Cited by 362Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and TestingTreatment of Major Depression

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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

Lobo, Antonio, Chamorro, Lorenzo, Luque, Antonio, Dal-Ré, Rafael, Badia, Xavier, Baró, Eva·2002·Medicina Clínica

DOI 10.1016/s0025-7753(02)72429-9

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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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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)
DOI: 10.1016/s0025-7753(02)72429-9
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 (medical) › 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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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

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