Evaluation of the Chinese version of the Hospital Anxiety and Depression Scale. A cross-cultural perspective.
The authenticity of the Chinese translation of the Hospital Anxiety and Depression Scale (HAD) was tested in a sample of medical students. The Chinese version demonstrated good agreement with the English original. There was a large difference between the mean anxiety and depression subscores. Factor analysis consistently yielded three factors, suggesting the existence of a somatic factor. It is suggested that a common cut-off point for the subscales of the HAD scale is not advisable and a multidimensional model for mood disorders is more appropriate in a cross-cultural context.
Leung
C M
CM
Department of Psychiatry, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin.
Ho
S
S
Kan
C S
CS
Hung
C H
CH
Chen
C N
CN
D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000523:psychology; D002681:China; D003431:Cross-Cultural Comparison; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010348:Patient Care Team; D011594:Psychometrics; D012016:Reference Values; D015203:Reproducibility of Results; D013337:Students, Medical / Q000523:psychology