Supportive Care in Cancer

, Volume 12, Issue 12, pp 821–825

The Hospital Anxiety and Depression Scale in Greek cancer patients: psychometric analyses and applicability

  • Kyriaki Mystakidou
  • Eleni Tsilika
  • Efi Parpa
  • Emmanuela Katsouda
  • Antonis Galanos
  • Lambros Vlahos
Supportive Care International

DOI: 10.1007/s00520-004-0698-y

Cite this article as:
Mystakidou, K., Tsilika, E., Parpa, E. et al. Support Care Cancer (2004) 12: 821. doi:10.1007/s00520-004-0698-y

Abstract

Goals of work

The aim of the present study was to validate the Greek version of the Hospital Anxiety and Depression Scale (HAD) in a palliative care unit.

Patients and methods

The scale was translated with the “forward-backward” procedure to Greek. It was administered twice, with a 1-week interval, to 120 patients with advanced cancer. Together with the HAD scale, the patients also completed the Spielberger State-Anxiety Scale (STAI-S).

Main results

Factor analyses identified a two-factor solution corresponding to the original two subscales of the HAD, which were found to be correlated. The Greek version of the HAD had Cronbach’s alphas for the anxiety and depression scales of 0.887 and 0.703, respectively. Validity as performed using known-group analysis showed good results. Both anxiety and depression subscales discriminated well between subgroups of patients differing in disease severity as defined by ECOG performance status. Correlations between the HAD scale and the STAI-S was 0.681 for the anxiety subscale and 0.485 for the depression subscale.

Conclusions

These psychometric properties of the Greek version of the HAD scale confirm it as a valid and reliable measure when administered to patients with advanced cancer.

Keywords

Cancer Depression Anxiety Reliability Validity 

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Kyriaki Mystakidou
    • 1
  • Eleni Tsilika
    • 1
  • Efi Parpa
    • 1
  • Emmanuela Katsouda
    • 1
  • Antonis Galanos
    • 1
  • Lambros Vlahos
    • 2
  1. 1.Palliative Care Unit, Department of RadiologyUniversity Areteion Hospital School of MedicineAthensGreece
  2. 2.Department of RadiologyUniversity Areteion Hospital School of MedicineAthensGreece

Personalised recommendations