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Table 1 Previous validations of HADS in patients with cardiac disease

From: Psychometric properties of the Danish Hospital Anxiety and Depression Scale in patients with cardiac disease: results from the DenHeart survey

Cronbach’s alpha

Reference

Language

Population

Analytic methods

Number of factors

Sub scale content

HADS-A

HADS-D

Correlation between sub scales

Ayis et al. 2018 [9]

English

Stroke (n = 1443)

ML

PCA

CFA (and IRT)

2

Anxiety:

1,3,5,7,9,11,13

Depression: 2,4,6,8,10,12,14

   

Kaur et al. 2015 [15]

Malaysian

Coronary artery disease (n = 189)

PCA

CFA

3

Anxiety:

1,3,5,7,9,11,13

Anhedonia:

2,4,6,14

Psychomotor retardation: 8,10,12

0.89

0.69

Anhedonia: 0.70 Psychomotor retardation: 0.51

Anhedonia – psychomotor retardation: 0.35

Anhedonia – anxiety:

0.47

Psychomotor retardation – anxiety:

0.39

De Smedt et al. 2013 [10]

22 European countries

CABG, PCI, AMI, myocardial ischemia (n = 8745)

CFA

2

Anxiety: 1,3,5,7,9,11,13 Depression: 2,4,6,8,10,12,14

0.82

0.74

0.60

Cosco et al. 2012 [21]

English

Cardiovascular disease (n = 893)

MSA

1

1,2,3,4,5,6,7,9,10,11,12,13

   

Emons et al. 2012 [16]

Dutch

Cardiac patients (n = 534)

MSA EFA CFA

3

Anxiety: 1,3,5,9,13 Depression: 2,4,6,8,10,12 Restlessness: 7,11,14

  

Depression – restlessness: 0.62

Restlessness – anxiety:

0.68

Depression – anxiety:

0.66

Kendel et al. 2010 [22]

German

CABG (n = 1271)

Rasch (HADS-D only)

 

Depression: 2,4,6,12

   

Hunt-Shanks et al. 2010 [17]

English

Cardiac patients (n = 801)

CFA

3

Negative affect: 1,5,7,11 Autonomic anxiety: 3,9,13

Depression: 2,4,6,8,10,12,14

   

Martin et al. 2008 [18]

German Chinese English

Coronary heart disease

(n = 1793)

MGCFA

3

Antonomic anxiety:

3,9,13 Negative affectivity: 1,5,7,11Anhedonic depression: 2,4,6,8,10,12,14

   

Pais-Ribeiro et al. 2007 [11]

Portuguese

Mixed patients incl. Coronary heart disease (n = 1322)

EFA

CFA

2

Anxiety:

1,3,5,7,9,11,13

Depression: 2,4,6,8,10,12,14

0.76

0.81

0.58

Wang et al. 2006 [12]

Chinese

Coronary heart disease (n = 154)

CFA

2 or 3

2: Anxiety: 1,3,5,9,11 Depression: 2,4,6,7,8,10,12,14 3: Antonomic anxiety:

3,9,13

Negative affectivity: 1,5,7,11

Anhedonic depression: 2,4,6,8,10,12,14

   

Barth and Martin 2005 [13]

German

Coronary heart disease (n = 1320)

EFA

CFA

EFA: 2

CFA: 3

EFA:

Anxiety:

1,3,5,7,9,11,13

Depression: 2,4,6,8,10,12,14

CFA:

Psychomotor agitation: 1,7,11

Psychic anxiety:

3,5,9,13

Depression: 2,4,6,8,10,12,14

  

0.82

(between HADS-A and HADS-D)

Martin et al. 2004 [52]

Chinese

Acute coronary syndrome (n = 138)

CFA

3

Different models apply

0.79

0.55

 

Martin et al. 2003 [19]

English

MI

(n = 335)

CFA

3

Anhedonia: 2,4,6,8,10,12,14

Psychic anxiety:

3,5,9,13

Psychomotor agitation: 1,7,11

0.83–0.86 (3 timepoints)

0.76–0.80 (3 timepoints)

 

Roberts et al. 2001 [14]

English

Female cardiac patients (n = 167)

CFA

2

Anxiety:

1,3,5,7,9,11,13

Depression: 2,4,6,8,10,12,14

0.85

0.80

0.60

Martin and Thompson 2000 [20]

English

MI

(n = 194)

EFA

3

1: 2,4,6,7,8,10,12,14

2: 3,9,13

3: 1,5,11

0.76

0.72

0.54

  1. ML maximum likelihood; PCF principal component analysis; CFA confirmatory factor analysis; IRT item response theory; MSA Mokken scale analysis; EFA exploratory factor analysis; CABG coronary artery bypass graft; PCI percutaneous coronary intervention; AMI acute myocardial infarction; MGCFA meta group confirmatory factor analysis; MI myocardial infarction