Prevalence of depressive and anxiety disorders and validation of the Hospital Anxiety and Depression Scale as a screening tool in axial spondyloarthritis patients

2014 ◽  
Vol 20 (3) ◽  
pp. 317-325 ◽  
Author(s):  
Cynthia Y. Y. Chan ◽  
Helen H. L. Tsang ◽  
C. S. Lau ◽  
H. Y. Chung
Keyword(s):  
Anxiety Disorders ◽  
Screening Tool ◽  
Axial Spondyloarthritis ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety

Sensitivity and specificity of the Geriatric Anxiety Inventory and the Hospital Anxiety and Depression Scale in the detection of anxiety disorders in older people with chronic obstructive pulmonary disease

2011 ◽  
Vol 24 (1) ◽  
pp. 128-136 ◽  
Author(s):  
Gary Cheung ◽  
Colin Patrick ◽  
Glenda Sullivan ◽  
Manisha Cooray ◽  
Catherina L. Chang
Keyword(s):  
Anxiety Disorders ◽  
Older People ◽  
Rating Scales ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Hospital Anxiety ◽  
Obstructive Pulmonary Disease ◽  
Cut Points ◽  
Anxiety Subscale

ABSTRACTBackground: Anxiety and depression are prevalent in patients with chronic obstructive pulmonary disease (COPD). This study evaluates the sensitivity and specificity of two self-administered anxiety rating scales in older people with COPD. The Geriatric Anxiety Inventory (GAI) and the Hospital Anxiety and Depression Scale (HADS) are established useful screening tools but they have not been previously validated in this population.Methods: Older people with COPD completed the GAI and the HADS along with a structured diagnostic psychiatric interview, the Mini International Neuropsychiatric Interview (MINI). The outcomes of both rating scales were compared against the diagnosis of anxiety disorders based on the MINI. Receiver operating characteristic (ROC) curves were used to identify the optimal diagnostic cut points for each scale.Results: Fourteen (25.5%) of the 55 participants, were diagnosed with an anxiety disorder. Mean GAI and HADS-anxiety subscale scores were significantly higher in subjects with an anxiety disorder than those without the diagnosis (p = 0.002 and 0.005 respectively). Both scales demonstrated moderate diagnostic value (area under the ROC curve was 0.83 for GAI and 0.79 for HADS). Optimal cut points were ≥3 (GAI) and ≥4 (HADS-anxiety subscale). At these cut-points, the GAI had a sensitivity of 85.7%, specificity of 78.0% and the HADS had a sensitivity of 78.6%, specificity 70.7%.Conclusion: Our results support the use of the GAI and HADS as screening instruments for anxiety disorders in older people with COPD. The optimal cut points in this population were lower than previously recommended for both rating scales. The results of this study should be replicated before these cut points can be recommended for general use in older people with COPD.

Validation of the Hospital Anxiety and Depression Scale for use with adolescents

1999 ◽  
Vol 175 (5) ◽  
pp. 452-454 ◽  
Author(s):  
David White ◽  
Chris Leach ◽  
Ruth Sims ◽  
Michelle Atkinson ◽  
David Cottrell
Keyword(s):  
Anxiety Disorders ◽  
Factor Structure ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Clinical Settings ◽  
Hospital Anxiety ◽  
Icd 10 ◽  
Self Harm ◽  
Adequate Test ◽  
Test Retest Reliability

BackgroundThe Hospital Anxiety and Depression Scale (HADS), developed for use with adults, has potential with adolescents.AimsTo test the HADS's validity with adolescents.MethodThe HADS was given to 248 schoolchildren and to 48 psychiatric outpatients and 38 deliberate self-harm inpatients aged 12–17, and validated against ICD–10 diagnoses for the out-patients.ResultsThe HADS has adequate test-retest reliability and factor structure, and discriminates between adolescents diagnosed with depressive or anxiety disorders and those without these diagnoses.ConclusionsThe psychometric properties of the HADS and its shortness make it useful for screening and in clinical settings with adolescents.

Prevalence of anxiety and depression in osteoarthritis: use of the Hospital Anxiety and Depression Scale as a screening tool

2010 ◽  
Vol 29 (11) ◽  
pp. 1277-1283 ◽  
Author(s):  
John Axford ◽  
Alexander Butt ◽  
Christine Heron ◽  
John Hammond ◽  
John Morgan ◽  
...  
Keyword(s):  
Screening Tool ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety

Screening for depression and anxiety in patients admitted for coronary artery bypass graft: comparison of nurses’ reports vs. hospital anxiety and depression scale

2011 ◽  
Vol 26 (S2) ◽  
pp. 880-880
Author(s):  
A.A. Nejatisafa ◽  
N. Shahmansouri ◽  
S. Sadeghian ◽  
H. Abbasi
Keyword(s):  
Coronary Artery ◽  
Anxiety Disorders ◽  
Coronary Artery Bypass Graft ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Artery Bypass Graft ◽  
Depression And Anxiety ◽  
Hospital Anxiety

AimsTo evaluate the validity of nurses’ reports as a screening tool for anxiety and depression in hospitalized patients admitted for Coronary Artery Bypass Graft.MethodsWithin 72 hours of admission, the patients were assessed using the Hospital Anxiety and Depression Scale (HADS). Simultaneously, the nurses who provided care for the patients were asked whether they believed the patients had significant levels of depression or anxiety. They were also asked to rate the degree of depression and anxiety of their patients in a 5 point Likert scale. Assessments were completed for 150 patients.ResultsAccording to HADS score, 67 (44.66%) patients had probable depressive disorders (HADS-D score > 7) and 57(38%) had probable anxiety disorders (HADS-A score>7). Nurses recognized 31(20.66%) patients had depressive disorder and 24(16%) had anxiety disorders. The correlation coefficient between nursing diagnosis and diagnosis according to HADS was small (phi = 0.24, P < 0.01). No significant correlation was observed between HADS scores and the nurses’ assessment of severity of depression and anxiety. Comparing with HADS, the sensitivity, specificity and positive predictive value for nursing reports was 0.25, 0.55 and 0.41 for depression and 0.66, 0.57 and 0.72 for anxiety respectively.ConclusionThis study indicates nurses’ reports may have not enough validity and sensitivity to be used as the only way for screening anxiety and depression in patients admitted for cardiac surgery. A consultation-liaison psychiatry service that include an active case finding strategy by using standard instrument and educational program for nurses may be helpful.

Validation of the Hospital Anxiety and Depression Scale for use with multiple sclerosis patients

2009 ◽  
Vol 15 (12) ◽  
pp. 1518-1524 ◽  
Author(s):  
Kimia Honarmand ◽  
Anthony Feinstein
Keyword(s):  
Multiple Sclerosis ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Depression Scale ◽  
Area Under The Curve ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Dsm Iv ◽  
Roc Area ◽  
Multiple Sclerosis Patients

Detecting clinically significant symptoms of depression and anxiety in medically ill patients using self-report rating scales presents a challenge because of somatic confounders. The Hospital Anxiety and Depression Scale (HADS) was developed with this in mind, but has never been validated for a multiple sclerosis population. Our objective was to validate the HADS for multiple sclerosis patients. Multiple sclerosis patients were interviewed for the presence of major depression ( n = 180) and anxiety disorders ( n = 140) with the Structured Clinical Interview for DSM-IV disorders. A receiver operating characteristic (ROC) analysis was undertaken to assess which HADS cut-off scores give the best yield with respect to diagnoses of major depression and all anxiety disorders defined by the Structured Clinical Interview for DSM-IV. A threshold score of 8 or greater on the HADS depression subscale provides a sensitivity of 90% and specificity of 87.3% (ROC area under the curve 0.938). The same cut-off score gives a sensitivity of 88.5% and a specificity of 80.7% on the anxiety subscale (ROC area under the curve 0.913), but for generalized anxiety disorder only. The study confirms the usefulness of the HADS as a marker of major depression and generalized anxiety disorder, but not other anxiety disorders, in multiple sclerosis patients.

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