To conduct a psychometric evaluation of the hospital anxiety and depression scale hads and to evaluate associations of 2 measures of psychological distress with the hads anxiety hadsa and hads depression. This questionnaire is designed to help your doctor know how you feel. All books are in clear copy here, and all files are secure so dont worry about it. Score of 0 21 low anxiety score of 22 35 moderate anxiety score of 36 and above potentially concerning levels of anxiety references. This site is like a library, you could find million book here by using search box in the header. Reliability and validity of the hospital anxiety and depression scale and the beck depression inventory full and fastscreen scales in detecting depression in persons with hepatitis c. The aims of this study were to examine the usefulness of the hospital anxiety and depression rating scale.
I get very frightened or have panic feelings for apparently no reason at all. The depression anxiety and stress scale, or dass21, is a 21 question assessment that was developed to measure the degree of depression, anxiety and stress in an individual. Outcome measure hospital anxiety and depression scale hads sensitivity to change yes population adult domain psychological status anxiety and depression type of measure selfreport scale icfcodes b152 emotional functions description the hads is a 14item selfreport measure, with seven items forming a depression subscale and another seven measuring anxiety. Hospital anxiety and depression scale occupational. Hospital anxiety and depression scale rehabmeasures database. Introduction the depression subscale of the hospital anxiety and depression scale hadsd has been recommended for depression screening in medically ill patients. The hospital anxiety and depression scale hads is widely used to predict and diagnose hospital anxiety and depression. Hospital anxiety and depression scale hads a reliable selfrating scale that measures anxiety and depression. Construction of the hospital anxiety and depression scale hads the study was conducted in the setting of a general medical hospital outpatient clinic. The depressive and anxiety sub scales are used to measure the severity of each disorder, with each containing seven questions. Anxiety and depression report to the department of health, 2009 o u t c o m e patientreported measures.
Depression subscale of the hospital anxiety and depression. Scores are derived by summing responses for each of the two subscales or for the scale as a whole. Further, 70% of the athletes are at score 6 on the anxiety scale and 3 on the depression scale. Full text full text is available as a scanned copy of the original print version. Ivtr and inclusion criteria required the absence of any psychotic or organic psychiatric disorder. Anxiety somatic gastrointestinal, indigestion cardiovascular, palpitation, headaches respiratory. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1. 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 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. Hads gives clinically meaningful results as a psychological screening tool and can assess the symptom severity and caseness of anxiety disorders and depression. Hads is a selfreport questionnaire consisting of 16 items, the first 14 of which are scored. Hospital anxiety and depression scale hads gl assessment. The 15th and 16th items represent the total anxiety and depression score.
The hospital anxiety and depression scale hads was devised 30 years ago by zigmond and snaith 1 to measure anxiety and depression. Imputation of missing data for those participants that had missed one or two items on the anxiety scale 50 and three participants respectively or had missed one or two items on the depression scale. The 15th and 16th items represent the total anxiety and depression score of the questionnaire. The aims of this study were to examine the usefulness of the hospital anxiety and depression rating scale hads for gps by. Hospital anxiety and depression scale scoring sheet.
Subjects rate the 14 items on a fivepoint scale 04. The hospital anxiety and depression scale health and. Hospital anxiety and depression scale hads pdf book. Pdf the arabic hospital anxiety and depression scale. 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. Loss of interest, lack of pleasure in hobbies, depression. 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.
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. Hamilton anxiety rating scale hama university of florida. This is equal to a z score below 0 for both had scales. Pdf the hospital anxiety and depression scale researchgate. Hospital anxiety and depression scale hads hulpgids. Hospital anxiety and depression scale, hds page 2 of 4 4 i can laugh and see the funny side of things as much as i always could 0 not quite so much now 1 definitely not so much now 2 not at all 3 5. For details of the assessment see appendix c of nice clinical guideline 90 and 91. Hamilton depression rating scale hamd to be administered by a health care professional 11. For example, whilst 50% of the anxiety scores are at 4 on the anxiety scale, 50% of the depression scores are at 2 on the depression scale.
Read online hospital anxiety and depression scale hads book pdf free download link book now. 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 patientreported. The norms below will give you an idea of the level of anxiety and depression. Hads gives clinically meaningful results as a psychological screening tool and can assess the symptom severity and caseness of anxiety disorders and. If your doctor knows about these feelings he or she will be able to. Normative data for the hospital anxiety and depression scale. Read each item and circle the reply which comes closest to. Psychometric evaluation of the hospital anxiety and. Scoring each item is scored on a scale of 0 not present to 4.
The term people who may have depression includes all people with a chronic physical health problem who may have depression. It has been translated and validated in many languages, but the existing. It has become a popular tool, for clinical practice and research. The study was also designed to find out whether hads can. The total score is calculated by finding the sum of the 21 items. Pdf hospital anxiety and depression scale hads eniryz. 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. 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.
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. 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. How do i interpret the hospital anxiety and depression scale. Each item is scored 0 to 3, and a total score of 8 or greater on one or both subscales indi cates the presence of a depressive or anxiety. Review the validity of the hospital anxiety and depression.
If your doctor knows about these feelings he or she will be able to help you more. Get a printable copy pdf file of the complete article 457k. Seven of the items relate to anxiety and seven relate to depression. Tick the box beside the reply that is closest to how you have been feeling in the past week. Development and validation of arabic version of the. Validation of the hospital anxiety and depression scale. 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. Dahlb, tone tangen haugc, dag neckelmannd adepartment of public health and primary health care, section for preventive medicine, haukeland hospital. Pedoman hospital anxiety and depression scale scoring sheet.
This may not be the complete list of references from this article. The hospital anxiety and depression scale hads was administered to psychiatric outpatients with various diagnoses to assess its validity. Hamilton depression r s hamd assessment psychology. It should be emphasised that selfassessment scales are only valid for screening purposes.
General practitioners gps diagnostic skills lead to underidentification of generalized anxiety disorders gad and major depressive episodes mde. 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. Hospital anxiety and depression scale hads instructions. The scoring scale is at the end of the questionnaire. Diagnostic accuracy of the depression subscale of the. Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. This should be supported by use of a formal rating scale for symptom severity for example, patient health questionnaire phq9, hospital anxiety and depression scale. The differentiation of anxiety and depression by rating scales. This is a sample version of the hospital anxiety and. The hospital anxiety and depression scale is a two dimension scale developed to identify depression and anxiety among physically ill patients. Deze vragenlijst dient als hulpmiddel om te weten te komen hoe u zich voelt. Supplement of brief questionnaires could improve the diagnostic accuracy of gps for these common mental disorders. I wake early and then sleep badly for the rest of the night.
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