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ORIGINAL RESEARCH article

Front. Psychol.
Sec. Psycho-Oncology
Volume 15 - 2024 | doi: 10.3389/fpsyg.2024.1497946

Psychometric properties of Spanish Version of Hospital Anxiety and Depression Scale in cancer patients Authors

Provisionally accepted
Ana L Vilela-Estrada Ana L Vilela-Estrada 1,2David Villarreal-Zegarra David Villarreal-Zegarra 3*Loida Esenarro-Valencia Loida Esenarro-Valencia 4,5,6José C Sánchez-Ramírez José C Sánchez-Ramírez 4,7Fernando Lamas-Delgado Fernando Lamas-Delgado 4,5,8Juan Ambrosio Juan Ambrosio 1Anthony Copez- Lonzoy Anthony Copez- Lonzoy 1C Mahony Mahony Reategui-Rivera C Mahony Mahony Reategui-Rivera 3Joseph Finkelstein Joseph Finkelstein 3
  • 1 Instituto Peruano de Orientación Psicológica (IPOPS), Lima, Peru
  • 2 Centre of Excellence in Chronic Diseases, Peruvian Cayetano Heredia University, Lima, Peru
  • 3 School of Medicine, Department of Biomedical Informatics, The University of Utah, Salt Lake City, Utah, United States
  • 4 Instituto Nacional de Enfermedades Neoplásicas (INEN), Lima, Peru
  • 5 Peruvian Union University, Lima, Peru
  • 6 Instituto de Neuropsicología y Demencias, Lima, Peru
  • 7 University of Lima, Lima, Peru
  • 8 Universidad Autónoma del Perú, Lima, Peru

The final, formatted version of the article will be published soon.

    Background: The Hospital Anxiety and Depression Scale (HADS) despite being widely studied in various populations, there is still no consensus on its factor structure. Our study aims to evaluate the psychometric properties of HADS in people with cancer. Methods: Our study was cross-sectional and non-probabilistic. It involved 467 patients diagnosed with cancer, over 18 years old, and were treated in a public institution specialized in cancer. The Hospital Anxiety and Depression Scale, the Beck Anxiety Inventory and the Beck Depression Inventory were used. Internal structure, measurement invariance, relationship with other variables and reliability were evaluated. Results: It was found that HADS is best suited to a bifactorial structure where there is one general factor (emotional distress) and two specific factors (anxiety and depression). HADS proves to be invariant according to sex and years of education. It is moderately related to Beck Anxiety Inventory and Beck Depression Inventory. Also, it presents acceptable levels of reliability and relationship with instruments used in the diagnosis of anxiety and depression. Conclusion: HADS is best suited to a bifactorial structure in a cancer population, comparisons can be made for both men and women and according to years of education. Its brevity, versatility, hospital-focused design and extensive study make HADS a very important instrument in the detection of anxiety and depression in cancer patients.

    Keywords: ALVE: Conceptualization, Data curation, investigation, methodology, project administration, Validation, Writing -Original Draft Preparation, Approval of the final version. ACL: Methodology

    Received: 18 Sep 2024; Accepted: 30 Dec 2024.

    Copyright: © 2024 Vilela-Estrada, Villarreal-Zegarra, Esenarro-Valencia, Sánchez-Ramírez, Lamas-Delgado, Ambrosio, Copez- Lonzoy, Mahony Reategui-Rivera and Finkelstein. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: David Villarreal-Zegarra, School of Medicine, Department of Biomedical Informatics, The University of Utah, Salt Lake City, 84112, Utah, United States

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.