کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
5652298 1407210 2018 5 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Screening for psychological distress using the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS): Initial validation of structural validity in dialysis patients
ترجمه فارسی عنوان
غربالگری برای پریشانی روانی با استفاده از مقیاس اضطراب و افسردگی پرسشنامه بهداشت بیمار (PHQ-ADS): اعتبار اولیه اعتبار ساختاری در بیماران دیالیزی
کلمات کلیدی
افسردگی؛ اضطراب؛ ناراحتی: PHQ-ADS؛ PHQ-9؛ GAD-7؛ بیفاکور؛ تحلیل عاملی تأییدی؛ دیالیز؛
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectiveTo validate the factor structure of the Patient Health Questionnaire Anxiety and Depression Scale (PHQ-ADS)- which is a composite measure of depression and anxiety using the Patient Health Questionnaire-9 and Generalised Anxiety Disorder Scale (GAD-7), in a sample of haemodialysis patients.MethodScreening data (n = 182) used to select entry into a feasibility study of an online cognitive-behavioural therapy intervention for distress in dialysis patients were analysed here. Structural validity of the PHQ-ADS was evaluated using confirmatory factor analysis (CFA), assessing alternative models including a bi-factor model. In the bi-factor model all items from the PHQ-9 and GAD-7 (16-items in total) were loaded onto a general distress factor. Respective items of the PHQ-9 and GAD-7 were specified as subgroup factors. Omega-hierarchical was calculated to indicate the level of saturation of a multidimensional scale by a general factor. Construct validity was determined against the Brief Illness Perception Questionnaire.ResultsA bi-factor PHQ-ADS model had good fit to the data (chi-square = 96.1, p = 0.26, CFI = 0.99; TLI = 0.99; RMSEA = 0.02). The general distress factor accounted for approximately 84% of the explained variance (omega-h = 0.90). Distress scores were significantly higher in females compare with males. There was a significant association between distress and negative illness perceptions (r = 0.58, p < 0.01).ConclusionsThe PHQ-ADS appears to have good structural validity in haemodialysis patients and is sufficiently unidimensional to warrant the use of a total distress score. A full psychometric analysis of the PHQ-ADS in a larger sample of dialysis patients is warranted.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 50, January–February 2018, Pages 15-19
نویسندگان
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