Validation of the Hospital Anxiety and Depression Scale in Arab patients

Affiliations


Abstract

The Hospital Anxiety and Depression Scale (HADS) was administered to psychiatric outpatients with various diagnoses to assess its validity. The study was also designed to find out whether HADS can differentiate between diagnostic groups based on depression and anxiety symptoms. HADS was able to discriminate patients from controls at a sensitivity of 79% and specificity of 87%. HADS was much less sensitive, specific and diagnostically accurate in identifying anxiety and depressive disorders in the experimental group at a cut-off point of 13 and 10 respectively for both conditions. Possible psychological, social and psychiatric reasons for the results are discussed.


Similar articles

Factor structure and cut-off scores of the Hospital Anxiety and Depression scale (HADS) in a Croatian sample of adult patients suffering from advanced cancer.

Miljanović M, Sindik J, Milunović V, Škoc VK, Braš M, Đorđević V.Psychiatr Danub. 2017 Dec;29(4):451-458. doi: 10.24869/psyd.2017.451.PMID: 29197202

Diagnostic validity of the Hospital Anxiety and Depression Scale (HADS) in cancer and palliative settings: a meta-analysis.

Mitchell AJ, Meader N, Symonds P.J Affect Disord. 2010 Nov;126(3):335-48. doi: 10.1016/j.jad.2010.01.067. Epub 2010 Mar 5.PMID: 20207007

Screening for anxiety and depression in dialysis patients: comparison of the Hospital Anxiety and Depression Scale and the Beck Depression Inventory.

Preljevic VT, Østhus TB, Sandvik L, Opjordsmoen S, Nordhus IH, Os I, Dammen T.J Psychosom Res. 2012 Aug;73(2):139-44. doi: 10.1016/j.jpsychores.2012.04.015. Epub 2012 Jun 11.PMID: 22789418

The validity of the Hospital Anxiety and Depression Scale. An updated literature review.

Bjelland I, Dahl AA, Haug TT, Neckelmann D.J Psychosom Res. 2002 Feb;52(2):69-77. doi: 10.1016/s0022-3999(01)00296-3.PMID: 11832252 Review.

Mixed anxiety-depression and its implications for models of mood and anxiety disorders.

Barlow DH, Campbell LA.Compr Psychiatry. 2000 Mar-Apr;41(2 Suppl 1):55-60. doi: 10.1016/s0010-440x(00)80009-7.PMID: 10746905 Review.


Cited by

Health-Related Quality of Life, Stress, Caregiving Burden and Special Needs of Parents Caring for a Short-Statured Child-Review and Recommendations for Future Research.

Lackner L, Quitmann J, Kristensen K, Witt S.Int J Environ Res Public Health. 2023 Aug 11;20(16):6558. doi: 10.3390/ijerph20166558.PMID: 37623144 Free PMC article. Review.

Evaluation of psychological distress is essential for patients with locally advanced breast cancer prior to neoadjuvant chemotherapy: baseline findings from cohort study.

Omari M, Amaadour L, Zarrouq B, Al-Sheikh YA, El Asri A, Kriya S, Nadi S, Benbrahim Z, Mellas N, Rhazi KE, Ragala MEA, Hilaly JE, Giesy JP, Aboul-Soud MAM, Halim K.BMC Womens Health. 2023 Aug 23;23(1):445. doi: 10.1186/s12905-023-02571-1.PMID: 37612725

Relationship between Sleep Quality and Anxiety-Depressive Disorders in Moroccan Women with Breast Cancer: A Cross-Sectional Study.

El Kherchi O, Aquil A, Elkhoudri N, Guerroumi M, El Azmaoui N, Mouallif M, Aitbouighoulidine S, Chokri A, Benider A, Elgot A.Iran J Public Health. 2023 Jul;52(7):1457-1465. doi: 10.18502/ijph.v52i7.13247.PMID: 37593511 Free PMC article.

Hostile sexism is related to worse mental health outcomes among fathers.

Yılmaz-Karaman İG, Kocabacak H, Velipaşaoğlu M, Bolea B.Soc Psychiatry Psychiatr Epidemiol. 2023 Aug 1. doi: 10.1007/s00127-023-02536-7. Online ahead of print.PMID: 37528231

Psychometric Properties of Assessment Tools for Depression, Anxiety, Distress, and Psychological Problems in Breast Cancer Patients: A Systematic Review.

Park H, Kim KE, Moon E, Kang T.Psychiatry Investig. 2023 May;20(5):395-407. doi: 10.30773/pi.2022.0316. Epub 2023 May 25.PMID: 37253465 Free PMC article.


KMEL References