Klinik Olmayan Türk Örneklemde Hastane Anksiyete ve Depresyon Ölçeği’nin Madde Tepki Kuramı ile Değerlendirilmesi

Yıl 2022, Cilt: 4 Sayı: 1, 84 - 93, 14.03.2022

Arkun Tatar , Didem Ayhan

https://doi.org/10.35365/ctjpp.22.1.09

Öz

Bu çalışmada Hastane Anksiyete ve Depresyon Ölçeği Türkçe formunun genel örneklemde yapısal geçerliliğinin gözden geçirilmesinin ve Madde Tepki Kuramı ile maddelerinin incelenmesi amaçlanmıştır. Çalışmaya web üzerinden yapılan uygulamayla genel örneklemden 18-64 yaşları arasında (ort. = 33,82 ± 13,99 yıl) 480 erkek (%49,7), 485 kadın (%50,3) olmak üzere toplam 965 kişi katılmıştır. Ölçeğin Açıklayıcı Faktör Analizi sonuçlarına göre özgün çalışma yapısına uygun olacak şekilde Anksiyete ve Depresyon alt boyutlarından oluşan iki faktörlü yapısı gözlenmiştir. Ölçeğin iki faktörle tüm varyansın %47,14’ünü açıkladığı belirlenmiştir. Doğrulayıcı Faktör Analizi sonucuna göre tüm uyum iyiliği göstergeleri iyi uyum göstermiştir. Alt boyutlar arasında korelasyon katsayısı 0,64, paylaşılan ortak varyans ise 0,41 olarak hesaplanmıştır. Tüm grupta Cronbach alfa iç tutarlılık güvenirlik katsayısı Aksiyete alt boyutu için 0,83, Depresyon alt boyutu için 0,77 olarak belirlenmiştir. İki parametreli doğrusal Madde Tepki Kuramı modeli ile madde parametreleri hesaplanmış ve 4. ve 7. maddenin düşük ayırt edicilik, 2. ve 13. maddenin yüksek ayırt edicilik değerleri gösterdiği görülmüştür. Çalışma, Türkçe form ölçeğin psikometrik özellikleri ve kullanımı ile ilgili ek bilgiler sağlamıştır. Ölçeğin Madde Tepki Kuramı ile incelenmesi, ölçeğin psikiyatrik komorbiditelerin değerlendirilmesine yönelik kullanımına yöntemsel katkı sağlarken, anksiyete ve depresyonun anlaşılmasına da yardımcı olmaktadır.

Anahtar Kelimeler

Hastane Anksiyete ve Depresyon Ölçeği, Madde Tepki Kuramı, Faktör Analizi, Anksiyete, Depresyon

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Evaluation of the Hospital Anxiety and Depression Scale in Non-clinic Turkish Sample Using Item Response Theory Analysis

Öz

In this study, it was aimed to review the structural validity of the Turkish version of the Hospital Anxiety and Depression Scale in the community sample and to examine its items with Item Response Theory. A total of 965 people, 480 males (49.7%) and 485 females (50.3%), between the ages of 18-64 (mean = 33.82 ± 13.99 years) participated in the study via the web application. According to the Explanatory Factor Analysis results of the scale, the two-factor structure consisting of Anxiety and Depression sub-dimensions were observed suitable for its original study structure. It was determined that the scale explains 47.14% of the total variance with two factors. According to the Confirmatory Factor Analysis result, it showed a good fit with all goodness of fit indicators. The correlation coefficient between the sub-dimensions was calculated as 0.64, and the shared common variance was 0.41. In the whole group, the Cronbach's alpha internal consistency reliability coefficient was determined 0.83 for the Anxiety sub-dimension and 0.77 for the Depression sub-dimension. Item parameters estimate with the two-parameter logistic Item Response Theory model, and it was observed that items 4 and 7 had low discrimination values and items 2 and 13 had the highest discrimination values. The study has provided additional information on the psychometric properties of the Turkish form scale and its usage. Examining the scale with Item Response Theory helps to understand anxiety and depression while providing a methodical contribution to the use of the scale for evaluating psychiatric comorbidities.

Anahtar Kelimeler

Hospital Anxiety and Depression Scale, Item Response Theory, Factor Analysis, Anxiety, Depression

Proje Numarası

Yok

Kaynakça

• Al Aseri, Z. A., Suriya, M. O., Hassan, H. A., Hasan, M., Sheikh, S. A., Al Tamimi, A., ... & Khalid, N. (2015). Reliability and validity of the Hospital Anxiety and Depression Scale in an emergency department in Saudi Arabia: a cross-sectional observational study. BMC Emergency Medicine, 15(1), 1-6.
• Andersson, E. (1993). The hospital anxiety and depression scale: Homogeneity of the subscales. Social Behavior and Personality: An International Journal, 21(3), 197-204.
• Aydemir, Ö., Güvenir, T., Küey, L., & Kültür, S. (1997). Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirliği. Türk Psikiyatri Dergisi, 8(4), 280-287.
• Ayis, S. A., Ayerbe, L., Ashworth, M., & Wolfe, C. D. (2018). Evaluation of the hospital anxiety and depression scale (HADS) in screening stroke patients for symptoms: item response theory (IRT) analysis. Journal of Affective Disorders, 228, 33-40.
• Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: an updated literature review. Journal of Psychosomatic Research, 52(2), 69-77.
• Bocéréan, C., & Dupret, E. (2014). A validation study of the Hospital Anxiety and Depression Scale (HADS) in a large sample of French employees. BMC Psychiatry, 14(1), 1-11.
• Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr, C., & Pereira, W. A. (1995). Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Revista de Saude Publica, 29, 359-363.
• Brandberg, Y., Bolund, C., Sigurdardottir, V., Sjödén, P. O., & Sullivan, M. (1992). Anxiety and depressive symptoms at different stages of malignant melanoma. Psycho‐Oncology, 1(2), 71-78.
• Brennan, C., Worrall-Davies, A., McMillan, D., Gilbody, S., & House, A. (2010). The Hospital Anxiety and Depression Scale: a diagnostic meta-analysis of case-finding ability. Journal of Psychosomatic Research, 69(4), 371-378.
• Cía, A. H., Stagnaro, J. C., Gaxiola, S. A., Vommaro, H., Loera, G., Medina-Mora, M. E., ... & Kessler, R. C. (2018). Lifetime prevalence and age-of-onset of mental disorders in adults from the Argentinean Study of Mental Health Epidemiology. Social Psychiatry and Psychiatric Epidemiology, 53(4), 341-350.
• Clarke, D. M., & Currie, K. C. (2009). Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence. Medical Journal of Australia, 190, S54-S60.
• Cosco, T. D., Doyle, F., Ward, M., & McGee, H. (2012). Latent structure of the Hospital Anxiety And Depression Scale: a 10-year systematic review. Journal of Psychosomatic Research, 72(3), 180-184.
• Costantini, M., Musso, M., Viterbori, P., Bonci, F., Del Mastro, L., Garrone, O., ... & Morasso, G. (1999). Detecting psychological distress in cancer patients: validity of the Italian version of the Hospital Anxiety and Depression Scale. Supportive Care in Cancer, 7(3), 121-127.
• El-Rufaie, O. E. F., & Absood, G. H. (1995). Retesting the validity of the Arabic version of the Hospital Anxiety and Depression (HAD) scale in primary health care. Social psychiatry and psychiatric epidemiology, 30(1), 26-31.
• Forjaz, M. J., Rodriguez‐Blázquez, C., & Martinez‐Martin, P. (2009). Rasch analysis of the hospital anxiety and depression scale in Parkinson's disease. Movement Disorders, 24(4), 526-532.
• Giusti, E. M., Jonkman, A., Manzoni, G. M., Castelnuovo, G., Terwee, C. B., Roorda, L. D., & Chiarotto, A. (2020). Proposal for improvement of the hospital anxiety and depression scale for the assessment of emotional distress in patients with chronic musculoskeletal pain: a bifactor and item response theory analysis. The Journal of Pain, 21(3-4), 375-389.
• Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate Data Analysis. Australia: Cengage Learning.
• Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale-a review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17-41.
• Hinz, A., & Brahler, E. (2011). Normative values for the hospital anxiety and depression scale (HADS) in the general German population. Journal of Psychosomatic Research, 71(2), 74-78.
• Johnston, M., Pollard, B., & Hennessey, P. (2000). Construct validation of the hospital anxiety and depression scale with clinical populations. Journal of psychosomatic research, 48(6), 579-584.
• Kjærgaard, M., Wang, C. E. A., Waterloo, K., & Jorde, R. (2014). A study of the psychometric properties of the Beck Depression Inventory‐II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scandinavian Journal of Psychology, 55(1), 83-89.
• Lakkis, N. A., & Mahmassani, D. M. (2015). Screening instruments for depression in primary care: a concise review for clinicians. Postgraduate Medicine, 127(1), 99-106.
• Leung, C. M., Ho, S., Kan, C. S., Hung, C. H., & Chen, C. N. (1993). Evaluation of the Chinese version of the Hospital Anxiety and Depression Scale: A cross-cultural perspective. International Journal of Psychosomatics, 40(1-4), 29-34.
• Lim, G. Y., Tam, W. W., Lu, Y., Ho, C. S., Zhang, M. W., & Ho, R. C. (2018). Prevalence of depression in the community from 30 countries between 1994 and 2014. Scientific Reports, 8(1), 1-10.
• Lin, C. Y., & Pakpour, A. H. (2017). Using Hospital Anxiety and Depression Scale (HADS) on patients with epilepsy: Confirmatory factor analysis and Rasch models. Seizure, 45, 42-46.
• Löwe, B., Spitzer, R. L., Gräfe, K., Kroenke, K., Quenter, A., Zipfel, S., ... & Herzog, W. (2004). Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians’ diagnoses. Journal of Affective Disorders, 78(2), 131-140.
• Matijasevich, A., Munhoz, T. N., Tavares, B. F., Barbosa, A. P. P. N., da Silva, D. M., Abitante, M. S., ... & Santos, I. S. (2014). Validation of the Edinburgh postnatal depression scale (EPDS) for screening of major depressive episode among adults from the general population. BMC Psychiatry, 14(1), 1-9.
• Matsudaira, T., Igarashi, H., Kikuchi, H., Kano, R., Mitoma, H., Ohuchi, K., & Kitamura, T. (2009). Factor structure of the Hospital Anxiety and Depression Scale in Japanese psychiatric outpatient and student populations. Health and Quality of Life Outcomes, 7(1), 1-9.
• McHugh, R. K., Rasmussen, J. L., & Otto, M. W. (2011). Comprehension of self-report evidence-based measures of anxiety. Depression and Anxiety, 28(7), 607-614.
• Missinne, S., Vandeviver, C., Van de Velde, S., & Bracke, P. (2014). Measurement equivalence of the CES-D 8 depression-scale among the ageing population in eleven European countries. Social Science Research, 46, 38-47.
• Montazeri, A., Vahdaninia, M., Ebrahimi, M., & Jarvandi, S. (2003). The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health and Quality of Life Outcomes, 1(1), 1-5.
• Mulvaney-Day, N., Marshall, T., Piscopo, K. D., Korsen, N., Lynch, S., Karnell, L. H., ... & Ghose, S. S. (2018). Screening for behavioral health conditions in primary care settings: a systematic review of the literature. Journal of General Internal Medicine, 33(3), 335-346.
• Mumford, D. B., Tareen, I. A. K., Bajwa, M. A. Z., Bhatti, M. R., & Karim, R. (1991). The translation and evaluation of an Urdu version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 83(2), 81-85.
• Muszbek, K., Szekely, A., Balogh, É. M., Molnár, M., Rohánszky, M., Ruzsa, Á., ... & Vadász, P. (2006). Validation of the Hungarian translation of hospital anxiety and depression scale. Quality of Life Research, 15(4), 761-766.
• Mykletun, A., Stordal, E., & Dahl, A. A. (2001). Hospital Anxiety and Depression (HAD) scale: factor structure, item analyses and internal consistency in a large population. The British Journal of Psychiatry, 179(6), 540-544.
• Mystakidou, K., Tsilika, E., Parpa, E., Katsouda, E., Galanos, A., & Vlahos, L. (2004). The Hospital Anxiety and Depression Scale in Greek cancer patients: psychometric analyses and applicability. Supportive Care in Cancer, 12(12), 821-825.
• Norton, S., Cosco, T., Doyle, F., Done, J., & Sacker, A. (2013). The Hospital Anxiety and Depression Scale: a meta confirmatory factor analysis. Journal of Psychosomatic Research, 74(1), 74-81.
• O'Connor, E. A., Whitlock, E. P., Beil, T. L., & Gaynes, B. N. (2009). Screening for depression in adult patients in primary care settings: a systematic evidence review. Annals of Internal Medicine, 151(11), 793-803.
• Osborne, R. H., Elsworth, G. R., Sprangers, M. A. G., Oort, F. J., & Hopper, J. L. (2004). The value of the Hospital Anxiety and Depression Scale (HADS) for comparing women with early onset breast cancer with population-based reference women. Quality of Life Research, 13(1), 191-206.
• Pallant, J. F., & Tennant, A. (2007). An introduction to the Rasch measurement model: an example using the Hospital Anxiety and Depression Scale (HADS). British Journal of Clinical Psychology, 46(1), 1-18.
• Roberge, P., Doré, I., Menear, M., Chartrand, É., Ciampi, A., Duhoux, A., & Fournier, L. (2013). A psychometric evaluation of the French Canadian version of the Hospital Anxiety and Depression Scale in a large primary care population. Journal of Affective Disorders, 147(1-3), 171-179.
• Saltukoğlu, G., & Tatar, A. (2017). Comparison of the classification ratios of four depression rating scales commonly used in Turkey. Psychiatry and Clinical Psychopharmacology, 27(1), 76-83.
• Santor, D. A., Gregus, M., & Welch, A. (2006). Focus Article: Eight decades of measurement in depression. Measurement: Interdisciplinary Research and Perspectives, 4(3), 135-155.
• Savard, J., Laberge, B., Gauthier, J. G., Ivers, H., & Bergeron, M. G. (1998). Evaluating anxiety and depression in HIV-infected patients. Journal of Personality Assessment, 71(3), 349-367.
• Smith, A. B., Wright, E. P., Rush, R., Stark, D. P., Velikova, G., & Selby, P. J. (2006). Rasch analysis of the dimensional structure of the Hospital Anxiety and Depression Scale. Psycho‐Oncology: Journal of the Psychological, Social and Behavioral Dimensions of Cancer, 15(9), 817-827.
• Snaith, R. P. (2003). The hospital anxiety and depression scale. Health and Quality of Life Outcomes, 1(1), 1-4.
• Spinhoven, P. H., Ormel, J., Sloekers, P. P. A., Kempen, G. I. J. M., Speckens, A. E. M., & Van Hemert, A. M. (1997). A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychological Medicine, 27(2), 363-370.
• Tatar, A. (2018). Psikolojik Testlerde Modern Test Teorisi ve Madde Yanıt Kuramı. Riga: Lambert Academic Publishing.
• Yusoff, N., Low, W. Y., & Yip, C. H. (2011). Psychometric properties of the Malay Version of the hospital anxiety and depression scale: a study of husbands of breast cancer patients in Kuala Lumpur, Malaysia. Asian Pacific Journal of Cancer Prevention, 12(4), 915-917.
• Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.