EXPLORING THE UTILITY OF HADS IN PRIMARY CARE: A CROSS-SECTIONAL STUDY IN FAMILY MEDICINE CLINICS

Thị Bích Ngọc Nguyễn, Chung Thùy Lynh Phan, Lê An Phạm, Trung Sơn Huỳnh, Đức Minh Nguyễn

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Abstract

Objective: The Hospital Anxiety and Depression Scale (HADS) is a reliable and valuable tool for screening anxiety disorders in various populations. However, its utility in patients attending Family Medicine Clinics (FMC) has yet to be systematically investigated. This study aimed to assess the reliability and validity of the HADS in a sample of patients at FMC. Methods: This was a crossectional study. The scale's reliability was assessed using Cronbach's alpha coefficient, and its validity was examined through exploratory factor analysis. Results: The study sample comprised 734 participants, predominantly aged 40 and above. The overall alpha coefficient for the scale was 0.81, indicating good internal reliability. The Kaiser-Meyer-Olkin analysis yielded an index of 0.86, and in concert with a significant Bartlett Test of Sphericity. Our results revealed a one-factor model comprised of seven items with CFI being 0.96, TLI 0.93 and RMSEA 0.078. Conclusion: The statistics reached recommended thresholds, suggesting that the HADS is suitable for patients attending Family Medicine Clinics. The findings support the internal reliability and structural validity of the scale in this population, providing valuable insights for clinicians using the HADS in a primary care setting.

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References

1. C. A. Cassiani-Miranda, O. Scoppetta và D. F. Cabanzo-Arenas (2022), "Validity of the Hospital Anxiety and Depression Scale (HADS) in primary care patients in Colombia", Gen Hosp Psychiatry. 74, tr. 102-109.
2. Colin Cooper (2001), "A Psychometrics Primer: Paul Kline; Free Association Books, London, 2000. Price: £12.95 PB, £35.00 HB. ISBN: 1 85343 489 2 (PB), 1 85343 488 4 (HB), 179 pp", Personality and Individual Differences. 31, tr. 277–278.
3. K. Gough và P. Hudson (2009), "Psychometric properties of the Hospital Anxiety and Depression Scale in family caregivers of palliative care patients", J Pain Symptom Manage. 37(5), tr. 797-806.
4. A. B. Smith và các cộng sự. (2002), "Factor analysis of the Hospital Anxiety and Depression Scale from a large cancer population", Psychol Psychother. 75(Pt 2), tr. 165-76.
5. Barbara Tabachnick và Linda S. Fidell (2007), Using Multivarite Statistics, Vol. 3, 980.
6. B. Terluin và các cộng sự. (2009), "Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ) and the Hospital Anxiety and Depression Scale (HADS)", BMC Fam Pract.10,tr. 58.
7. WHO (2023), Anxiety disorders, truy cập ngày, tại trang web https://www.who.int/news-room/fact-sheets/detail/anxiety-disorders.
8. A. S. Zigmond và R. P. Snaith (1983), "The hospital anxiety and depression scale", Acta Psychiatr Scand. 67(6), tr. 361-70.