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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2020, Number 3

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Salud Mental 2020; 43 (3)

Psychometric properties of the Hospital Anxiety and Depression Scale in Mexican pregnant women

Luna D, Castañeda-Hernández DV, Guadarrama-Arteaga AL, Figuerola-Escoto RP, García-Arista A, Ixtla-Pérez MB, Jiménez-López LM, Alva-Alva R, Meneses-González F, Lezana-Fernández MÁ

Language: English
References: 58
Page: 137-146
PDF size: 424.36 Kb.


ABSTRACT

Introduction. Anxiety and depression in pregnant women are a public health problem. Their adequate detection requires valid and reliable instruments that are also useful for prevention and treatment. Objective. To identify the psychometric properties of the Hospital Anxiety and Depression Scale (HADS) in a sample of Mexican pregnant women. Method. The HADS was applied to 716 pregnant women between 13 and 46 years old (M = 26.55; SD = 6.56) attended in a public hospital in Mexico City. Results. With a sample of 358 participants, a parallel analysis indicated a bifactorial structure for HADS, identified by exploratory factor analysis (Factor 1: anxiety, Factor 2: depression). The factors explained 53% of the variance and correlated positively (r = .36). The global internal consistency (Cronbach’s α = .81; ordinal α = .93) and by factor (anxiety: Cronbach’s α = .79; ordinal α = .88; depression: Cronbach’s α = .79; ordinal α = .87) was acceptable. With data from the remaining 358 participants, a confirmatory factor analysis showed an acceptable fit for the structure detected (χ2/gl = 2.72; RMSEA = .06 [IC .05, .08]; GFI = .93; AGFI = .90; TLI = .90; CFI = .92). Discussion and conclusions. The Hospital Anxiety and Depression Scale has adequate psychometric properties to be used in pregnant Mexican women. Its use in routine pregnancy controls would be useful to prevent, detect, and timely treat these conditions.


REFERENCES

  1. Aguilar Cordero, M. J., Sánchez López, A. M., Rodríguez Blanque, R., Noack Segovia, J. P., Pozo Cano, M. D., López-Contreras, G., & Mur Villar, N. (2014). Actividad física en embarazadas y su influencia en parámetros materno-fetales; revisión sistemática. Nutrición Hospitalaria, 30(4), 719-726. doi: 10.3305/ nh.2014.30.4.7679

  2. Aguirre, E., Abufhele, M., & Aguirre, R. (2016). Estrés prenatal y sus efectos. Fundamentos para la intervención temprana en neuroprotección infantil. Estudios Públicos, 144,7-29.

  3. Ajinkya, S., Jadhav, P. R., Srivastava, N. N. (2013). Depression during pregnancy: Prevalence and obstetric risk factors among pregnant women attending a tertiary care hospital in Navi Mumbai. Industrial Psychiatry Journal, 22(1), 37-40. doi: 10.4103/0972-6748.123615

  4. American Psychological Association (APA) (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57(12), 1060-1073. doi: 10.1037/0003-066X.57.12.1060

  5. Béjar-Poveda, C., & Santiago-Vasco, M. (2017). Influencia del estrés materno durante el embarazo en el desarrollo cognitivo del niño: una revisión. Matronas Profesión, 18(3), 115-122.

  6. Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004). Prevalence of depression during pregnancy: systematic review. Obstetrics & Gynecology, 103(4), 698-709. doi: 10.1097/01.AOG.0000116689.75396.5f

  7. Berenzon, S., Lara, M. A., Robles, R., & Medina-Mora, M. E. (2013). Depresión: estado del conocimiento y la necesidad de políticas públicas y planes de acción en México. Salud Pública de México, 55(1), 74-80.

  8. Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders, 191, 62-77. doi: 10.1016/j.jad.2015.11.014

  9. Boomsma, A., & Hoogland, J. J. (2001). The robustness of LISREL modeling revisited. In Cudeck, R., Du Toit, S., Sörbom, D., & Jöreskog, K. G. (Eds.), Structural equation modeling present and future: A Festschrift in honor of Karl Jöreskog (pp 139-168). Chicago: Scientific Software International.

  10. Brummelte, S., & Galea, L. A. (2010). Depression during pregnancy and postpartum: contribution of stress and ovarian hormones. Progress in Neuro- Psychopharmacology and Biological Psychiatry, 34(5), 766-776. doi: 10.1016/j.pnpbp.2009.09.006

  11. Brunton, R. J., Dryer, R., Saliba, A., & Kohlhoff, J. (2015). Pregnancy anxiety: A systematic review of current scales. Journal of Affective Disorders, 176, 24-34. doi: 10.1016/j.jad.2015.01.039

  12. Caci, H., Baylé, F. J., Mattei, V., Dossios, C., Robert, P., & Boyer, P. (2003). How does the Hospital and Anxiety and Depression Scale measure anxiety and depression in healthy subjects? Psychiatry Research, 118(1), 89-99. doi: 10.1016/s0165- 1781(03)00044-1

  13. Ceballos-Martínez, I., Sandoval-Jurado, L., Jaimes-Mundo, E., Medina-Peralta, G., Madera-Gamboa, J., & Fernández-Arias, Y. F. (2010). Depresión durante el embarazo. Epidemiología en mujeres mexicanas. Revista Médica del Instituto Mexicano del Seguro Social, 48(1), 71-74.

  14. Cortada de Kohan, N. (2004). Teoría y métodos para la construcción de escalas de actitudes. Buenos Aires: Lugar.

  15. Coussons-Read, M. E. (2013). Effects of prenatal stress on pregnancy and human development: mechanisms and pathways. Obstetric Medicine, 6(2), 52-57. doi: 10.1177/1753495x12473751

  16. DeVon, H. A., Block, M. E., Moyle‐Wright, P., Ernst, D. M., Hayden, S. J., Lazzara, D. J., ... Kostas‐Polston, E. (2007). A psychometric toolbox for testing validity and reliability. Journal of Nursing Scholarship, 39(2), 155-164. doi: 10.1111/j.1547-5069.2007.00161.x

  17. Diaz, M., Amato, R., Chávez, J. G., Ramirez, M., Rangel, S., Rivera, L., & López, J. (2013). Depresión y ansiedad en embarazadas. Salus, 17(2), 25-30.

  18. Ellis, P. D. (2010). The essential guide to effect sizes: Statistical power, metaanalysis, and the interpretation of research results. Cambridge: Cambridge University Press.

  19. Elosua, P. O., & Zumbo, B. D. (2008). Coefficients of feasibility for ordinal response scales. Psicothema, 20(4), 896-901.

  20. Entringer, S., Kumsta, R., Nelson, E. L., Hellhammer, D. H., Wadhwa, P. D., & Wüst, S. (2008). Influence of prenatal psychosocial stress on cytokine production in adult women. Developmental Psychobiology, 50(6), 579-587. doi: 10.1002/dev.20316

  21. Fontein‐Kuipers, Y. J., Nieuwenhuijze, M. J., Ausems, M., Budé, L., & de Vries, R. (2014). Antenatal interventions to reduce maternal distress: a systematic review and meta‐analysis of randomised trials. BJOG: An International Journal of Obstetrics & Gynaecology, 121(4), 389-397. doi: 10.1111/1471-0528.12500

  22. Friedman, S., Samuelian, J-C., Lancrenon, S., Even, C., & Chiarelli, P. (2001). Threedimensional structure of the Hospital Anxiety and Depression Scale in a large French primary care population suffering from major depression. Psychiatry Research, 104(3), 247-257. doi: 10.1016/s0165-1781(01)00309-2

  23. Galindo-Vázquez, O., Benjet, C., Juárez-García, F., Rojas-Castillo, E., Riveros- Rosas, A., Aguilar- Ponce, J. L., ... Alvarado-Aguilar, S. (2015). Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Depresión (HADS) en una población de pacientes oncológicos mexicanos. Salud Mental, 38(4), 253- 258. doi: 10.17711/SM.0185-3325.2015.035

  24. George, D., & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn & Bacon.

  25. Glover, V. (2014). Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Practice & Research Clinical Obstetrics & Gynecology, 28(1), 25-35. doi: 10.1016/j.bpobgyn.2013.08.017

  26. Gómez López, M. E., Aldana Calva, E., Carreño Meléndez, J., Sánchez Bravo, C. (2006). Alteraciones psicológicas en la mujer embarazada. Psicología Iberoamericana, 14(2), 28-35.

  27. Hayton, J. C., Allen, D. G., & Scarpello, V. (2004). Factor retention decisions in Exploratory Factor Analysis: A tutorial on parallel analysis. Organizational Research Methods, 7(2), 191-205. doi: 10.1177/1094428104263675

  28. Ji, S., Long, Q., Newport, D. J., Na, H., Knight, B., Zach, E. B., … Stowe, Z. N. (2011). Validity of depression rating scales during pregnancy and the postpartum period: Impact of trimester and parity. Journal of Psychiatric Research, 45(2), 213-219. doi: 10.1016/j.jpsychires.2010.05.017

  29. Jomeen, J., & Martin, C. R. (2004). Is the Hospital Anxiety and Depression Scale (HADS) a reliable screening tool in early pregnancy? Psychology & Health, 19(6), 787-800. doi: 10.1080/0887044042000272895

  30. Karimova, G. K., & Martin, C. R. (2003). A psychometric evaluation of the Hospital Anxiety and Depression Scale during pregnancy. Psychology, Health & Medicine, 8(1), 89-103. doi: 10.1080/1354850021000059296

  31. Lara, M. A., & Navarrete, L. (2012). Detección de depresión en mujeres embarazadas mexicanas con la CES-D. Salud Mental, 35(1), 57-62.

  32. Lara, M. A., Navarrete, L., Nieto, L., Barba Martín, J. P., Navarro, J. L., & Lara-Tapia, H. (2015). Prevalence and incidence of perinatal depression and depressive symptoms among Mexican women. Journal of Affective Disorders, 175, 18-24. doi: 10.1016/j.jad.2014.12.035

  33. Ledesma, R. D. & Valero-Mora, P. (2007). Determining the Number of Factors to Retain in EFA: an easy-to-use computer program for carrying out Parallel Analysis. Practical Assessment, Research & Evaluation, 12(1), 1-11. doi: 10.7275/wjnc-nm63

  34. Linnet, K. M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T. B., Rodriguez, A., ... Jarvelin, M. R. (2003). Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: Review of the current evidence. American Journal of Psychiatry, 160(6), 1028-1040. doi: 10.1176/appi.ajp.160.6.1028

  35. Madigan, S., Oatley, H., Racine, N., Fearon, R. P., Schumacher, L., Akbari, E., ... Tarabulsy, G. M. (2018). A meta-analysis of maternal prenatal depression and anxiety on child socio-emotional development. Journal of the American Academy of Child & Adolescent Psychiatry, 57(9), 645-657. doi: 10.1016/j. jaac.2018.06.012

  36. Nagl, M., Jepsen, L., Linde, K., & Kersting, A. (2019). Measuring body image during pregnancy: psychometric properties and validity of a German translation of the Body Image in Pregnancy Scale (BIPS-G). BMC Pregnancy and Childbirth, 19(1), 244. doi: 10.1186/s12884-019-2386-4

  37. Navarrete, L., Nieto, L., Lara, M. A., & Lara, M. D. C. (2019). Sensitivity and specificity of the three Whooley and Arroll questions for detecting perinatal depression in Mexican women. Salud Pública de México, 61(1), 27-34. doi: 10.21149/9083

  38. Nazer, J., Finschi, A., López-Camelo, J., & González, G. (2016). El estrés materno como factor de riesgo para fisuras labio-palatinas. Revista del Hospital Clínico de la Universidad de Chile, 27(1), 5-11.

  39. Nogueda Orozco, M. J., Pérez Terán, B., Barrientos Casarrubias, V., Robles García, R., & Sierra Madero, J. G. (2013). Escala de Ansiedad y Depresión Hospitalaria (HADS): Validación en pacientes mexicanos con infección por VIH. Psicología Iberoamericana, 21(2), 29-37.

  40. Pinto-Dussán, M. C., Aguilar-Mejía, O. M., & Gómez-Rojas, J. D. (2010). Estrés psicológico materno como posible factor de riesgo prenatal para el desarrollo de dificultades cognoscitivas: caracterización neuropsicológica de una muestra colombiana. Universitas Psychologica, 9(3), 749-759. doi: 10.11144/Javeriana. upsy9-3.epmp

  41. Pérez, E., Medrano, L. A., & Sánchez Rosas, J. (2013). El Path Analysis: conceptos básicos y ejemplos de aplicación. Revista Argentina de Ciencias del Comportamiento, 5(1), 52-66. doi: 10.32348/1852.4206.v5.n1.5160

  42. Rezaee, R., & Framarzi, M. (2014). Predictors of mental health during pregnancy. Iranian Journal of Nursing Midwifery Research, 19(7 Suppl. 1), S45-S50.

  43. Sainz Aceves, K. G., Chávez Ureña, B. E., Díaz Contreras, M. E., Sandoval Magaña, M. A., & Robles Romero, M. A. (2013). Ansiedad y depresión en pacientes embarazadas. Atención Familiar, 20(1), 25-27. doi: 10.1016/S1405- 8871(16)30082-7

  44. Salazar Martínez, C. (2016). Realización de ejercicio físico durante el embarazo: Beneficios y recomendaciones. Revista Española de Educación Física y Deportes, (414), 53-68.

  45. Secretaría de Salud. (2014). Prevención, diagnóstico y manejo de la depresión prenatal y posparto en el primero y segundo niveles de atención. Guía de referencia rápida. Available at: http://www.cenetec.salud.gob.mx/descargas/ gpc/CatalogoMaestro/SS-666-14-Depre-postparto/GRR_INTEGRACION_ DPP_DEFINITIVA.pdf; 2014 [Accessed 12.07.19]

  46. Shonkoff, J. P., & Garner, A. S. Committee on Early Childhood, Adoption, and Dependent Care, Section on Developmental and Behavioral Pediatrics. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232-e246. doi: 10.1542/peds.2011-2663

  47. Silva, M. M. D. J., Nogueira, D. A., Clapis, M. J., & Leite, E. P. R. C. (2017). Anxiety in pregnancy: prevalence and associated factors. Revista da Escola de Enfermagem da USP, 51, e03253. doi: 10.1590/s1980-220x2016048003253

  48. Sociedad Mexicana de Psicología (SMP). (2010). Código ético del psicólogo. México: Trillas. 50 .Steppan, M., Piontek, D., & Kraus, L. (2014). The effect of sample selection on the distinction between alcohol abuse and dependence. International Journal of Alcohol and Drug Research, 3(2), 159-168. doi: 10.7895/ijadr.v3i2.100

  49. Sujita, N., Shinde, P., Shaikh, G., & Khole, S. (2018). Level of anxiety towards childbirth among primigravida and multigravida mothers. International Journal of Applied Research, 4(5), 221-224.

  50. Suárez-Mendoza, A., Petersen-Aranguren, F., Almeida-Velasco, A., Robles-García, R., Camacho Á., Fresán-Orellana, A. (2019). Psychometric evaluation of the Hospital Anxiety and Depression Scale in Mexican adults with ischemic and hypertensive cardiomyopathy. Archivos de Cardiología de México, 89(3), 221- 226. doi: 10.24875/ACME.M19000060

  51. Terol-Cantero, M. C., Cabrera-Perona, V., & Martín-Aragón, M. (2015). Revisión de estudios de la Escala de Ansiedad y Depresión Hospitalaria (HAD) en muestras españolas. Anales de Psicología, 31(2), 494-503. doi: 10.6018/ analesps.31.2.172701

  52. Van Os, J., & Selten, J. P. (1998). Prenatal exposure to maternal stress and subsequent schizophrenia: The May 1940 invasion of the Netherlands. The British Journal of Psychiatry, 172(4), 324-326. doi: 10.1192/bjp.172.4.324

  53. Villegas P. G. C. (2004). Reporte de experiencia profesional (Tesis de maestría inédita). Universidad Nacional Autónoma de México, Ciudad de México. (Disponible en: 132.248.9.195/ppt2004/0332285/Index.html)

  54. Watson, J. B., Mednick, S. A., Huttunen, M., & Wang, X. (1999). Prenatal teratogens and the development of adult mental illness. Development and Psychopathology, 11(3), 457-466. doi: 10.1017/S0954579499002151

  55. Weinstock, M. (2008). The long-term behavioural consequences of prenatal stress. Neuroscience & Biobehavioral Reviews, 32(6), 1073-1086. doi: 10.1016/j. neubiorev.2008.03.002

  56. Yamamoto-Furusho, J. K., Sarmiento Aguilar, A., García-Alanis, M., Gómez-García, L. E., Toledo-Mauriño, J., Olivares-Guzmán, L., Fresán-Orellana, A. (2018). Hospital Anxiety and Depression Scale (HADS): Validation in Mexican patients with inflammatory bowel disease. Gastroenterología y Hepatología, 41(8), 477- 482. doi: 10.1016/j.gastrohep.2018.05.009

  57. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. doi: 10.1111/j.1600- 0447.1983.tb09716.x

  58. Zuckerman, B., Amaro, H., Bauchner, H., & Cabral, H. (1989). Depressive symptoms during pregnancy: relationship to poor health behaviors. American Journal of Obstetrics and Gynecology, 160(5), 1107-1111. doi: 10.1016/0002- 9378(89)90170-1




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