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

Martin, Colin R. and Bonner, Adrian B. and Brook, Alexi and Luscombe, Claire (2006) Factor structure and use of the Hospital Anxiety and Depression Scale in the homeless and socially marginalized. Psychology, Health & Medicine, 11 (2). pp. 190-197. ISSN 1354-8506. (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

The full text of this publication is not available from this repository. (Contact us about this Publication)
Official URL


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.

Item Type: Article
Uncontrolled keywords: Anxiety depression HADS homelessness psychometrics
Subjects: R Medicine > R Medicine (General)
Divisions: Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)
Depositing User: M.P. Stone
Date Deposited: 06 Sep 2008 17:21
Last Modified: 07 May 2014 13:08
Resource URI: https://kar.kent.ac.uk/id/eprint/12209 (The current URI for this page, for reference purposes)
  • Depositors only (login required):


Downloads per month over past year