Hospital Anxiety and Depression Scale (HADS): Validation in Mexican patients with inflammatory bowel disease

Yamamoto‐Furusho, Jesús K.; Sarmiento-Aguilar, Andrea; García-Alanís, Mario; Gómez-García, Luis Enrique; Toledo-Mauriño, Joel; Olivares-Guzmán, Laura; Fresán‐Orellana, Ana

doi:10.1016/j.gastre.2018.08.009

Cited by 21 publications

(30 citation statements)

References 24 publications

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“…In contrast, item 7 ("Puedo estar sentada tranquilamente y sentirme relajada") originally from the Anxiety factor, was placed in the Depression factor. This conformation is similar to that obtained by Yamamoto-Furusho et al (2018) who suggested that the difficulty in mobility (item 8) and in personal care attention (item 10) could generate anxiety in the population studied by them. This interpretation is plausible for the population reported here since there is evidence that changes in the body's shape and the weight of the pregnant woman can lead to a negative assessment of her body image which is associated with high levels of anxiety (Nagl, Jepsen, Linde, & Kersting, 2019).…”

Section: Discussionsupporting

confidence: 89%

“…In contrast, in the study of patients with HIV infection by Nogueda et al (2013), this same scale presented a unifactorial structure of 13 items that yielded a general measure of distress rather than an evaluation of anxiety and depression. This diversity of results is consistent with the approach of Yamamoto-Furusho et al (2018) according to which the constructs that the HADS evaluates may be different depending on the clinical population to which it is applied and therefore said instrument needs to be validated with the target population to be evaluated.…”

Section: Introductionsupporting

confidence: 63%

“…This last result is novel with respect to the validations currently available for HADS in the Mexican population. The internal consistency and the percentage of variance explained here are also acceptable and similar to those described in other validations of the HADS scale in the Mexican population (c.f., Galindo-Vázquez et al, 2015;Suárez-Mendoza et al, 2019;Yamamoto-Furusho et al, 2018). All these results provide evidence that the HADS scale is an instrument with adequate psychometric properties to assess anxiety and depression during pregnancy in the Mexican population.…”

Section: Discussionmentioning

confidence: 57%

“…The validation of the HADS scale with pregnant Mexican women shows a structure with the factors "Anxiety" and "Depression" that is consistent with its original form (Zigmond & Snaith, 1983) and with several previous versions validated with a Mexican population (c.f. Galindo-Vázquez et al, 2015;Suárez-Mendoza et al, 2019;Yamamoto-Furusho et al, 2018). However, the factors demonstrated by the exploratory factor analysis are partially different from those of the original version.…”

Section: Discussionmentioning

confidence: 83%

“…In Mexico, Suárez-Mendoza et al (2019) reported, with patients with cardiovascular, diseases adequate psychometric properties for the HADS scale, which also retained its original structure. Similarly, Yamamoto-Furusho et al (2018), with patients with inflammatory bowel disease, retained the bifactorial structure of the instrument although only 10 of the 14 items remained in their original factor. For Galindo-Vázquez et al (2015), with cancer patients maintaining the bifactorial structure of the HADS, it was required to eliminate two items that formed a third unspecified factor.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnant women

et al. 2020

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Introduction. Anxiety and depression in pregnant women are a public health problem. Their adequate detection requires valid and reliable instruments that are also useful for prevention and treatment. Objective. To identify the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) in a sample of Mexican pregnant women. Method. The HADS was applied to 716 pregnant women between 13 and 46 years old (M = 26.55; SD = 6.56) attended in a public hospital in Mexico City. Results. With a sample of 358 participants, a parallel analysis indicated a bifactorial structure for HADS, identified by exploratory factor analysis (Factor 1: anxiety, Factor 2: depression). The factors explained 53% of the variance and correlated positively (r = .36). The global internal consistency (Cronbach’s α = .81; ordinal α = .93) and by factor (anxiety: Cronbach’s α = .79; ordinal α = .88; depression: Cronbach’s α = .79; ordinal α = .87) was acceptable. With data from the remaining 358 participants, a confirmatory factor analysis showed an acceptable fit for the structure detected (χ2/gl = 2.72; RMSEA = .06 [IC .05, .08]; GFI = .93; AGFI = .90; TLI = .90; CFI = .92). Discussion and conclusions. The Hospital Anxiety and Depression Scale has adequate psychometric properties to be used in pregnant Mexican women. Its use in routine pregnancy controls would be useful to prevent, detect, and timely treat these conditions.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnant women

et al. 2020

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Association of ulcerative colitis symptom severity and proctocolectomy with multidimensional patient-reported outcomes: a cross-sectional study

et al. 2023

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Background The YOu and Ulcerative colitis: Registry and Social network (YOURS) is a large-scale, multicenter, patient-focused registry investigating the effects of lifestyle, psychological factors, and clinical practice patterns on patient-reported outcomes in patients with ulcerative colitis in Japan. In this initial cross-sectional baseline analysis, we comprehensively explored impacts of symptom severity or proctocolectomy on nine patient-reported outcomes. Methods Patients receiving tertiary care at medical institutions were consecutively enrolled in the YOURS registry. The patients completed validated questionnaires on lifestyle, psychosocial factors, and disease-related symptoms. Severity of symptoms was classified with self-graded stool frequency and rectal bleeding scores (categories: remission, active disease [mild, moderate, severe]). The effects of symptom severity or proctocolectomy on nine scales for quality of life, fatigue, anxiety/depression, work productivity, and sleep were assessed by comparing standardized mean differences of the patient-reported outcome scores. Results Of the 1971 survey responses analyzed, 1346 (68.3%) patients were in remission, 583 (29.6%) had active disease, and 42 (2.1%) had undergone proctocolectomy. A linear relationship between increasing symptom severity and worsening quality of life, fatigue, anxiety, depression, and work productivity was observed. Patients with even mild symptoms had worse scores than patients in remission. Patients who had undergone proctocolectomy also had worse scores than patients in remission. Conclusions Ulcerative colitis was associated with reduced mood, quality of life, fatigue, and work productivity even in patients with mild symptoms, suggesting that management of active ulcerative colitis may improve patient-reported outcomes irrespective of disease severity. (UMIN Clinical Trials Registry: UMIN000031995, https://www.umin.ac.jp/ctr/index-j.htm).

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Critical role of acute hypoxemia on the cognitive impairment after severe COVID-19 pneumonia: a multivariate causality model analysis

et al. 2022

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Background A high proportion of coronavirus disease 2019 (COVID-19) survivors may develop long-term cognitive impairment. We aimed to develop a multivariate causal model exposing the links between COVID-19-associated biomarkers, illness-related variables, and their effects on cognitive performance. Methods In this prospective study, we assess the potential drivers for the development of cognitive impairment in patients with severe COVID-19 pneumonia aged ≥ 18 years at 6-month follow-up after hospital discharge, using the Montreal Cognitive Assessment (MoCA). Patients with pre-existing cognitive impairment were excluded. Laboratory results at hospital admission were clustered by principal component analysis (PCA) and included in a path analysis model evaluating the causal relationship between age, comorbidities, hypoxemia, invasive mechanical ventilation (IMV) requirement, in-hospital delirium, and cognitive performance. Results We studied 92 patients: 54 (58.7%) men and 38 (41.3%) women, with median age of 50 years (interquartile range 42–55), among whom 50 (54.4%) tested positive for cognitive impairment at 6-month follow-up. Path analysis revealed a direct link between the thrombo-inflammatory component of PCA (C-reactive protein, fibrinogen, and neutrophils) and hypoxemia severity at hospital admission. Our model showed that low PaO 2 /FiO 2 ratio values, unlike the thrombo-inflammatory component, had a direct effect on cognitive performance, independent from age, in-hospital delirium, and invasive mechanical ventilation. Conclusion In this study, biomarkers of thrombo-inflammation in COVID-19 and low PaO 2 /FiO 2 had a negative effect on cognitive performance 6 months after hospital discharge. These results highlight the critical role of hypoxemia as a driver for impaired cognition in the mid-term. Supplementary Information The online version contains supplementary material available at 10.1007/s10072-021-05798-8.

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Hospital Anxiety and Depression Scale (HADS): Validation in Mexican patients with inflammatory bowel disease

Cited by 21 publications

References 24 publications

Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnant women

Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnant women

Association of ulcerative colitis symptom severity and proctocolectomy with multidimensional patient-reported outcomes: a cross-sectional study

Critical role of acute hypoxemia on the cognitive impairment after severe COVID-19 pneumonia: a multivariate causality model analysis

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