医院焦虑抑郁量表（HADS）：在希腊一家综合医院样本中的效度验证。
Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample.
作者信息
Michopoulos Ioannis, Douzenis Athanasios, Kalkavoura Christina, Christodoulou Christos, Michalopoulou Panayiota, Kalemi Georgia, Fineti Katerina, Patapis Paulos, Protopapas Konstantinos, Lykouras Lefteris
机构信息
Second Department of Psychiatry, Athens University Medical School, 'Attikon' General Hospital, Athens, Greece.
Third Department of Surgery, University of Athens, School of Medicine, 'Attikon' University Hospital, Athens, Greece.
出版信息
Ann Gen Psychiatry. 2008 Mar 6;7:4. doi: 10.1186/1744-859X-7-4.
BACKGROUND
The Hospital Anxiety and Depression Scale (HADS) has been used in several languages to assess anxiety and depression in general hospital patients with good results.
METHODS
The HADS was administered to 521 participants (275 controls and 246 inpatients and outpatients of the Internal Medicine and Surgical Departments in 'Attikon' General Hospital in Athens). The Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) were used as 'gold standards' for depression and anxiety respectively.
RESULTS
The HADS presented high internal consistency; Cronbach's alpha coefficient was 0.884 (0.829 for anxiety and 0.840 for depression) and stability (test-retest intraclass correlation coefficient 0.944). Factor analysis showed a two-factor structure. The HADS showed high concurrent validity; the correlations of the scale and its subscales with the BDI and the STAI were high (0.722 - 0.749).
CONCLUSION
The Greek version of HADS showed good psychometric properties and could serve as a useful tool for clinicians to assess anxiety and depression in general hospital patients.
背景
医院焦虑抑郁量表（HADS）已被用于多种语言，以评估综合医院患者的焦虑和抑郁状况，效果良好。
方法
对521名参与者（275名对照者以及雅典“阿提卡”综合医院内科和外科的246名住院患者及门诊患者）进行了HADS测试。分别使用贝克抑郁量表（BDI）和状态-特质焦虑量表（STAI）作为抑郁和焦虑的“金标准”。
结果
HADS具有较高的内部一致性；克朗巴哈α系数为0.884（焦虑分量表为0.829，抑郁分量表为0.840），且稳定性良好（重测组内相关系数为0.944）。因子分析显示其具有两因素结构。HADS具有较高的同时效度；该量表及其各分量表与BDI和STAI的相关性较高（0.722 - 0.749）。
结论
希腊语版的HADS显示出良好的心理测量学特性，可作为临床医生评估综合医院患者焦虑和抑郁状况的有用工具。
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