A Chinese adaptation of six items, self-report Hamilton Depression Scale: Factor structure and psychometric properties
Abstract
Objectives The objective of this research was to verify the psychometric characteristics of the Chinese Adaptation of self-report HAMD-6.Methods Outpatients and inpatients who met the DSM-5 criterion for major depressive disorder (MDD) were evaluated by the Chinese self-report HAMD-6, seventeen items of Hamilton Depression Rating Scale (HAMD-17), Patient Health Questionnaire Depression Scale (PHQ-9) and Improved Clinical Global Impression Scale (iCGI-S). The internal consistency reliability, retest reliability, criterion validity and construct validity of the Chinese self-report HAMD-6 were tested. Pearson correlation coefficient was used to assess the correlativity between the total score and the item scores. By drawing the Receiver Operating Characteristics (ROC) curve, the best cut-off value, sensitivity and specificity of Chinese Adaptation self-report HAMD-6 were obtained.Results Cronbach's alpha coefficient of the Chinese self-report HAMD-6 was 0.91, and the intra-group correlation coefficient (ICC) of retest reliability was 0.81(P < 0.01). The Spearman correlation coefficients of the Chinese self-report HAMD-6, Chinese clinician version of HAMD-6, PHQ-9 and HAMD-17 were 0.86, 0.81 and 0.86, respectively (all P < 0.01). Results of the confirmatory factor analysis (CFA) supported a unidimensional construct. In addition, HAMD-17 ≤ 7 and iCGI-S= 1 were taken as the remission criteria for depression disorder, and the ROC curves of the Chinese self-report HAMD-6 were plotted with a cut-off value of 3/4, the specificity and sensitivity were 0.85/0.92 and 0.96/0.93 respectively.Conclusion These results suggested that the abbreviated Chinese self-report HAMD-6 has good reliability and validity among the Chinese population. This study suggested that the remission cut-off value of the scale is 3/4.
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The Chinese version of the HAMD-6 has a Cronbach's α coefficient of 0.91 and retest reliability ICC of 0.81.
“The Cronbach’s α coefficient of the Chinese version of the HAMD-6 was 0.91, and the intra-group correlation coefficient (ICC) for retest reliability was 0.81 [32].”
From Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial. (2023) · cites this paper as [32]
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- Authors
- Wang, X.-M., Ma, H.-Y., Zhong, J., Huang, X.-J., Yang, C.-J., Sheng, D.-F., & Xu, M.-Z.
- Affiliations
- Guangdong Academy of Medical Sciences (CN)
- Venue
- Asian Journal of Psychiatry
- Publisher
- Elsevier BV
- Published
- 2022-07
- Volume
- 73
- Pages
- 103104
- ISSN
- 1876-2018 (ISSN-L)
- OpenAlex
- W4224233835
- Cited by
- 23
- References
- 43
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 7 · 2023: 3 · 2022: 2
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Asian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- Hamilton Depression Rating Scale, Chinese adaptation, major depressive disorder, depression assessment, psychometric properties, factor structure, internal consistency, test-retest reliability, criterion validity, construct validity, depression remission, cut-off values, PHQ-9
- MeSH terms
- China, Depression, Depressive Disorder, Major, Major Depressive Disorder, Humans, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Self Report
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