Fatt Q K, Atiya A S, Heng N C, Beng C C
School of Medicine & Health Sciences, Monash University Malaysia, Bandar Sunway, Petaling Jaya, Selangor Darul Ehsan, Malaysia.
Int J Impot Res. 2007 May-Jun;19(3):321-5. doi: 10.1038/sj.ijir.3901528. Epub 2006 Nov 30.
Premature ejaculation (PE) is a common sexual dysfunction among the general population. PE has often been associated with a psychological state of mind. Hospital Anxiety and Depression Scale (HADS) can be used as an instrument to assess the emotional and psychological state. The present study was designed to assess the reliability and validity of the HADS in a Malaysian population. The validity and reliability were studied in subjects with and without PE. Test-retest methodology was used to assess the reliability whereas Cronbach's alpha was used to assess the internal consistency. In the control and the PE groups, the internal consistency was good and a high degree of internal consistency was observed for all 14 items. In the control group, the Cronbach's alpha values at baseline were from 0.811 to 0.834, whereas for retest, the Cronbach's alpha values were from 0.821-0.838 items. Intraclass correlation coefficient (ICC) was high for the control (0.797-0.868: baseline and 0.805-0.872: retest) and PE group (0.822-0.906: baseline and 0.785-0.887: retest). The high value of ICC and the internal consistency was due to high reliability and consistency of the items at 2-week interval. A degree of significance between the baseline and week-2 scores was observed across all items in the PE group but not in the control group. The HADS is a suitable, reliable, valid and sensitive instrument to measure the clinical change for anxiety and depression in the Malaysian population.
早泄（PE）是普通人群中常见的性功能障碍。早泄常与心理状态有关。医院焦虑抑郁量表（HADS）可作为评估情绪和心理状态的工具。本研究旨在评估HADS在马来西亚人群中的可靠性和有效性。在有和没有早泄的受试者中研究了其有效性和可靠性。采用重测法评估可靠性，而使用克朗巴哈系数来评估内部一致性。在对照组和早泄组中，内部一致性良好，所有14个项目均观察到高度的内部一致性。在对照组中，基线时的克朗巴哈系数值为0.811至0.834，而重测时，克朗巴哈系数值为0.821 - 0.838项。组内相关系数（ICC）在对照组（基线时为0.797 - 0.868，重测时为0.805 - 0.872）和早泄组（基线时为0.822 - 0.906，重测时为0.785 - 0.887）中较高。ICC的高值和内部一致性归因于各项目在两周间隔时的高可靠性和一致性。在早泄组的所有项目中观察到基线和第2周得分之间存在一定程度的显著性差异，但在对照组中未观察到。HADS是一种适用于测量马来西亚人群焦虑和抑郁临床变化的合适、可靠、有效且敏感的工具。
