A Validity Study of the Hospital Anxiety and Depression Scale in General Hospital Units and a Community Sample in Nigeria

1994 ◽  
Vol 165 (5) ◽  
pp. 669-672 ◽  
Author(s):  
O. A. Abiodun
Keyword(s):  
Depressive Disorders ◽  
Community Sample ◽  
Depression Scale ◽  
Screening Instrument ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Relative Operating Characteristic ◽  
Psychiatric Interview ◽  
Hospital Units ◽  
Psychiatric Units

BackgroundThe utility of the Hospital Anxiety and Depression Scale (HADS) as a screening instrument for anxiety and depressive disorders in non-psychiatric units (medical & surgical wards; gynaecology & antenatal clinics of a teaching hospital) and a community sample in Nigeria was investigated.MethodA two-stage screening procedure was employed. This involved the use of GHQ–12/GHQ–30 and HADS against the criteria of a standardised (PSE schedule) psychiatric interview, with psychiatric diagnosis assigned in accordance with ICD–9 criteria.ResultsSensitivity for the anxiety sub-scale ranged from 85.0% in the medical and surgical wards to 92.9% in the ante-natal clinic, while sensitivity for the depression sub-scale ranged from 89.5% in the community sample to 92.1% in the gynaecology clinic. Specificity for the anxiety sub-scale ranged from 86.5% in the gynaecology clinic to 90.6% in the community sample, while specificity for the depression sub-scale ranged from 86.6% in the medical and surgical wards to 91.1 % in the ante-natal clinic and community sample. Misclassification rates ranged from 9.9% in the community sample to 13.2% in the medical and surgical wards. Relative Operating Characteristic (ROC) analyses showed the HADS and the GHQ–12 to be quite similar in ability to discriminate between cases (anxiety and depression) and non-cases.ConclusionsThe HADS is valid for use as a screening instrument in non-psychiatric units and although initially developed for use in hospital settings, it could be usefully employed in community settings of developing countries to screen for mental morbidity.

Structure, Reliability, Measurement Stability, and Construct Validity of the Polish Version of the Revised Child Anxiety and Depression Scale

Assessment ◽  
2017 ◽  
Vol 26 (8) ◽  
pp. 1492-1503 ◽  
Author(s):  
Ilona Skoczeń ◽  
Radosław Rogoza ◽  
Marta Rogoza ◽  
Chad Ebesutani ◽  
Bruce Chorpita
Keyword(s):  
Construct Validity ◽  
Depressive Disorders ◽  
Community Sample ◽  
Child Anxiety ◽  
Depression Scale ◽  
Self Report ◽  
Anxiety And Depression ◽  
Validity And Reliability ◽  
Time Data ◽  
Polish Version

The Revised Child Anxiety and Depression Scale (RCADS) is a self-report questionnaire that aims to assess symptoms of anxiety and depressive disorders in children. Two studies were conducted to evaluate the psychometric properties of the Polish version of the RCADS. Study 1 was conducted to analyze the structural validity and reliability of the RCADS scores and Study 2 assessed the longitudinal measurement of stability over time. Data were collected from a community sample of 501 children and adolescents aged 8 to 14 years in Poland. The original 47-item version of the Polish RCADS was compared with two shortened versions: 30- and 20-item versions. Overall results revealed support for the structural and construct validity, reliability, and stability of the Polish version of the RCADS.

scholarly journals Level of awareness and treatment of anxiety and depression during pregnancy in southeast Nigeria

2018 ◽  
Vol 24 ◽  
Author(s):  
Ezeme M. Sunday ◽  
Paul C. Okoli ◽  
Vincent O. Dinwoke
Keyword(s):  
Pregnant Women ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Descriptive Study ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Anxiety And Depression ◽  
State University ◽  
Hospital Anxiety ◽  
Cross Sectional

Background: Anxiety and depressive disorders are somewhat masked by features of pregnancy; hence many women are ignorant of them and are untreated.Aim: To determine the level of awareness and treatment of anxiety and depression in pregnancy.Setting: The study was carried out at the antenatal clinic of Enugu State University Teaching Hospital, Enugu, Nigeria.Method: This was a cross-sectional and descriptive study of 200 pregnant women in consecutive attendance of the antenatal clinic using the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire.Results: Of the participants, 23.5% had anxiety and/or depression, 7.5% of them were aware of their condition and only 0.5% of all the participants or 6.7% of those who were aware of their problem received treatment.Conclusion: Anxiety and depression are prevalent among pregnant women. Because of overlap of symptoms of anxiety and depression with those of pregnancy, the awareness is very low; hence many of them suffer immensely without treatment.

The use of the hospital anxiety and depression scale in an outpatient alcohol treatment clinic

1995 ◽  
Vol 12 (3) ◽  
pp. 101-102 ◽  
Author(s):  
Christopher A Vassilas ◽  
Andrew Nicol ◽  
Clare Short
Keyword(s):  
Outpatient Treatment ◽  
Rating Scale ◽  
Depression Scale ◽  
Alcohol Treatment ◽  
Screening Instrument ◽  
Anxiety Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Treatment Clinic ◽  
Treatment Centre

AbstractObjectives: To validate the hospital anxiety and depression scale (HAD) in an outpatient alcohol treatment centre.Methods: Forty three patients referred to an alcohol outpatient treatment centre completed the HAD which was validated against the external criteria of the Montgomery-Asberg Depression Rating Scale and the Clinical Anxiety Scale.Results: The HAD performed well operating at a cut-off of 7/8 for the depression scale and for the anxiety scale of the HAD the optimal cut-off value was 10/11.Conclusion: The HAD is acceptable to patients and its use in alcohol treatment clinics is recommended as a screening instrument for anxiety and depression which can easily be administered by non-psychiatrists.

scholarly journals Psychometric evaluation of the Hospital Anxiety and Depression Scale in a large community sample of adolescents in Hong Kong

2010 ◽  
Vol 19 (6) ◽  
pp. 865-873 ◽  
Author(s):  
Ya-Fen Chan ◽  
Doris Y. P. Leung ◽  
Daniel Y. T. Fong ◽  
Chi-Ming Leung ◽  
Antoinette M. Lee
Keyword(s):  
Hong Kong ◽  
Community Sample ◽  
Depression Scale ◽  
Psychometric Evaluation ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Large Community

P1535ANXIETY AND DEPRESSIVE DISORDERS IN HEMODIALYSIS PATIENTS

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Emna Chaabouni ◽  
Hela Jbali ◽  
Mami Ikram ◽  
Chermiti Mohamed ◽  
El Kateb Hanene ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Hemodialysis Patients ◽  
Anxiety And Depression ◽  
Mediterranean Country ◽  
Dialysis Session ◽  
Hospital Anxiety ◽  
Symptoms Of Depression

Abstract Background and Aims Dialysis impacts the patients' quality of life drastically, increasing the risk of mortality. Depression and anxiety are commonly reported among dialysis patients. But little is known about their prevalence. The aim of this study is to examine the prevalence of anxiety and depression and associated factors among patients receiving hemodialysis Method A cross-sectional study was carried out among 94 hemodialysis patients treated at four hemodialysis center in a mediterranean country during a period of two months . The patients were interviewed while undergoing their dialysis session using the Hospital Anxiety and Depression Scale (HAD). The score of HAD was correlated with demographic and clinical variables. Results Based on Hospital Anxiety and Depression Scale, 49 patients (52%) had symptoms of depression, 41 patients (43%) had mild symptoms of anxiety, whereas moderate or severe symptoms of anxiety were present in 30 patients (32%). In univariate analysis, HAD score for symptoms of depression correlated significantly with age (p=0,012) and past medical history of hypertension (p=0,024). Anxiety correlated significantly with female gender (p=0,039), smoking (p=0,017) and coffee addiction (p=0,024). Conclusion These results underline the important prevalence of anxiety and depression in hemodialysis patients . Strategic options are necessary to improve the diagnosis of anxiety and depressive disorders, potentially enhancing quality of life and medical outcome in hemodialysis patients.

scholarly journals Anxiety-depressive disorders of patients with external genital endometriosis

2017 ◽  
Vol 98 (6) ◽  
pp. 910-912
Author(s):  
E V Igenbaeva ◽  
T V Uzlova ◽  
E L Kurenkov
Keyword(s):  
Depressive Disorders ◽  
Clinical Presentation ◽  
Comparison Group ◽  
Depression Scale ◽  
Pain Syndrome ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Exclusion Criteria ◽  
Benign Tumours ◽  
Asymptomatic Disease

Aim. To study the prevalence of anxiety and depression in patients with external genital endometriosis and other gynecologic pathology. Methods. The study involved 152 women. The main group consisted of 100 patients with external genital endometriosis diagnosed by laparoscopy and histologically confirmed. The comparison group included 52 women with other gynecologic pathology (infertility, hysteromyoma, ovarian benign tumours). Exclusion criteria were oncology, acute gynecologic and somatic pathology. To determine the prevalence of anxiety and depression in the groups, the hospital anxiety and depression scale was used. Results. In the group pf females with endometriosis 33 (33%) patients had anxiety and 9 (9%) patients - depression. In the comparison group (N2=52), anxiety disorder was revealed in 18 (34.6%) women, and depression - in three patients (5.8%; p >0.05). To study the features of anxiety and depression in patients with different clinical presentation of endometriosis, females with asymptomatic disease (n1=26), infertility (n2=29) and pain syndrome (n3=43) were compared. Analysis of the results demonstrated that significantly more frequently anxiety and depression developed in patients with pain syndrome. The number of women suffering from anxiety in group n3 was 22 (51.2%), in group n2 - 6 (20.7%) and in group n1 - 2 (7.8%). The number of women with depression in group n3 was 8 (18.6%), in group n2 - 1 (3.4%) and in group n1 there were no women with depression. Conclusion. The conducted study showed no significant differences in the prevalence of anxiety and depression among patients with external genital endometriosis and other gynecologic pathology; anxiety and depression develop more frequently in the presence of pain syndrome.

Bedeutung der Herzangst für den psychologischen Betreuungsbedarf und die subjektive Erwerbsprognose – Hinweise aus der stationären kardiologischen Rehabilitation

2021 ◽  
Author(s):  
Anna-Lisa Eilerts ◽  
Sarah Schröer ◽  
Sarah Wissen ◽  
Wolfgang Mayer-Berger ◽  
Claudia Pieper
Keyword(s):  
Depression Scale ◽  
Screening Instrument ◽  
Anxiety And Depression ◽  
Screening Instruments ◽  
Hospital Anxiety

Zusammenfassung Hintergrund In der stationären kardiologischen Rehabilitation werden Patienten idealerweise nach psychosozialen Risikofaktoren gescreent und psychologisch betreut. Herzbezogene Ängste bei kardiologischen Erkrankungen können die Lebensqualität erheblich beeinträchtigen und sowohl die Prognose des Krankheitsverlaufs als auch die soziale und berufliche Teilhabe beeinflussen. Aufgrund der Diskrepanz zwischen der, in der Literatur berichteten, Prävalenz der Herzangst und dem, durch die Patienten in der Klinik Roderbirken geäußerten Bedarf an psychologischer Betreuung, vermuteten die Autoren, dass ein Teil der Patienten diesen Bedarf nicht selbständig äußert. Ziel der Studie war es, diese Patienten durch ein einfaches Screening-Instrument zu identifizieren, um ihnen eine adäquate psychologische Betreuung anzubieten und dadurch die Rehabilitationsziele, darunter den Erhalt der Erwerbsfähigkeit, zu sichern. Methode Die vorliegenden Daten wurden in einer monozentrischen Querschnittsstudie in der Rehabilitationsklinik Roderbirken, Leichlingen, NRW, erhoben. Die Patienten wurden einmalig mit einem standardisierten Fragebogen, bestehend aus dem Herzangstfragebogen, der Hospital Anxiety and Depression Scale und der Skala I des Screening-Instruments Beruf und Arbeit in der Rehabilitation befragt. Soziodemographische und klinische Daten wurden aus dem Kliniksystem ergänzt. Die Auswertung der Daten erfolgte mithilfe deskriptiv-statistischer und regressionsanalytischer Verfahren. Ein Ethikvotum liegt vor. Ergebnisse Nach Bereinigung des Datensatzes konnten 507 Patienten in die Analyse eingeschlossen werden (82,6% Männer, mittleres Alter gesamt 54,4±7,1 Jahre). Von diesen meldeten 40,0% einen Bedarf an psychologischer Betreuung an. Bei 15,7% aller Patienten lag eine Herzangst nach dem Herzangstfragebogen vor, von denen wiederum 59,0% einen Bedarf an psychologischer Betreuung anmeldeten. Es zeigte sich, dass insbesondere Patienten mit diagnostizierten psychischen Erkrankungen Betreuungsbedarf äußerten (57,6 vs. 0,7%; p<0,05). Die subjektive Erwerbsprognose war mit Herzangst und mit der Depressionssymptomatik nach Hospital Anxiety and Depression Scale assoziiert (je p<0,001), des Weiteren mit der Ausbildung und dem beruflichen Status. Diskussion Die Ergebnisse der Selbstbeurteilungsfragebögen und die Betrachtung sozioökonomischer sowie klinischer Patientencharakteristika geben Hinweise auf ein Bedarfsprofil hinsichtlich des psychologischen Betreuungsbedarfs und eine negative subjektive Erwerbsprognose. Schlussfolgerung Ein Screening mit der Hospital Anxiety and Depression Scale ist geeignet, um die Identifizierung nicht geäußerter psychologischer Betreuungsbedarfe und damit die Zielerreichung der beruflichen Reintegration in der kardiologischen Rehabilitation zu unterstützen.

Evaluation of the hospital anxiety and depression scale as a screening instrument in geriatric medical inpatients

1993 ◽  
Vol 8 (2) ◽  
pp. 165-169 ◽  
Author(s):  
Keren Nicola Davies ◽  
Wendy Katherine Burn ◽  
Fiona Ross McKenzie ◽  
Judith Ann Brothwell ◽  
John Philip Wattis
Keyword(s):  
Depression Scale ◽  
Screening Instrument ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Medical Inpatients
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