Validación de las versiones en español de la Montgomery-Asberg Depression Rating Scale y la Hamilton Anxiety Rating Scale para la evaluación de la depresión y de la ansiedad
Abstract
Background Affective and anxiety disorders (AfD & AnD) are the most common psychiatric diseases in the general population. This study's aim was to assess for the first time the psychometric properties of the Spanish translated versions of the Montgomery-Asberg Depression Rating Scale (MADRS) and the Hamilton Anxiety Rating Scale (HARS), which are widely used both in medical care and clinical research.Patients and method A cohort, observational, prospective and multicentre study was conducted in clinically stable or unstable patients with AfD and AnD. The scales were administered at baseline and in a second study visit one week or 2 months later (to stable or unstable patients, respectively). The internal consistency, temporary stability, inter-raters reliability, factorial structure, convergent and discriminant validity, and sensitivity to change were all assessed for both scales.Results One hundred and eight AfD patients and 106 AnD patients were recruited in 10 psychiatry care centres from a wide geographical distribution. Both scales showed adequate properties in terms of: a) discriminant validity (MADRS/HARS-Clinical Global Impression: p < 0.001); b) convergent validity (MADRS-Hamilton Depression Rating Scale: p < 0.05 and 0.01; MADRS/HARS-EuroQoL 5D: p < 0.05; HARS-State Trait Anxiety Inventory: p < 0.05); c) internal consistency (Cronbach's alpha: MADRS = 0.88; HARS = 0.89); d) test-retest and inter-raters reliability (intraclass correlation coefficient: MADRS = 0.94 and 0.98, respectively; HARS = 0.92 and 0.92), and, e) sensitivity to change (effect size: MADRS = 2.05; HARS = 1.36).Conclusions Spanish versions of MADRS and HARS scales showed good psychometric properties, similar to those of the original scales. Therefore, these scales are suitable for use in clinical practice and research in Spain.
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Anxiety was assessed using the validated Spanish version of the Hamilton Anxiety Rating Scale.
“We used the validated Spanish version of HARS [45].”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [45]
The Hamilton Rating Scale for Depression has a Spanish validated version.
“We have used the Spanish validated version [34].”
From Effectiveness of the psychological and pharmacological treatment of catastrophization in patients with fibromyalgia: a randomized controlled trial. (2009) · cites this paper as [34]
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- Authors
- Lobo, A., Chamorro, L., Luque, A., Dal-Ré, R., Badia, X., & Baró, E.
- Affiliations
- Hospital Universitario de Guadalajara (ES)
- GlaxoSmithKline (Spain) (ES)
- Corresponding author
- Luque, Antonio
- ORCID
- Badia, Xavier
- Venue
- Medicina Clínica
- Publisher
- Elsevier BV
- Published
- 2002-01
- Volume
- 118
- Issue
- 13
- Pages
- 493-499
- ISSN
- 0025-7753 (ISSN-L)
- OpenAlex
- W2053087078
- Cited by
- 362
- References
- 26
- Citations by year
- 2026: 22 · 2025: 33 · 2024: 35 · 2023: 26 · 2022: 37 · 2021: 28 · 2020: 34 · 2019: 23 · 2018: 6 · 2017: 11 · 2016: 11 · 2015: 15 · 2014: 9 · 2013: 11 · 2012: 17
- FWCI
- 3.36
- Type
- journal article
- Language
- es
- Open access
- closed
- Locations
- Medicina Clínica (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
- Montgomery-Asberg Depression Rating Scale, Hamilton Anxiety Rating Scale, Spanish translation, psychometric validation, depression assessment, anxiety assessment, mood disorders, inter-rater reliability, test-retest reliability, sensitivity to change, convergent validity, discriminant validity
- MeSH terms
- Adult, Anxiety, Depression, Female, Humans, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales
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