The Hospital Anxiety and Depression scale: Factor structure and psychometric properties in older adolescents and young adults with autism spectrum disorder
The Hospital Anxiety and Depression scale: Factor structure and psychometric properties in older adolescents and young adults with autism spectrum disorder
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DOI：
10.1002/aur.1872
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发表时间：
2018-02-01
期刊：
影响因子：
4.7
通讯作者：
Le Couteur, Ann
中科院分区：
文献类型：
--
作者：
Uljarevic, Mirko;Richdale, Amanda L.;Le Couteur, Ann
尽管自闭症谱系障碍 (ASD) 患者出现焦虑和抑郁症状的频率很高，而且这些合并症对自闭症谱系障碍患者及其家人都有显着影响，但目前仍缺乏关于自闭症谱系障碍 (ASD) 人群焦虑和抑郁测量有效性的研究。本研究的目的是探讨医院焦虑和抑郁量表 [HADS； Zigmond 和 Snaith，] 以患有自闭症谱系障碍 (ASD) 的老年青少年和年轻人为样本。 151 名参与者（英国转型纵向研究：N=106；75 名男性，M 年龄=16.04 岁，SD=1.28；澳大利亚患有 ASD 的离校生纵向研究：N=45，30 名男性；M 年龄=18.35 岁，SD=2.55）完成了 HADS 和一系列心理健康和福祉测量。主成分分析和平行分析相结合，表明样本中两个因子为最优解，方差占 43.77%，因子内容与一般人群结构相同。 HADS 焦虑量表 (HADS-A; .82-.84) 的内部一致性良好，HADS 抑郁量表 (HADS-D; .60-.72) 的内部一致性可以接受。 HADS-A 和 HADS-D 量表的收敛效度都非常好，发散效度是可以接受的。我们的研究对老年自闭症谱系障碍青少年和年轻成人中的 HADS 进行了初步验证，对文献做出了重大贡献。自闭症研究2018，11：258-269。 (c) 2017 年国际自闭症研究协会，Wiley periodicals, Inc.Lay 摘要 目前缺乏对自闭症谱系障碍患者焦虑和抑郁测量有效性的研究。本研究的目的是以 151 名患有自闭症谱系障碍 (ASD) 的年轻人为样本，探讨医院焦虑和抑郁量表 (HADS) 的特性。参与者完成了 HADS 以及一系列心理健康和福祉测量。令人鼓舞的是，我们的研究结果表明 HADS 可以对 ASD 患者的焦虑和抑郁进行可靠且有效的评估。
Despite the high frequency of anxiety and depression symptoms in individuals with Autism Spectrum Disorder (ASD) and a significant impact of these comorbidities on both individuals with ASD and their families, research on the validity of anxiety and depression measures in the ASD population is currently lacking. The aim of this study was to explore the psychometric properties of the Hospital Anxiety and Depression Scale [HADS; Zigmond & Snaith, ] in a sample of older adolescents and young adults with ASD. One hundred and fifty one participants (UK Transition longitudinal study: N=106; 75 males, M-age=16.04 years, SD=1.28; Longitudinal Study of Australian Schools Leavers with ASD: N=45, 30 males; M-age=18.35 years, SD=2.55) completed the HADS and a range of mental health and well-being measures. Combination of the Principal Component Analysis and Parallel Analysis indicated two factors as an optimal solution in our sample, accounting for 43.77% of variance with factors being identical in terms of content with the structure found in the general population. Internal consistency was good for the HADS anxiety scale (HADS-A; .82-.84) and acceptable for the HADS depression scale (HADS-D; .60-.72). Convergent validity of both HADS-A and HADS-D scales was excellent and divergent validity was acceptable. Our study represents a significant contribution to the literature by providing an initial validation of the HADS in older adolescents and younger adults with ASD. Autism Res2018, 11: 258-269. (c) 2017 International Society for Autism Research, Wiley Periodicals, Inc.Lay SummaryResearch on the validity of measurement of anxiety and depression in ASD is currently lacking. The aim of this study was to explore the properties of the Hospital Anxiety and Depression Scale (HADS) in a sample of 151 young people with ASD. Participants completed HADS and a range of mental health and well-being measures. Encouragingly, our findings suggest that HADS provides a reliable and valid assessment of anxiety and depression in ASD.