Factor structure and use of the Hospital Anxiety and Depression Scale in the homeless and socially marginalised

Martin, C.R. and Bonner, A.B. and Brook, A. and Luscombe, C. (2006) Factor structure and use of the Hospital Anxiety and Depression Scale in the homeless and socially marginalised. Psychology, Health and Medicine, 11 (2). pp. 190-197. (Full text available)

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Abstract

The homeless have been identified as a group at risk of significant anxiety and depression and screening is therefore highly desirable to identify those needing psychological and psychiatric support. However, the psychometric properties of routine screening instruments have yet to be established in this group. This study sought to determine the psychometric properties of the widely used Hospital Anxiety and Depression Scale in this group. Using a cross-sectional design, 314 clients presenting at homelessness units (shelters) supported by The Salvation Army were administered the HADS. Confirmatory factor analysis revealed three-factor models offered the best fit to the data (best-fit model CFI = .98, RMSEA = .06, WRMR = .87). This investigation confirms contemporary research findings that the HADS comprises an underlying tri-dimensional factor structure. However, the internal consistency of the HADS anxiety (alpha = .81) and depression (alpha = .90) sub-scales was excellent. The findings of the current study suggest that the HADS is a suitable screening tool in this group. Keywords: Anxiety; depression; HADS; homelessness; psychometrics

Item Type: Article
Uncontrolled keywords: Anxiety, depression, HADS, homelessness, psychometrics
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 07 Sep 2010 11:18
Last Modified: 06 Sep 2011 05:13
Resource URI: http://kar.kent.ac.uk/id/eprint/24788 (The current URI for this page, for reference purposes)
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