McCue, Patricia and Martin, Colin R. and Buchanan, Tom and Rodgers, Jacqui and Scholey, Andrew B. (2003) An investigation into the psychometric properties of the Hospital Anxiety and Depression Scale in individuals with Chronic Fatigue Syndrome. Psychology, Health and Medicine, 8 (4). pp. 425-439. ISSN 1354-8506
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Official URL: http://dx.doi.org/10.1080/1354850310001604568
The study sought to determine the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) in individuals with chronic fatigue syndrome (GFS) assessed using a web-based data collection tool. Exploratory and confirmatory factor analyses were conducted on the HADS to determine its psychometric properties in 117 individuals with CFS. Seven models were tested to determine model fit to the data. Internal reliability estimations of the anxiety and depression sub-scales were found to be acceptable, however, a three-factor model was found to provide a significantly better fit to the data when compared to the bi-dimensional two-factor structure previously assumed to underpin the HADS' construct validity. The clinical utility of the HADS in the assessment of anxiety and depression in CFS appears to be fundamentally compromised by the presence of a three-dimensional underlying factor structure. Future revision of the HADS is recommended if the instrument is to be used reliably to screen CFS patients.
|Research Community:||University of Westminster > Social Sciences, Humanities and Languages, School of|
|Deposited On:||01 Sep 2011 15:18|
|Last Modified:||01 Sep 2011 15:18|
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