Evidence map›Paper›PMID 34917005›Full record

ArticleFrontiers in psychology2021

Psychometric Properties of the HADS Measure of Anxiety and Depression Among Multiple Sclerosis Patients in Croatia.

Ana Jerković, Ana Proroković, Meri Matijaca, Jelena Vuko, Ana Poljičanin, Angela Mastelić, Ana Ćurković Katić, Vana Košta, Lea Kustura, Krešimir Dolić and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04604041 (Investigation of Subclinical Markers of Multiple Sclerosis), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04604041 recruitingnot on this map

Investigation of Subclinical Markers of Multiple Sclerosis

TypeobservationalSponsorUniversity of Split, School of MedicineRan2020 to 2028Enrolled50ConditionsMultiple Sclerosis, Relapsing Remitting Multiple SclerosisArms1. Clinical testing, 2. Neurophysiological examination (TMS, EMNG), 3. Psychomotor examination, 4. Neuropsychological evaluation, 5. Flow cytometry
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Validation of the Croatian Version of the Eight-Item Chronic Pain Acceptance Questionnaire (CPAQ-8).International journal of environmental research and public health · 2026
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  6. Characteristics of pain in patients with NMOSD and MOGAD: impact on mental health, sleep and quality of life.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Ana JerkovićLaboratory for Human and Experimental Neurophysiology, Department of Neuroscience, School of Medicine, University of Split, Split, Croatia.
Ana ProrokovićDepartment of Psychology, University of Zadar, Zadar, Croatia.
Meri MatijacaDepartment of Neurology, University Hospital of Split, Split, Croatia.
Jelena VukoDepartment of Psychology, University of Zadar, Zadar, Croatia.
Ana PoljičaninInstitute of Physical Medicine and Rehabilitation with Rheumatology, University Hospital of Split, Split, Croatia.
Angela MastelićDepartment of Medical Chemistry and Biochemistry, University of Split School of Medicine, Split, Croatia.
Ana Ćurković KatićDepartment of Neurology, University Hospital of Split, Split, Croatia.
Vana KoštaDepartment of Neurology, University Hospital of Split, Split, Croatia.
Lea KusturaDepartment Psychiatry, University Hospital of Split, Split, Croatia.
Krešimir DolićDepartment of Radiology, University Hospital of Split, Split, Croatia.
Zoran ÐogašLaboratory for Human and Experimental Neurophysiology, Department of Neuroscience, School of Medicine, University of Split, Split, Croatia.
Maja Rogić VidakovićLaboratory for Human and Experimental Neurophysiology, Department of Neuroscience, School of Medicine, University of Split, Split, Croatia.
University of Split · HRUniversity of Zadar · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression and anxiety are common complaints in patients with multiple sclerosis (MS). The study objective was to investigate the factor structure, internal consistency, and correlates of the Croatian version of the Hospital Anxiety and Depression Scale (HADS) in patients with MS. A total of 179 patients with MS and 999 controls were included in the online survey. All subjects completed the HADS and self-administered questionnaires capturing information of demographic, education level, disease-related variables, and the Multiple Sclerosis Impact Scale-29 (MSIS-29). Psychometric properties were examined by estimating the validity, reliability, and factor structure of the HADS in patients with MS. The two HADS subscales (anxiety and depression) had excellent internal consistencies (Cronbach's α value 0.82-0.83), and factor analysis confirmed a two-factor structure. The convergent validity of the HADS subscales appeared to be good due to the significant correlations between HADS and MSIS-29. Receiver operating characteristic (ROC) analysis indicates that the HADS subscales have a significant diagnostic validity for group differentiation. Hierarchical regression analysis using MSIS-29 subscales as criterion variables showed consistent evidence for the incremental validity of the HADS. The HADS is a reliable and valid self-assessment scale in patients with MS and is suggested to be used in clinical monitoring of the psychiatric and psychological status of patients with MS.

Indexed as

anxietydepressionHospital Anxiety and Depression Scale (HADS)multiple sclerosispsychometrics

Identifiers

PMID34917005
PMCPMC8670005
OpenAlexW3215224301

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.