沙特阿拉伯某急诊科医院焦虑抑郁量表的信度和效度：一项横断面观察性研究
Reliability and validity of the Hospital Anxiety and Depression Scale in an emergency department in Saudi Arabia: a cross-sectional observational study.
作者信息
Al Aseri Zohair A, Suriya M Owais, Hassan Hosam A, Hasan Mujtaba, Sheikh Shaffi Ahmed, Al Tamimi Adel, Alshathri Mashhoor, Khalid Najeeb
机构信息
Department of Emergency Medicine (65), College of Medicine, King Khalid University Hospital KSU, PO Box No: 7805, Riyadh, 11472, Kingdom of Saudi Arabia.
Fellow Community Health, College of Medicine, University of Saskatchewan, 107, Wiggins Road, S7N 5E5, Saskatoon, Canada.
出版信息
BMC Emerg Med. 2015 Oct 12;15:28. doi: 10.1186/s12873-015-0051-4.
BACKGROUND
Depression and anxiety are prevalent psychiatric comorbidities that are known to have a negative impact on a patient's general prognosis. But screening for these potential comorbidities in a hospital's accident and emergency department has seldom been undertaken, particularly in Saudi Arabia and elsewhere in the Middle East. The Hospital Anxiety and Depression Scale (HADS) has been extensively used to evaluate these psychiatric comorbidities in various clinical settings at all levels of health care services except for the accident and emergency department. This study therefore aimed to assess the reliability and validity of the HADS for anxiety and depression among patients at a hospital accident and emergency department in Saudi Arabia.
METHODS
This cross-sectional observational study was conducted from January to December 2012. The participants were 257 adult patients (aged 16 years and above) who presented at the accident and emergency department of King Khalid University Hospital, Riyadh, Saudi Arabia, who met our inclusion criteria. We used an Arabic translation of the HADS. We employed factor analysis to determine the underlying factor structure of that instrument in assessing reliability and validity.
RESULTS
We found the Arabic version of the HADS to be acceptable for 95% of the subjects. We used Cronbach's alpha coefficient to evaluate reliability, and it indicated a significant correlation with both the anxiety (0.73) and depression (0.77) subscales of the HADS, thereby supporting the validity of the instrument. By means of factor analysis, we obtained a two-factor solution according to the two HADS subscales (anxiety and depression), and we observed a statistically significant correlation (r = 0.57; p < 0.0001) between the two subscales.
CONCLUSION
The HADS can be used effectively in an accident and emergency department as an initial screening instrument for anxiety and depression. It thus has great potential as part of integrated multidisciplinary care.
背景
抑郁症和焦虑症是常见的精神科合并症，已知会对患者的总体预后产生负面影响。但在医院急诊科对这些潜在合并症进行筛查的情况很少见，尤其是在沙特阿拉伯和中东其他地区。医院焦虑抑郁量表（HADS）已被广泛用于评估各级医疗服务中除急诊科以外的各种临床环境中的这些精神科合并症。因此，本研究旨在评估HADS在沙特阿拉伯一家医院急诊科患者中用于评估焦虑和抑郁的信度和效度。
方法
本横断面观察性研究于2012年1月至12月进行。研究对象为257名成年患者（年龄16岁及以上），他们在沙特阿拉伯利雅得国王哈立德大学医院急诊科就诊，符合我们的纳入标准。我们使用了HADS的阿拉伯语译本。我们采用因子分析来确定该工具在评估信度和效度时的潜在因子结构。
结果
我们发现HADS的阿拉伯语版本对95%的受试者来说是可接受的。我们使用克朗巴赫α系数来评估信度，结果表明它与HADS的焦虑（0.73）和抑郁（0.77）分量表均有显著相关性，从而支持了该工具的效度。通过因子分析，我们根据HADS的两个分量表（焦虑和抑郁）得到了一个双因子解决方案，并且我们观察到两个分量表之间存在统计学上显著的相关性（r = 0.57；p < 0.0001）。
结论
HADS可在急诊科有效用作焦虑和抑郁的初始筛查工具。因此，作为综合多学科护理的一部分，它具有巨大潜力。
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