ArticleNeuropsychiatric disease and treatment2021
Factor Structure and Measurement Invariance of the Hospital Anxiety and Depression Scale Across the Peripartum Period Among Pregnant Japanese Women.
Article in Neuropsychiatric disease and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Associations of Perceived Parenting Practices with Mother-Infant Bonding at 1-Month Postpartum via Adult Attachment, Depression, and Anxiety in Japanese Mothers.Neuropsychiatric disease and treatment · 2026Article
- Primiparity, older maternal age, COVID-19 pandemic, twin birth, and winter birth are associated with lower exclusive breastfeeding in Japanese mothers.Scientific reports · 2025Article
- High care and low overprotection from both paternal and maternal parents predict a secure attachment style with a partner among perinatal Japanese women.Scientific reports · 2023Article
- Development of the Japanese Version of Pregnancy-Related Anxiety Questionnaire-Revised-2: Measurement and Psychometric Properties.Healthcare (Basel, Switzerland) · 2023Article
- Relationships among autistic traits, depression, anxiety, and maternal-infant bonding in postpartum women.BMC psychiatry · 2023Article
- Identifying Core Items of the Japanese Version of the Mother-to-Infant Bonding Scale for Diagnosing Postpartum Bonding Disorder.Healthcare (Basel, Switzerland) · 2023Article
- The three-factor structure of the Autism-Spectrum Quotient Japanese version in pregnant women.Frontiers in psychiatry · 2023Article
- Factor structure of the parental bonding instrument for pregnant Japanese women.Scientific reports · 2022Article
- The Factor Structure of the Hospital Anxiety Depression Scale Adapted for Korean Preschool Teacher Candidates During the Coronavirus Disease 2019 Pandemic.Psychiatry and clinical psychopharmacology · 2022Article
- Exclusive Breastfeeding Is Not Associated with Maternal-Infant Bonding in Early Postpartum, Considering Depression, Anxiety, and Parity.Nutrients · 2021Article
- Identification of Bonding Difficulties in the Peripartum Period Using the Mother-to-Infant Bonding Scale-Japanese Version and Its Tentative Cutoff Points.Neuropsychiatric disease and treatment · 2021Article
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe Hospital Anxiety and Depression Scale (HADS) is a self-report questionnaire widely used to assess anxiety and depression. To the best of our knowledge, only four studies have examined the factor structure of the HADS for assessing pregnant women, with conflicting results. This study aimed to assess the factor structure and measurement invariance of the HADS for use with pregnant Japanese women. PARTICIPANTS AND
methodsA total of 936 pregnant Japanese women completed the HADS questionnaire at three time points: the first and third trimester of pregnancy, and postpartum. We examined the factor structure of the HADS in Group 1 (n = 466) using exploratory factor analysis (EFA). We then compared the models identified in Group 1 with those from previous studies using confirmatory factor analysis (CFA) in Group 2 (n = 470). We performed multiple-group CFA for Group 2 to test the measurement invariance of the best-fit model across the three time points.
resultsThe EFA for the Group 1 data at the three time points revealed a two-factor model. In the CFA, the two-factor model from Group 1 showed the best fit with the data at the three time points. In the multiple-group CFA for Group 2, we confirmed the configural and metric invariance of the two-factor model across the three time points.
conclusionOur findings provide evidence for a two-factor structure and weak measurement invariance of the HADS in pregnant Japanese women during the peripartum period.
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