A confirmatory factor analysis of hopkins symptoms checklist (HSCL-25) Nepali version

Abstract

Aim: To examine the validity and reliability of HSCL-25 through using CFA. Methods: A non-experimental survey design was used to examine the anxiety and depression of doctors (n=547) using online and paper-and-pencil methods with the use of N-HSCL-25. Confirmatory factor analysis (CFA) and other applicable psychometric tests were carried out. Results: A positive and strong correlation between anxiety and depression were measured with a correlation coefficient value of .88. The reliability scores of Cronbach alpha for anxiety and depression were 0.890 and 0.926 respectively. Three items, including a suicide screening item, of the depression sub-scale, and two items of the anxiety sub-scale had to extricate due to poor factor loadings. Post-hoc CFA verified Nepali version of HSCL-20, bi-factor model, with model fit scores for SMRs, RMR, and RMSEA less than 0.08. The model fit scores of NFI, TLI, AGFI, and CFI were above .90. Conclusions: CFA confirmed N-HSCL-20 with validity and reliability indicators for further use in the Nepali population. The study recommends using a separate suicide screening tool in the Nepali context.