College of Stomatology, Chongqing Medical University, Chongqing, China.
Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China.
J Periodontol. 2021 Nov;92(11):1601-1612. doi: 10.1002/JPER.20-0756. Epub 2021 Jan 19.
To investigate the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) and 10-item Perceived Stress Scale (PSS-10) in patients with periodontitis and to evaluate the psychological features of patients with periodontitis.
Overall, 460 individuals with periodontitis were enrolled. The HADS and the PSS-10 were administered to all patients. Methodology testing included the exploratory factor analysis, the confirmatory factor analysis (CFA), test-retest reliability, as well as internal consistency.
Regarding the CFA results of the HADS, as well as the PSS-10, a bifactor model fitted the data best. The Cronbach alpha value, as well as the intra-class correlation coefficients value of the two measures were all >0.70. The anxiety, depression, distress manifestations, and moderate-to-high perceived stress prevalence were 35.2%, 18.2%, 24.6%, and 43.9%, respectively. Severity of periodontitis, age, smoking, and disease comorbidities were identified as independent prognosticators of the presence of psychological manifestations in periodontitis.
The HADS and the PSS-10 can be used as general measures for psychological assessment in patients with periodontitis.
调查牙周炎患者的医院焦虑抑郁量表（HADS）和 10 项感知压力量表（PSS-10）的心理计量学特性，并评估牙周炎患者的心理特征。
共纳入 460 名牙周炎患者。所有患者均接受 HADS 和 PSS-10 测试。方法学测试包括探索性因素分析、验证性因素分析（CFA）、重测信度以及内部一致性。
关于 HADS 和 PSS-10 的 CFA 结果，双因素模型最适合数据。这两种测量方法的克伦巴赫α值和组内相关系数值均>0.70。焦虑、抑郁、困扰表现和中高度感知压力的患病率分别为 35.2%、18.2%、24.6%和 43.9%。牙周炎的严重程度、年龄、吸烟和疾病合并症被确定为牙周炎患者出现心理表现的独立预后因素。
HADS 和 PSS-10 可作为牙周炎患者心理评估的一般测量工具。
