Abstract
Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D). Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.
| Original language | English |
|---|---|
| Pages (from-to) | 60-66 |
| Number of pages | 7 |
| Journal | Asian Journal of Psychiatry |
| Volume | 22 |
| DOIs | |
| Publication status | Published - 1 Aug 2016 |
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Keywords
- Arabic
- Cardiac Depression Scale
- Cultural relevance
- Depression
- Heart disease
- Scale validation
ASJC Scopus subject areas
- Psychology(all)
- Psychiatry and Mental health
Cite this
Translation and validation of the Cardiac Depression Scale to Arabic. / Papasavvas, T.; Al Amin, Hassen; Ghabrash, H. F.; Micklewright, D.
In: Asian Journal of Psychiatry, Vol. 22, 01.08.2016, p. 60-66.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Translation and validation of the Cardiac Depression Scale to Arabic
AU - Papasavvas, T.
AU - Al Amin, Hassen
AU - Ghabrash, H. F.
AU - Micklewright, D.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D). Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.
AB - Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D). Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.
KW - Arabic
KW - Cardiac Depression Scale
KW - Cultural relevance
KW - Depression
KW - Heart disease
KW - Scale validation
UR - http://www.scopus.com/inward/record.url?scp=84969815926&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84969815926&partnerID=8YFLogxK
U2 - 10.1016/j.ajp.2016.05.001
DO - 10.1016/j.ajp.2016.05.001
M3 - Article
C2 - 27520895
AN - SCOPUS:84969815926
VL - 22
SP - 60
EP - 66
JO - Asian Journal of Psychiatry
JF - Asian Journal of Psychiatry
SN - 1876-2018
ER -