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The Factor Structure and Factor Stability of the Hospital Anxiety and Depression Scale in Patients with Cancer

Published online by Cambridge University Press:  02 January 2018

Stirling Moorey*
Affiliation:
Cancer Research Campaign Psychological Medicine Group, Royal Marsden Hospital, Fulham Road, London SW3 6JJ
Steven Greer
Affiliation:
Cancer Research Campaign Psychological Medicine Group, Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT
Maggie Watson
Affiliation:
Cancer Research Campaign Psychological Medicine Group, Royal Marsden Hospital, Sutton
Christine Gorman
Affiliation:
CRC Psychological Medicine Group, Royal Marsden Hospital, Sutton
Linda Rowden
Affiliation:
Royal Marsden Hospital, Sutton
Robert Tunmore
Affiliation:
Royal Marsden Hospital, Fulham Road
Bernadette Robertson
Affiliation:
CRF Psychological Medicine Group, Royal Marsden Hospital, Fulham Road
Judith Bliss
Affiliation:
Section of Epidemiology, Institute of Cancer Research, Royal Marsden Hospital, Sutton
*
Correspondence

Abstract

An exploratory factor analysis of the HAD was carried out in 568 cancer patients. Two distinct, but correlated, factors emerged which corresponded to the questionnaire's anxiety and depression subscales. The factor structure proved stable when subsamples of the total sample were investigated. The internal consistency of the two subscales was also high. These results provide support for the use of the separate subscales of the HAD in studies of emotional disturbance in cancer patients.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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