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1、JournalofPsychosomaticResearch52(2002)69–77ReviewThevalidityoftheHospitalAnxietyandDepressionScaleAnupdatedliteraturereviewa,bcdIngvarBjelland*,AlvA.Dahl,ToneTangenHaug,DagNeckelmannaDepartmentofPublicHealthandPrimaryHealthCare,SectionforPreventiveMedicine,HaukelandHospital
2、,ArmauerHansenBuilding,UniversityofBergen,N-5021Bergen,NorwaybDepartmentofPsychiatry,AkerHospital,UniversityofOslo,Oslo,NorwaycInstituteofPsychiatry,UniversityofBergen,Bergen,NorwaydDepartmentofPsychiatry,HaukelandHospital,UniversityofBergen,Bergen,NorwayReceived3June2001;a
3、ccepted9October2001AbstractObjective:Toreviewtheliteratureofthevalidityofthe.93(mean.83)andforHADS-Dfrom.67to.90(mean.82).InHospitalAnxietyandDepressionScale(HADS).Method:Amoststudiesanoptimalbalancebetweensensitivityandspecificityreviewofthe747identifiedpapersthatusedHADSw
4、aswasachievedwhencasenesswasdefinedbyascoreof8oraboveperformedtoaddressthefollowingquestions:(I)HowaretheonbothHADS-AandHADS-D.Thesensitivityandspecificityforfactorstructure,discriminantvalidityandtheinternalconsistencybothHADS-AandHADS-Dofapproximately0.80wereveryofHADS?(I
5、I)HowdoesHADSperformasacasefinderforsimilartothesensitivityandspecificityachievedbytheGeneralanxietydisordersanddepression?(III)HowdoesHADSagreeHealthQuestionnaire(GHQ).CorrelationsbetweenHADSandwithotherself-ratinginstrumentsusedtorateanxietyandothercommonlyusedquestionnai
6、reswereintherange.49to.83.depression?Results:Mostfactoranalysesdemonstratedatwo-Conclusions:HADSwasfoundtoperformwellinassessingthefactorsolutioningoodaccordancewiththeHADSsubscalesforsymptomseverityandcasenessofanxietydisordersandAnxiety(HADS-A)andDepression(HADS-D),respec
7、tively.Thedepressioninbothsomatic,psychiatricandprimarycarepatientscorrelationsbetweenthetwosubscalesvariedfrom.40toandinthegeneralpopulation.D2002ElsevierScienceInc..74(mean.56).Cronbach’salphaforHADS-Avariedfrom.68toAllrightsreserved.Keywords:Anxiety;Depression;Psychiatri
8、cStatusRatingScales;Psychometrics;Reproducibilityofresults;Sensitivityandspecifici
