Cyprus Turkish Journal of Psychiatry & Psychology Vol.4 Issue.1

Doi:10.35365/ctjpp.22.1.09

RESEARCH ARTICLE / ARAŞTIRMA YAZISI

Evaluation of the Hospital Anxiety and Depression Scale in Non-clinic Turkish Sample Using Item Response Theory Analysis

Klinik Olmayan Türk Örneklemde Hastane Anksiyete ve Depresyon Ölçeği’nin Madde Tepki Kuramı ile Değerlendirilmesi

Arkun Tatar 1, Didem Ayhan2

Abstract:

In this study, it was aimed to review the structural validity of the Turkish version of the Hospital Anxiety and Depression Scale in the community sample and to examine its items with Item Response Theory. A total of 965 people, 480 males (49.7%) and 485 females (50.3%), between the ages of 18-64 (mean = 33.82 ± 13.99 years) participated in the study via the web application. According to the Explanatory Factor Analysis results of the scale, the two-factor structure consisting of Anxiety and Depression sub-scales were observed suitable for its original study structure. It was determined that the scale explains 47.14% of the total variance with two factors. According to the Confirmatory Factor Analysis result, it showed a good fit with all goodness of fit indicators. The correlation coefficient between the sub-scales was calculated as 0.64, and the shared common variance was 0.41. In the whole group, the Cronbach’s alpha internal consistency reliability coefficient was determined 0.83 for the Anxiety sub-scale and 0.77 for the Depression sub-scale. Item parameters estimate with the two-parameter logistic Item Response Theory model, and it was observed that items 4 and 7 had low discrimination values and items 2 and 13 had the highest discrimination values. The study has provided additional information on the psychometric properties of the Turkish form scale and its usage. Examining the scale with Item Response Theory helps to understand anxiety and depression while providing a methodical contribution to the use of the scale for evaluating psychiatric comorbidities.

Keywords: Hospital Anxiety and Depression Scale, Item Response Theory, Factor Analysis, Anxiety, Depression

1Assoc. Prof., Manisa Celal Bayar University, Faculty of Art and Science, Department of Psychology, Manisa-Turkey, [email protected], ORCID: 0000-0002-2369-9040.

2 PhD, Bandırma Onyedi Eylül University, Faculty of Health Sciences, Department of Nursing, Balıkesir-Turkey, [email protected], ORCID: 0000-0001-6687-6564.

Address of Correspondence/Yazışma Adresi: Manisa Celal Bayar University, Faculty of Art and Science, Department of Psychology, Manisa-Turkey, E-mail: [email protected]

Date of Received/Geliş Tarihi: 10.06.2021, Date of Revision/Düzeltme Tarihi: 24.09.2021, Date of Acceptance/Kabul Tarihi: 05.11.2021, Date of Online Publication/Çevirimiçi Yayın Tarihi: 09.03.2022

Citing/Referans Gösterimi: Tatar, A.& Ayhan, D.  (2022). Evaluation of the Hospital Anxiety and Depression Scale in Non-clinic Turkish Sample Using Item Response Theory Analysis, Cyprus Turkish Journal of Psychiatry & Psychology, 4(1): 84-93

© 2022 The Author(s). Published by Cyprus Mental Health Institute / Cyprus Turkish Journal of Psychiatry and Psychology (www.ktppdergisi.com). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 license which permits use, sharing, adaptation, distribution and reproduction in any medium or format, provided the original work is properly cited and is not used for commercial purposes. https://creativecommons.org/licenses/by-nc-sa/4.0/