Vallejo Miguel A, Rivera Javier, Esteve-Vives Joaquim, Rodríguez-Muñoz María F
Facultad de Psicología, Universidad Nacional de Educación a Distancia, Madrid, España.
Rev Psiquiatr Salud Ment. 2012 Apr-Jun;5(2):107-14. doi: 10.1016/j.rpsm.2012.01.003. Epub 2012 Mar 2.
The HADS is a questionnaire widely used to evaluate anxiety and depression, although its use in fibromyalgia patients has not yet been reported. The aim of this study is to know the usefulness of the HADS to evaluate the emotional aspects related to fibromyalgia patients.
This paper studies a sample of 301 fibromyalgia patients. The scientific goodness of the questionnaire is analyzed, and its structure is compared with other models by confirmatory factor analysis. Two external severity indices are used, number of tender points and patient's employment situation.
The results show higher levels of anxiety than in other disorders, adequate reliability and a three-factor model with better statistical fit. Nevertheless, this structure was not shown more useful than the two-factor structure for the external criteria studied.
The HADS has been shown to be a useful tool for exploring the presence of anxiety and depression in fibromyalgia patients and that the number of tender points does not seem to be related to the severity of the psychological aspects measured by the HADS in our sample, while there does seem to be a correspondence between psychological condition and absence from work.
医院焦虑抑郁量表（HADS）是一种广泛用于评估焦虑和抑郁的问卷，尽管其在纤维肌痛患者中的应用尚未见报道。本研究的目的是了解HADS在评估纤维肌痛患者相关情绪方面的实用性。
本文研究了301例纤维肌痛患者的样本。分析了问卷的科学性，并通过验证性因素分析将其结构与其他模型进行比较。使用了两个外部严重程度指标，即压痛点数量和患者的就业状况。
结果显示，与其他疾病相比，焦虑水平更高，可靠性良好，且三因素模型具有更好的统计拟合度。然而，对于所研究的外部标准而言，这种结构并不比两因素结构更有用。
HADS已被证明是探索纤维肌痛患者焦虑和抑郁存在情况的有用工具，在我们的样本中，压痛点数量似乎与HADS所测量的心理方面的严重程度无关，而心理状况与缺勤之间似乎存在对应关系。
