Validation of the Hungarian Translation of Hospital Anxiety and Depression Scale
Abstract
Objectives The Hospital Anxiety and Depression Scale (HADS) is a widely used screening instrument. The purpose of this study was to evaluate reliability and validity of the Hungarian translation. Methods The English version of the HADS was translated using the 'forward-backward' procedure. The questionnaire was used in a large scale study of 715 Hungarian cancer patients along with other screening measures of psychological state and description of illness. Results Translated items of the HADS questionnaire showed high internal consistency: Cronbach's alpha values for the subscales were 0.81 (anxiety) and 0.83 (depression). Factor analysis of the Hungarian version yielded an identical two-factor model to the English and German versions. Results of the known groups comparison showed that both subscales of the HADS discriminates well between sub-groups: decreasing performance status and more advanced disease stage showed significantly higher levels of anxiety and depression. Sufficient concurrent validity of the HADS depression subscale was found using five items from the Symptom List and the Hungarian version of the Beck Depression Scale. Conclusions Based on a detailed analysis of results we found the translated version of the HADS a reliable and valid self-assessment screening tool in medical practice.
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HADS Hungarian version internal reliability was good (Cronbach alpha 0.84 for both scales).
“A szorongást és depressziót mérő, hét-hét itemet tartalmazó skála belső megbízhatósága jó volt (Cronbach-alfa mindkét skálánál: 0,84).”
From Éber, tudatos figyelemre épülő, a rákbetegséggel való megküzdést segítő program (MBCR) hatásvizsgálata magyar rákbetegek körében (2017) · cites this paper as [25]
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- Authors
- Muszbek, K., Szekely, A., Balogh, É. M., Molnár, M., Rohánszky, M., Ruzsa, Á., Varga, K., Szöllosi, M., & Vadász, P.
- Affiliations
- University of Debrecen (HU)
- Bács-Kiskun Megyei Kórház (HU)
- Unified Szent István and Szent László Hospital (HU)
- University of Szeged (HU)
- Venue
- Quality of Life Research
- Published
- 2006-05
- Volume
- 15
- Issue
- 4
- Pages
- 761-766
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W1996351340
- Cited by
- 72
- References
- 14
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 8 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 5 · 2016: 5 · 2015: 3 · 2014: 8 · 2013: 5 · 2012: 3
- FWCI
- 4.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Education › Health Education and Validation
- Keywords
- Hospital Anxiety and Depression Scale, Hungarian translation, cross-cultural adaptation, anxiety screening, depression screening, cancer patients, psychometric validation, reliability statistics, concurrent validity, performance status, disease stage, Beck Depression Inventory
- MeSH terms
- Adult, Aged, Anxiety, Depression, Female, Hospitalization, Humans, Hungary, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Self-Assessment, Translating, Sickness Impact Profile
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