedicine,ChineseUniversityofHongKong,HongKong3ClinicalPsychologist,Departmentof
3、RehabilitationPsychology,InstituteofPsychology,UniversityofFreiburg,Freiburg,Germany,andDivisionofSocialandBehavioralHealthResearch,DepartmentofSocialandPreventiveMedicine,UniversityofBerne,Berne,Switzerlandetal.AbstractKeywordsanxiety,assessment,coronaryheartdisease,BackgroundDepre
4、ssionandanxietyinpatientswithcoronaryheartdisease(CHD)iscross-culturalstudy,depression,HADS,associatedwithapoorerprognosis.Therefore,thescreeningforpsychologicaldistressisscreeningstronglyrecommendedincardiaccareandrehabilitation.TheHospitalAnxietyandDepressionScale(HADS)isawidelyus
5、edscreeningtoolthathasdemonstratedgoodCorrespondencesensitivityandspecificityformentaldisorders.ThefactorstructureoftheHADSwasJürgenBarthinvestigatedinCHDpopulationsacrossthreecountries(Germany,HongKong,UnitedInstituteofSocialandPreventiveMedicineKingdom).Social&BehaviouralHealthRese
6、archMethodsIntotal,HADSdatafrom1793patientswithCHDwereexploredusingconfir-UniversityofBernematoryfactoranalysistoestablishtheunderlyingfactorstructureoftheinstrument.3012BerneSwitzerlandResultsThree-factormodelswerefoundtoofferasuperiorfittothedatacomparedwithE-mail:mail@juergen-barth
7、.detwo-factor(anxietyanddepression)modelsinallcountries.Theanxietyitemscanbeseparatedinafactorlabelledautonomicanxietyandnegativeaffectivity.Acceptedforpublication:13December2006ConclusionsTheHADSoffersgoodpossibilitiestodetectdistressedpatientswithsomaticillnesses,buttheconstructva
8、lidityoftheoriginal
