Use of the Hospital Anxiety and Depression Scale in Spanish caregivers.

BACKGROUND: The Hospital Anxiety and Depression Scale (HADS) is widely used in the assessment of anxiety and depression, but there are scarce data about its psychometric properties in caregivers of older relatives. OBJECTIVE: The goal of this study was to analyse the factor structure of the HADS to verify its suitability to assess emotional symptomatology in family caregivers of old people, its internal consistency and confirming its relation with the General Health Questionnaire (GHQ-12) and an index of disease and physical complaints. METHODS: One hundred and seventy-five family caregivers (25 men and 150 women) aged 32-86, who were taking care of at least one older person in a situation of dependence, were recruited for this study. A descriptive, comparative, correlational design was employed. The scientific adequacy of the questionnaire and its structure were analysed using confirmatory factor analysis. The scores obtained in the GHQ and in an index of disease and physical complaints were used as external criteria to assess the adequacy of the HADS for caregivers. RESULTS: Higher levels of anxiety and depression than in the normal population were obtained. The reliability/internal validity of the questionnaire was adequate. A bifactor model, with one subscale for anxiety and one for depression, provides the best fit to the data. The subscales were related to GHQ-12 and index of diseases/physical complaints. CONCLUSIONS: The HADS was shown to be useful to assess the presence of anxiety and depression in family caregivers, and the original two-dimensional model is the most adequate.

Sociodemographic, psychological and health-related factors associated with poor mental health in Spanish women and men in midlife.

BACKGROUND: The purpose of this work was to examine the sociodemographic, psychological, and health-related factors (considered jointly) associated with poor mental health in midlife and to analyze whether risk and protective factors differed in men and women. METHODS: A cross-sectional study was conducted with a middle-class sample of 252 women and 189 men between 45 and 65 years of age from Spanish rural areas. Mental health status was measured with the 12-Item General Health Questionnaire (GHQ-12; Goldberg & Williams, 1988). Multiple logistic regression models were used to calculate odds ratios with confidence intervals of 95%, adjusting for confounding variables. RESULTS: The percentage of women (14.3%) with poor mental health was twice that of the men (7.4%). In women, the following variables were significantly and positively related to poor mental health: consumption of psychoactive drugs, physiological and cognitive anxiety; self-esteem and family satisfaction were protective factors. For men, physical complaints and cognitive anxiety were significant risk factors, and job satisfaction was a protective factor. CONCLUSIONS: In general, the psychological variables were more clearly related to poor mental health. Women had a more unfavorable profile, and the variables related to poor mental health differed for men and women, perhaps due to social roles associated with gender. To facilitate diagnosis and take preventive measures, men's and women's risk factors for poor mental health should be differentiated.

[Anxiety, self-esteem and self-perceived satisfaction as predictors of health: differences between men and women]. / Ansiedad, autoestima y satisfacción autopercibida como predictores de la salud: diferencias entre hombres y mujeres.

The main objective of this research is to analyze whether there are differences in physical health between men and women when considering their working situation. Three psychological variables are analyzed (anxiety, self-esteem and satisfaction) as well as several indicators of physical health for different working situations. The results seem to indicate that although women have worse health than men (when the group is analyzed in general), these differences vary when we take into account the working condition of the participants, and the differences even disappear. The psychological variables used in this survey only explain the variance of the subjective indicators of physical health, most of all, the Physiological Anxiety, which is responsible for the highest rate of the explained variance. The psychological variables predict women's physical health more than men's, what seems to indicate that women's physical health is closely related to psychological health.

Composite and preferences Scales of Morningness: reliability and factor invariance in adult and university samples.

The creation and adaptation of scales or inventories assessing specific circadian typologies has been a predominant focus within the field of chronopsychology. The present study addressed the psychometric properties of two scales of morningness-eveningness: the Morningness Composite Scale (CS; Smith, Reilly, & Midkiff, 1989) and the Early/Late Preferences Scale (PS; Smith, Folkard, Schmieder, Parra, Spelten, & Almirall, 1993). Internal consistency and factor invariance of the CS and PS were analyzed in two samples: a group of 203 university students (age range = 19-30) and a group of 125 working adults (age range = 31-65). Results indicated satisfactory internal consistency for both full scales with each age group and confirmed the factor invariance across age for the two CS factors and one of the PS factors. A higher tendency in morningness on both scales was noted in the adult sample.