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Hospital Anxiety and Depression Scale (HADS): Arabic - Vacau

Hospital Anxiety and Depression Scale (HADS): Arabic - Vacau

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General Health Questionnaire (GHQ):<br />

CHINESE DIALECTS<br />

POPULATION FOR WHICH THIS VERSION WAS TRIALED:<br />

In Hong Kong - Psychiatric patients, secondary teachers, university undergraduates,<br />

<strong>and</strong> secondary students.<br />

In Manchester, United Kingdom - Primary health care patients.<br />

PSYCHOMETRIC PROPERTIES<br />

• Validity: Unknown.<br />

• Diagnostic validity: For GHQ-30 in St<strong>and</strong>ard Modern Chinese only: Pan<br />

<strong>and</strong> Goldberg (1990) reported good diagnostic accuracy (AUC) in one study<br />

of Cantonese primary care patients in Manchester United Kingdom.<br />

Additional evidence required.<br />

• Sensitivity <strong>and</strong> specificity: Average sensitivity <strong>and</strong> specificity were also<br />

reported for the same UK sample. Additional evidence required.<br />

• Internal consistency: For GHQ- 28, varying internal consistencies<br />

reported in one study using multiple samples taken from Hong Kong.<br />

Internal consistency of subscale scores ranged from unacceptable to poor<br />

in scores taken from university undergraduates <strong>and</strong> secondary students.<br />

However, subscale scores showed poor to good internal consistency in<br />

teachers <strong>and</strong> psychiatric patients. Additional evidence required. No<br />

evidence of internal consistency for GHQ-30.<br />

• Responsiveness to change: Unknown.<br />

SPECIAL NOTES:<br />

Pan <strong>and</strong> Goldberg (1990) report promising diagnostic accuracy, sensitivity <strong>and</strong><br />

specificity in a sample of Cantonese speaking primary care patients in Greater<br />

Manchester, United Kingdom. Note that the authors did not find any significant<br />

difference in the diagnostic accuracy between the CHQ-12 <strong>and</strong> the Chinese<br />

version of the GHQ-12. Pan <strong>and</strong> Goldberg provide a useful discussion of problems<br />

associated with the verbal presentation of the GHQ when administered to<br />

Cantonese participants.<br />

50

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