Evidence map›Paper›PMID 40790884›Full record

ArticleBJPsych open2025

Hamilton Rating Scale for Anxiety: exploring validity with robust measures of classical theory parameters and a rating scale model in university students.

Md Dilshad Manzar, Faizan Z Kashoo, Mohammed Salahuddin, Dejene Nureye, Habtamu Acho Addo, Seithikurippu R Pandi-Perumal, Amir H Pakpour, Ahmed S Bahammam

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Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

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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

8 authors.

Md Dilshad ManzarDepartment of Primary Nursing Care, College of Nursing, Majmaah University, Majmaah, Saudi Arabia.
Faizan Z KashooDepartment of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Majmaah, Saudi Arabia.
Mohammed SalahuddinDepartment of Pharmaceutical Sciences, School of Pharmacy, Notre Dame of Maryland University, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-7306-5989
Dejene NureyeSchool of Pharmacy, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Habtamu Acho AddoSchool of Pharmacy, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Seithikurippu R Pandi-PerumalCentre for Research and Development, Chandigarh University, Mohali, Punjab, India.
Amir H PakpourDepartment of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.ORCID https://orcid.org/0000-0002-8798-5345
Ahmed S BahammamUniversity Sleep Disorders Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo research has assessed Hamilton Rating Scale for Anxiety (HRSA) psychometric properties in Ethiopian university students, using item response theory (IRT) and classical theory.

aimsThis study aimed to assess psychometric properties of the English HRSA in Ethiopian students, using IRT and classical theory.

methodUniversity students (

resultsConfirmatory factor analysis (CFA) favoured a one-factor structure because fit indices for the one-factor model; and two distinct two-factor models were similar, but high interfactor correlations violated discriminant validity criteria in two-factor models. This one-factor structure showed structural invariance as evidenced by multi-group CFA across gender groups. No ceiling/floor effects were seen for the HRSA total scores. Infit and outfit mean square values for all the items were within the acceptable range (0.6-1.4). Four threshold estimates (

conclusionsThe findings favour the validity of a one-factor structure of the HRSA with adequate item properties (classical and rating scale model), convergent validity, reliability and measurement invariance (structural and item level) across gender groups in Ethiopian university students.

Indexed as

Ethiopiaitem response theorypsychometricsReliabilityvalidity

Identifiers

PMID40790884
PMCPMC12451730

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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.