Screening for psychological distress using internet administration of the Hospital Anxiety and Depression Scale (HADS) in individuals with chronic fatigue syndrome.
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OBJECTIVES: To investigate the factor structure and internal consistency of the Hospital Anxiety and Depression Scale (HADS) in individuals with Chronic Fatigue Syndrome (CFS) using an Internet administered version of the instrument. DESIGN: Between subjects. METHOD: Confirmatory factor analysis (CFA) and internal consistency analysis of the HADS was used to determine the psychometric characteristics of the instrument in individuals with CFS and a control group with data captured via an Internet data collection protocol. RESULTS: CFA revealed that a 3-factor solution offered the most parsimonious account of the data. Internal consistency estimations of the anxiety and depression subscales were found to be acceptable for both groups. The CFS group was found to have significantly higher HADS-assessed anxiety and depression scores compared with controls, however, there was also evidence found that Internet administration of the instrument may inflate HADS subscale scores as an artifact of testing medium. CONCLUSIONS: The HADS is suitable for use for screening individuals with CFS in terms of the factor structure of the instrument, however, clinicians should be aware that this instrument assesses 3 domains of affective disturbance rather than 2 as is interpreted within the current HADS anxiety and depression subscale scoring system. Researchers need also be aware that Internet administration of negative affective state measures such as the HADS is likely to inflate scores and need to ensure that comparisons between clinical groups are made with control group data gathered using the same collection methodology.
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The validity of the HADS for use with CFS-patients has been documented in at least one study.
“The validity of the HADS for use with CFS-patients has been documented in at least one study (McCue et al., 2006).”
From The relationship between improvement in insomnia severity and long-term outcomes in the treatment of chronic fatigue (2018) · cites this paper as McCue et al., 2006
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Martin, M., & Alexeeva, I. (2017) · Mental health and physical activity · doi:10.1016/j.mhpa.2017.12.003 · Cited by 2 · see citing works
The Characteristics of Nicotine Addiction Among Patients with Schizophrenia
Wojtyna, E., & Wiszniewicz, A. (2013) · InTech eBooks · doi:10.5772/54308 · Cited by 1 · see citing works
Exploring how crime analysts experience working with other people's traumatic material
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Fellenor, J. (2015) · The University of Bath Online Publications Store (The University of Bath) · Cited by 1 · see citing works
Test-retest reliability and further validity of the cognitive fusion questionnaire
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- Authors
- McCue, P., Buchanan, T., & Martin, C. R.
- Affiliations
- Northumbria University (GB)
- University of Westminster (GB)
- Leeds Beckett University (GB)
- Corresponding author
- Martin, Colin R.
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2006-11
- Volume
- 45
- Issue
- 4
- Pages
- 483-498
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2024795634
- Cited by
- 58
- References
- 61
- Citations by year
- 2026: 2 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 4 · 2012: 6
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- chronic fatigue syndrome, Hospital Anxiety and Depression Scale, psychological distress screening, anxiety, depression, factor structure, internal consistency, psychometric properties, score inflation
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Depression, Factor Analysis, Statistical, Female, Hospitals, Humans, Male, Mass Screening, Middle Aged, Surveys and Questionnaires, Severity of Illness Index, Time Factors, Reproducibility of Results, Cohort Studies, Fatigue Syndrome, Chronic, Internet
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