Translation and validation of the Cardiac Depression Scale to Arabic

Abstract

Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D).Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.Keywords: Arabic; Cardiac Depression Scale; cultural relevance; depression; heart disease; scale validation Highlights• We translated and validated the Cardiac Depression Scale to Arabic.• Cultural relevance and content validity were satisfactory.• A stable, parsimonious, and meaningful three-factor model was created.• Internal consistency and concurrent validity were high.• The translated scale appears to be a valid and reliable instrument.

Psychometric properties of the Arabic version of the cardiac depression scale tested on Jordanian patients with cardiovascular diseases

“…The CDS was also translated and validated in the Arabic language [24]. Papasavvas and colleagues assessed the psychometric properties of the Arabic version of the CDS in a sample of 260 participants from one clinical setting and confirmed the feasibility of using the CDS with Arabic speaking patients.…”

“…A secondary data analysis was performed on data collected from two previous studies. The Arabic-Jordanian version of the newly translated CDS tool [25] was used in this study, which is different from the previous translation used in a Lebanese study [24]. The first study [25] examined the presence of depressive symptomology among 174 non-hospitalized Jordanian patients diagnosed with CAD.…”

Versão brasileira da >i<cardiac depression scale>/i<: adaptação transcultural e validação

“…Com uma utilização ampla, a CDS demonstra boas propriedades psicométricas, para o fim a que se propõe em pacientes com diferentes diagnósticos cardiológicos [16][17][18][19][20][21][22] .…”

“…A CDS foi aplicada em diferentes estudos, com adaptações no Reino Unido, Canadá, Estados Unidos, China, Irã, Alemanha, países de língua árabe e, validada em pacientes diagnosticados com Coronariopatias, Insuficiência Cardíaca e até mesmo em pacientes em Reabilitação Cardíaca, e transplantados cardíacos [15][16][17][18][19][20][21][22][23][24] . Entretanto, até o presente momento, não realizou-se um estudo para adaptação transcultural e validação para a língua portuguesa falada no Brasil.…”

“…Comparamos também, através da curva ROC, os três modelos da CDS-Br(5,20,25 itens) com os escores apresentados no BDI-II. Conforme exposto na Figura 3.…”