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

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)...

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Bibliographic Details
Authors: David Luna, Dulce Vanesa Castañeda-Hernández, Alicia Lisbeth Guadarrama-Arteaga, Rosa Paola Figuerola-Escoto, Alejandra García-Arista, Minerva Beatriz Ixtla-Pérez, Leticia María Jiménez-López, Reynalda Alva-Alva, Fernando Meneses-González, Miguel Ángel Lezana-Fernández
Format: article
Status:Published version
Publication Date:2020
Country:México
Institution:Universidad Autónoma Metropolitana
Repository:Redalyc-UAM
OAI Identifier:oai:redalyc.org:58263560006
Online Access:https://www.redalyc.org/articulo.oa?id=58263560006
https://www.redalyc.org/journal/582/58263560006/
https://www.redalyc.org/journal/582/58263560006/html/
https://www.redalyc.org/journal/582/58263560006/58263560006.epub
https://www.redalyc.org/journal/582/58263560006/movil
Access Level:Open access
Keyword:Medicina
México
validation
pregnant women
Prenatal anxiety
prenatal depression
Description
Summary: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 México 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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