Volume 15, Issue 5 (6-2017)                   IJRM 2017, 15(5): 287-296 | Back to browse issues page


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Amini P, Maroufizadeh S, Omani Samani R. Evaluating the factor structure, item analyses, and internal consistency of hospital anxiety and depression scale in Iranian infertile patients. IJRM. 2017; 15 (5) :287-296
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-823-en.html
1- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
2- Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran , samani@royaninstitute.org
Abstract:   (771 Views)
Background: The hospital anxiety and depression scale (HADS) is a commonscreening tool designed to measure the level of anxiety and depression in differentfactor structures and has been extensively used in non-psychiatric populations andindividuals experiencing fertility problems.
Objective: The aims of this study were to evaluate the factor structure, itemanalyses, and internal consistency of HADS in Iranian infertile patients.
Materials and Methods: This cross-sectional study included 651 infertile patients(248 men and 403 women) referred to a referral infertility Center in Tehran, Iranbetween January 2014 and January 2015. Confirmatory factor analysis was used todetermine the underlying factor structure of the HADS among one, two, and threefactormodels. Several goodness of fit indices were utilized such as comparative,normed and goodness of fit indices, Akaike information criterion, and the root meansquared error of approximation. In addition to HADS, the Satisfaction with LifeScale questionnaires as well as demographic and clinical information wereadministered to all patients.
Results: The goodness of fit indices through CFAs exposed that three and one-factormodel provided the best and worst fit to the total, male and female datasetscompared to the other factor structure models for the infertile patients. TheCronbach’s alpha for anxiety and depression subscales were 0.866 and 0.753respectively. The HADS subscales significantly correlated with SWLS, indicating anacceptable convergent validity.
Conclusion: The HADS was found to be a three-factor structure screeninginstrument in the field of infertility.
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Type of Study: Original Article |

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