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1、HealthandQualityofLifeOutcomesBioMedCentralResearchOpenAccessStructuralambiguityoftheChineseversionofthehospitalanxietyanddepressionscaleinpatientswithcoronaryheartdiseaseWenruWang1,VioletaLopez2,DavidThompson3andColinRMartin*4Address:1SchoolofMedicine,Xi'a
2、nJiaotongUniversity,Xi'an,Shannxi,China,2FacultyofMedicine,ChineseUniversityofHongKong,HongKong,China,3NethersoleSchoolofNursing,TheChineseUniversityofHongKong,HongKong,Chinaand4DepartmentofMentalHealthandLearningDisability,UniversityofSheffield,S637ER,UKEm
3、ail:WenruWang-s034726@mailserv.cuhk.edu.hk;VioletaLopez-violeta.cuhk@gmail.com;DavidThompson-davidthompson@cuhk.edu.hk;ColinRMartin*-c.r.martin@sheffield.ac.uk*CorrespondingauthorPublished:26January2006Received:25November2005Accepted:26January2006HealthandQ
4、ualityofLifeOutcomes2006,4:6doi:10.1186/1477-7525-4-6Thisarticleisavailablefrom:http://www.hqlo.com/content/4/1/6©2006Wangetal;licenseeBioMedCentralLtd.ThisisanOpenAccessarticledistributedunderthetermsoftheCreativeCommonsAttributionLicense(http://creativeco
5、mmons.org/licenses/by/2.0),whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.AbstractBackground:TheHospitalAnxietyandDepressionScale(HADS)isawidelyusedscreeningtooldesignedasacasedetectorforclinically
6、relevantanxietyanddepression.RecentstudiesoftheHADSincoronaryheartdisease(CHD)patientsinEuropeancountriessuggestitcomprisesthree,ratherthantwo,underlyingsub-scaledimensions.ThefactorstructureoftheChineseversionoftheHADSwasevaluatedinpatientswithCHDinmainlan
7、dChina.Methods:Confirmatoryfactoranalysis(CFA)wasconductedonself-reportHADSformsfrom154ChineseCHDpatients.Results:Littledifferencewasobservedinmodelfitbetweenbestperformingthree-factorandtwo-factormodels.Conclusion:Thecurrentobservationsareinconsistentwithr
8、ecentstudieshighlightingadominantunderlyingtri-dimensionalstructuretotheHADSinCHDpatients.TheChineseversionoftheHADSmayperformdifferentlytoEuropeanlanguageversionsoftheinstrumentinpatientswithCHD.Backg
