Screening for depression and anxiety in cancer patients using the Hospital Anxiety and Depression Scale

Background. The biomedical care for cancer has not been complemented by psychosocial progressions in cancer care.Objectives. To find the prevalence of anxiety and depression amongst cancer patients in a hospital setting.Design and Setting. This cross-sectional study was conducted at the tertiary care hospitals Shifa International Hospital Islamabad and Nuclear Medicine, Oncology, and Radiotherapy Institute [NORI].Patients and Methods. 300 patients were interviewed from both the outpatient and inpatient department using The Aga Khan University Anxiety and Depression Scale (AKUADS).Main Outcome Measures. Using a score of 20 and above on the AKUADS, 146 (48.7%) patients were suffering from anxiety and depression.Results. When cross tabulation was done between different factors and the cancer patients with anxiety and depression, the following factors were found out to be significant with associatedpvalue < 0.05: education of the patient, presence of cancer in the family, the severity of pain, and the patient’s awareness of his anxiety and depression. Out of 143 (47.7%) uneducated patients, 85 (59.4%) were depressed, hence making it the highest educational category suffering from depression and anxiety.Conclusion. The prevalence of anxiety and depression amongst cancer patients was high showing that importance should be given to screening and counseling cancer patients for anxiety and depression, to help them cope with cancer as a disease and its impact on their mental wellbeing.Limitations. The frequency of female patients in our research was higher than those of male patients.

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A-121 Functional Outcomes in Bilingual Persons with Traumatic Brain: The Role of Mood

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acab062.139 ◽

2021 ◽

Vol 36 (6) ◽

pp. 1171-1171

Author(s):

Winter Olmos ◽

Daniel W Lopez-Hernandez ◽

Isabel Munoz ◽

Laura Schierholz ◽

Rachel A Rugh-Fraser ◽

...

Keyword(s):

Depressive Symptoms ◽

Functional Outcomes ◽

Depression Scale ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Hospital Anxiety ◽

Anxiety Levels ◽

The Relationship ◽

Pearson Correlations

Abstract Introduction We examined the relationship between depression and anxiety, language, and functional outcomes in persons with traumatic brain injury (TBI). Methods The sample consisted of 48 acute TBI (ATBI: 23 Spanish-English Bilinguals; 25 English monolinguals), 30 chronic TBI (CTBI: 17 Spanish English Bilinguals; 12 English monolinguals), and 47 healthy comparison (HC: 29 Spanish-English Bilinguals; 18 English monolinguals) participants. The Hospital Anxiety and Depression Scale was used to measure depression (HADS-D) and anxiety (HADS-A). The Mayo Portland Adaptability Inventory-4 (MPAI-4) was used to measure functional outcomes (ability, adjustment, participation). Results An ANCOVA, controlling for age, revealed the ATBI group reported lower anxiety levels compared to the CTBI group, p = 0.034 np2 = 0.06. HC participants demonstrated significantly higher functional ability compared to both TBI groups, p < 0.05, np2 = 0.08–0.19. The ATBI group demonstrated worse participation scores compared to the CTBI and HC groups, p = 0.001, np2 = 0.11. Pearson correlations revealed mood was related to functional status in ATBI monolinguals (HADS-A: r = 0.29–0.64; HADS-D, r = 0.49–0.62). Monolingual participants with ATBI demonstrated correlations between depressive symptoms and functional adjustment (r = 0.57, p = 0.005) and ability (r = 0.44, p = 0.034). For monolinguals with CTBI, HADS-A correlated with functional outcomes, r = 0.60–0.66, p < 0.05. For bilinguals with CTBI, functional outcomes correlated with HADS-A, r = 0.53–0.66, p < 0.05, and HADS-D, r = 0.54–0.66, p < 0.05. For HC monolinguals, functional outcomes correlated with HADS-A, r = 0.53–0.70, p < 0.05, and HADS-D, r = 0.50–0.72, p < 0.05. Finally, for HC bilinguals, functional outcomes correlated with HADS-A, r = 0.59–0.68, p < 0.05. Conclusion Our results suggest that a relationship between anxiety and depressive symptoms is related more to functional outcomes in monolingual TBI survivors compared to bilingual TBI survivors.

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Hospital Anxiety and Depression Scale (HADS) accuracy in cancer patients

Supportive Care in Cancer ◽

10.1007/s00520-019-05244-8 ◽

2019 ◽

Vol 28 (8) ◽

pp. 3921-3926 ◽

Cited By ~ 3

Author(s):

Maria Antonietta Annunziata ◽

Barbara Muzzatti ◽

Ettore Bidoli ◽

Cristiana Flaiban ◽

Francesca Bomben ◽

...

Keyword(s):

Cancer Patients ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety

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Hospital anxiety and depression scale cutoff scores for cancer patients in acute care

British Journal of Cancer ◽

10.1038/sj.bjc.6604952 ◽

2009 ◽

Vol 100 (6) ◽

pp. 908-912 ◽

Cited By ~ 141

Author(s):

S Singer ◽

S Kuhnt ◽

H Götze ◽

J Hauss ◽

A Hinz ◽

...

Keyword(s):

Cancer Patients ◽

Acute Care ◽

Depression Scale ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Cutoff Scores

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Examination of the construct validity of the Swedish version of Hospital Anxiety and Depression Scale in breast cancer patients

Quality of Life Research ◽

10.1007/s11136-013-0407-8 ◽

2013 ◽

Vol 22 (10) ◽

pp. 2849-2856 ◽

Cited By ~ 10

Author(s):

Fredrik Saboonchi ◽

Agneta Wennman-Larsen ◽

Kristina Alexanderson ◽

Lena-Marie Petersson

Keyword(s):

Breast Cancer ◽

Construct Validity ◽

Cancer Patients ◽

Depression Scale ◽

Anxiety And Depression ◽

Breast Cancer Patients ◽

Hospital Anxiety ◽

Swedish Version

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The Chinese version of hospital anxiety and depression scale: Psychometric properties in Chinese cancer patients and their family caregivers

European Journal of Oncology Nursing ◽

10.1016/j.ejon.2016.09.004 ◽

2016 ◽

Vol 25 ◽

pp. 16-23 ◽

Cited By ~ 28

Author(s):

Qiuping Li ◽

Yi Lin ◽

Caiping Hu ◽

Yinghua Xu ◽

Huiya Zhou ◽

...

Keyword(s):

Psychometric Properties ◽

Cancer Patients ◽

Family Caregivers ◽

Depression Scale ◽

Chinese Version ◽

Anxiety And Depression ◽

Hospital Anxiety ◽

Chinese Cancer Patients

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The Mental Adjustment to Cancer (MAC) Scale: replication and refinement in 632 breast cancer patients

Psychological Medicine ◽

10.1017/s0033291799001142 ◽

1999 ◽

Vol 29 (6) ◽

pp. 1335-1345 ◽

Cited By ~ 37

Author(s):

R. H. OSBORNE ◽

G. R. ELSWORTH ◽

D. W. KISSANE ◽

S. A. BURKE ◽

J. L. HOPPER

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Concurrent Validity ◽

General Structure ◽

Depression Scale ◽

Anxiety And Depression ◽

Breast Cancer Patients ◽

Hospital Anxiety ◽

Mental Adjustment ◽

Fighting Spirit

Background. Assessment of adjustment of patients in cancer treatment trials is becoming more common and increasingly regarded as a useful outcome measure. The widely used Mental Adjustment to Cancer (MAC) Scale was designed to measure Fighting Spirit (FS), Anxious Preoccupation (AP), Helpless–hopelessness (HH) and Fatalism.Methods. Questionnaire responses from 632 breast cancer patients were randomly divided into two groups, one for exploratory analyses and possible scale refinement, and the other for validation purposes.Results. Estimates of reliability (Cronbach's α) were satisfactory for two scales, FS (α = 0·85) and HH (α = 0·81), but lower for AP (α = 0·65) and Fatalism (α = 0·64). Exploratory factor analysis suggested that the MAC Scale might be measuring six independent constructs including two related to Fighting Spirit (Positive Orientation to the Illness, Minimizing the Illness), two related to Fatalism (Fatalism-revised, Loss of Control), a construct we have named Angst, and an unchanged HH construct. Scales developed to measure these constructs were satisfactorily replicated in confirmatory analyses but some reliabilities were lower than desirable. The general structure of the MAC Scale remained little changed despite the division of two scales and the suggested removal of six items. The refined scales correlated with the Hospital Anxiety and Depression scale and the Medical Coping Modes Questionnaire, indicating good concurrent validity.Conclusions. While reasonable reliability of the original scales persists through analyses of the MAC Scale, the original factor structure could not be reproduced. Six refined constructs with strong construct validity were identified within the overall domain of mental adjustment to cancer.

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