Dahlb, tone tangen haugc, dag neckelmannd adepartment of public health and primary health care, section for preventive medicine, haukeland hospital, armauer hansen building, university of bergen, n5021 bergen, norway. Tick the box beside the reply that is closest to how you have been feeling in the past week. Hospital anxiety and depression scale patientreported. The 15th and 16th items represent the total anxiety and depression score of the questionnaire. Alternatively, it can be downloaded free of charge from the prom group. Wording effects and the factor structure of the hospital. A single academic medical center initiated use of the hads to screen for depression during acute hospitalization in patients with a primary stroke diagnosis. The hospital anxiety and depression scale, or hads, was designed to provide a simple yet reliable tool for use in. Hospital anxiety and depression scale hads was originally developed by zigmond and snaith 1983 and is commonly used by doctors to determine the. The chinese version demonstrated good agreement with the.
Background given the immense burden of hivaids on health systems in subsaharan africa and the intricate link between hivaids and mental health problems, health care providers need a valid and reliable instrument to assess mental health rapidly. Read each item and circle the reply which comes closest to. Jul 26, 2018 the dass is a 42item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tensionstress. Hospital anxiety and depression scale manual 2019 natural. The hospital anxiety and depression scale hads is a valid and reliable selfrating scale that measures anxiety and depression in both hospital and community. The hospital anxiety and depression scale, or hads, was. The validity of the hospital anxiety and depression scale. Ii, center for epidemiologic studies depression scale, geriatric depression scale, hospital anxiety and depression scale, and patient health questionnaire. This is a 14item questionnaire categorized into 2 subscales, anxiety cronbach alpha 0. To reduce the risk of a false positive bias, the scale does not assess symptoms of anxiety and depression related to. There is a need to assess the contribution of mood disorder, especially anxiety and depression, in order to understand the experience of suffering in the setting of medical practice. Most physicians are aware of this aspect of the illness of their patients but many feel incompetent to provide the patient with reliable information. The dass is a 42item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tensionstress. Depression, anxiety and stress scale dass21 for each statement below, please circle the number in the column that best represents how you have been feeling in the last week.
Depression and anxiety depression and anxiety will be assessed at t 0 and repeated at t 3 with the hospital anxiety and depression scale hads for adults with physical ailments 45. The hospital anxiety and depression scale hads was devised 30 years ago by zigmond and snaith to measure anxiety and depression in a general medical population of patients. Validation of the hospital anxiety and depression scale for. The levels of anxiety and depression were evaluated using the hospitals anxiety and depression scale hads before and immediately after foot reflexology massage. Comparison of the general health questionnaire and the. Full text the hospital anxiety and depression scale, in patients with. Aug 01, 2003 construction of the hospital anxiety and depression scale hads the study was conducted in the setting of a general medical hospital outpatient clinic. Hospital anxiety and depression scale hads was originally developed by zigmond and snaith 1983 and is commonly used by doctors to determine the levels of anxiety and depression that a person is experiencing. Our results indicate that both the hads and tdq are valid instruments.
Seven of the items relate to anxiety and seven relate to depression. The hospital anxiety and depression scale hads is a bidirectional selfassessment scale used to screen for clinical depression and anxiety in hospital outpatient medical clinics. The hospital anxiety and depression scale 363 table 1 numbers of patients in each category according to subscale scores depression scale non doubtful scores cases cases cases 07 57 11 1 810 8 7 3 1121 1 4 8 and the rating scale of any respondent who replied positively to either of these questions was discarded. Limited validity of the hospital anxiety and depression scale. Each of the three scales contains 14 items, divided into subscales of 25 items with similar content. The book includes worksheets, questionnaire and checklists needed to guide you from getting relief of anxiety as soon as possible. Hospital anxiety and depression scale hads is commonly used by doctors to determine the levels of anxiety and depression that a patient is experiencing. Hospital anxiety and depression scale, deutsche version. Validation of the hospital anxiety and depression scale for use with adolescents. The hospital anxiety and depression scale hads is a brief and widely used instrument to measure psychological distress in cancer patients and it is available in many languages for example french, german, dutch, italian, spanish, chinese, and arabic.
I get very frightened or have panic feelings for apparently no reason at all. Jan 24, 2020 hospital anxiety and depression scale the hads is a selfadministered scale consisting of 14 items split across anxiety and depression subscales, each with a fourpoint ordinal response format. The cutoff scores of the hads and tdq for screening possible depressive disorders were 8 and 15, respectively. Download hospital anxiety and depression scale hads book pdf free download link or read online here in pdf. The hospital anxiety and depression scale health and quality of. Anxiety and depression in patients with early stage. The aims of this study were to examine the usefulness of the hospital anxiety and. Hospital anxiety and depression scale, deutsche version hads. A validation study of the hospital anxiety and depression scale hads in different groups of dutch subjects. The effect of foot reflexology on hospital anxiety and. Hads hospital anxiety and depression scale youtube. Dahlb, tone tangen haugc, dag neckelmannd adepartment of public health and primary health care, section for preventive medicine, haukeland hospital.
Scores of 07 in respective subscales are considered normal, with 810 borderline and 11 or over indicating clinical caseness. The hospital anxiety and depression scale hads may constitute such an instrument. Hospital anxiety and depression scale hads spinal cord. The hospital anxiety and depression scale hads was developed by zigmond and snaith in 1983. The current study used confirmatory factor analysis cfa to assess this. If your doctor knows about these feelings he or she will be able to help you more. A validation study of the hospital anxiety and depression scale. Hospital anxiety and depression scale hads instructions. Is the hospital anxiety and depression scale associated. It was divided into an anxiety subscale hadsa and a depression subscale hadsd both containing seven intermingled items. The patient should be instructed not to take too long over their replies. The hospital anxiety and depression scale hads is officially distributed by mapi research trust. Hads officially distributed by mapi research trust eprovide. Jul, 2019 hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week.
The depressive and anxiety subscales are used to measure the severity of each disorder, with each. This is a sample version of the hospital anxiety and. Pdf the hospital anxiety and depression scale researchgate. However, its structural validity has never been examined in this population. The depression items tend to focus on the anhedonic symptoms of depression. This is a self screening questionnaire for depression and anxiety. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. Please visit proqolideprovide for more information. Hospital anxiety and depression scale hads gl assessment. Trait anxiety inventory stai, beck anxiety inventory bai, and hospital anxiety and depression scale. Is the hospital anxiety and depression scale associated with. Full text use of the hospital anxiety and depression scale and the. Hospital anxiety and depression scale hads a reliable selfrating scale that measures anxiety and depression. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1.
Subjects rate the 14 items on a fivepoint scale 04. Comparison of the general health questionnaire and the hospital anxiety and depression scale volume 157 issue 6 glyn lewis, simon wessely. The hads produces two scales, one for anxiety hadsa and one for depression. This questionnaire is designed to help your doctor know how you feel.
The depression items tend to focus on the anhedonic symptoms of. The result of the study undertaken for this purpose was published under the title of the hospital anxiety and depression scale. Hospital anxiety and depression scale scoring sheet grading. We aimed to evaluate the hospital anxiety and depression scale hads as a depression screening tool in the inpatient setting for stroke patients. The dass questionnaire is in the public domain, and may be downloaded from this website. The aims of this study were to examine the usefulness of the hospital anxiety and depression rating scale hads for gps by. The hospital anxiety and depression scale hads is a brief selfreporting twodimensional questionnaire developed to screen for levels of. Anxiety and depression were determined by the hospital anxiety and depression scale. It has become a popular tool, for clinical practice and research. Construction of the hospital anxiety and depression scale hads the study was conducted in the setting of a general medical hospital outpatient clinic. The employees were free to respond or not, but given the context, more than. Moorey, stirling greer, steven watson, maggie gorman, christine rowden, linda tunmore, robert robertson, bernadette and bliss, judith 1991. Statement did not apply to me at all applied to me to some degree or some of the time applied to me a considerable degree or a good part of the time applied to me very. The hospital anxiety and depression scale hads is a valid and reliable selfrating scale that measures anxiety and depression in both hospital and community settings.
Evaluation of the chinese version of the hospital anxiety. Full details of the method of construction of the hads is given. Evaluation of the chinese version of the hospital anxiety and. Limited validity of the hospital anxiety and depression. The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. Hospital anxiety and depression scale scoring sheet. Hads gives clinically meaningful results as a psychological screening tool and can assess the symptom severity and caseness of anxiety disorders and depression in patients with. All books are in clear copy here, and all files are secure so dont worry about it. Scared screen for childhood anxietyrelated disorders.
Validation of the hospital anxiety and depression scale for use with adolescents volume 175 issue 5 david white, chris leach, ruth sims, michelle atkinson, david cottrell. General practitioners gps diagnostic skills lead to underidentification of generalized anxiety disorders gad and major depressive episodes mde. The authenticity of the chinese translation of the hospital anxiety and depression scale had was tested in a sample of medical students. Depression anxiety and stress scale dass the dass is a 42item questionnaire which includes three selfreport scales designed to measure the negative emotional states of depression, anxiety and stress.
Doctors are aware that emotions play an important part in most illnesses. Hospital anxiety and depression scale hads description. Validation of the hospital anxiety and depression scale. I wake early and then sleep badly for the rest of the night. Hospital anxiety and depression scale hads springerlink. Dec 14, 2005 general practitioners gps diagnostic skills lead to underidentification of generalized anxiety disorders gad and major depressive episodes mde. Hads is a selfreport questionnaire consisting of 16 items, the first 14 of which are scored.
Assesses anxiety and depression in a nonpsychiatric population. Hospital anxiety and depression scale the hads is a selfadministered scale consisting of 14 items split across anxiety and depression subscales, each with a fourpoint ordinal response format. The hads questionnaire is pertinent for detecting symptoms of. Hospital anxiety and depression scale occupational medicine. Supplement of brief questionnaires could improve the diagnostic accuracy of gps for these common mental disorders. Hospital anxiety and depression scale hads please check you. The aims of the study were to 1 assess the prevalence of anxiety and depression and 2 compare the performance of the hospital anxiety and depression scale hads and montgomery and asberg depression rating scale madrs as screening instruments for anxiety and depression disorders 4 months after stroke. The hospital anxiety and depression scale health and. The hospital anxiety and depression scale, a physician in general hospital practice said that. Discriminant validity of the hospital anxiety and depression scale, beck depression inventory ii and beck anxiety inventory to confirmed clinical diagnosis of depression and anxiety in patients with chronic obstructive pulmonary disease. The hospital anxiety and depression scale hads is a wellvalidated, selfreport measure of both anxiety and depression. The hospital anxiety and depression scale hads was developed to provide clinicians a reliable, valid, and practical tool to identify and quantify the anxiety and depression in medical patients. Review the validity of the hospital anxiety and depression. Beck depression inventory bdi and the hospital anxiety and depression scale.
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