Psychometric study of the Hospital Anxiety and Depression Scale with health professionals.

IF 2.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revista de saude publica Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI:10.11606/s1518-8787.2025059006420

Priscila Pereira da Silva Lopes, Rafaela Schaefer, Juliana Nichterwitz Scherer

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引用次数: 0

Abstract

Objective: To assess the validity of the internal structure and reliability of the Brazilian version of the Hospital Anxiety and Depression Scale (HADS) for screening depressive and anxious symptoms in primary care health professionals.

Methods: A psychometric study carried out with health professionals from primary health care services in a municipality in Rio Grande do Sul, Brazil, in 2023. The quality of the HADS instrument was assessed by internal structural validity, using Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and internal consistency, using Cronbach's Alpha and McDonald's Omega coefficients.

Results: 217 health professionals took part in the study, of both sexes and from different professional categories, such as doctors, nurses, nursing technicians and assistants, dentists and oral health assistants, and community health workers. The EFA showed the two-factor model, anxiety and depression, as originally proposed. The CFA confirmed that the two-dimensional model was a good fit for the sample investigated. The Alpha and Omega values were 0.833 and 0.838 for anxiety and 0.763 and 0.766 for depression, respectively. Both indicated acceptable reliability.

Conclusions: The HADS is a valid and reliable instrument for screening symptoms of anxiety and depression in primary care professionals in Rio Grande do Sul, Brazil.

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医院焦虑抑郁量表与医护人员的心理测量研究。

目的：评估巴西版医院焦虑抑郁量表（HADS）用于筛查初级保健卫生专业人员抑郁和焦虑症状的内部结构的有效性和信度。方法：一项心理测量学研究于2023年在巴西南大德州里约热内卢市的初级卫生保健服务的卫生专业人员中进行。采用探索性因子分析（EFA）、验证性因子分析（CFA）和内部一致性（Cronbach’s Alpha和McDonald’s Omega系数）对HADS仪器的质量进行了内部结构效度评估。结果：217名卫生专业人员参加了这项研究，男女都有，来自不同的专业类别，如医生、护士、护理技术人员和助理、牙医和口腔卫生助理以及社区卫生工作者。EFA显示了两因素模型，焦虑和抑郁，正如最初提出的那样。CFA证实二维模型很好地适合所调查的样本。焦虑的Alpha和Omega值分别为0.833和0.838，抑郁的Alpha和Omega值分别为0.763和0.766。两者都表明了可接受的可靠性。结论：HADS是一种有效和可靠的工具，用于筛查巴西南巴西大德州初级保健专业人员的焦虑和抑郁症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.