Revised childrens anxiety and depression scale and subscales. The psychometric properties of the spanish version of the depression, anxiety and stress scales dass, and its short form dass21, were studied in 365 spanish university students. Bibliographic reference of the spanish translation. Participants who were diagnosed with an anxiety disorder on the anxiety disorders interview scheduleiv completed the dass21, the beck depression inventoryii, and. Based on three trials with usable data, cbt was superior to active control interventions when using the hamilton depression rating scale wmd5. Anxiety depression summary the hospital anxiety and depression scale hads assesses anxiety and depression in a nonpsychiatric population through selfreporting. These feelings often go away with time and you feel better. Nov 03, 2015 generalized anxiety disorder understanding the nature of worry and anxiety duration. Evaluation of the psychometric characteristics of the spanish version of the hospital anxiety and depression scale. 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. 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. 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.
It has been widely accepted and translated to multiple languages and its measurement equivalence tested across groups. Translation and adaptation of the center for epidemiologic. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1. Pdf use of the hospital anxiety and depression scale in. The hospital anxiety and depression scale, or hads, was designed to provide a simple yet reliable tool for use in medical practice. This article examines whether these problems could be due to the.
The revised child anxiety and depression scale rcads is a 47item, youth. The instruments below and their derivative works inclusive of translations are ed by the developers. The present study aims to validate the spanish version of the hospital anxiety and depression scale hads and to determine the use of this tool for screening mood and anxiety disorders. This study aims to study the level of depression, anxiety, qol and pss among malaysian breast cancer women. Evaluation of the psychometric characteristics of the spanish version. Center for epidemiological studiesdepression scale cesd center for epidemiological studiesdepression scale cesd study identification tool comparator population results consultation blank2004 quality assessed. Ab the englishlanguage version of the depression anxiety stress scale21 dass21 was professionally translated into spanish and fieldtested among 98 bilingual hispanic adults.
Participants who were diagnosed with an anxiety disorder on the anxiety disorders interview scheduleiv completed the dass21, the beck depression inventoryii, and the beck anxiety inventory. A validation study of the hospital anxiety and depression. The validity of the hospital anxiety and depression scale. The hospital anxiety and depression scale hads is a. Scores of 07 in respective subscales are considered normal, with 810 borderline and 11 or over indicating clinical caseness. Assesses anxiety and depression in a nonpsychiatric population. The hospital anxiety and depression scale hads was devised 30 years ago by zigmond and snaith 1 to measure anxiety and depression in a general medical population of patients. Ansiedad y depresion anxiety and depression association. This is a sample version of the hospital anxiety and.
The depressive and anxiety subscales are used to measure the severity of each disorder, with each containing seven questions. Responses are based on the relative frequency of symptoms over the past week. Dec 30, 2015 depression and anxiety are common psychiatric morbidity among breast cancer patient. Use of the hospital anxiety and depression scale in spanish. This questionnaire is designed to help your doctor know how you feel. 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. The hospital anxiety and depression scale hads can be used as a diagnostic aid with adolescents, with modifications to the cutoffs reflecting lower rates of depression among adolescents than among adults and higher rates of anxiety. The hads was administered to 521 participants 275 controls and 246 inpatients and outpatients of the internal medicine and surgical departments in attikon general hospital in athens.
Norwegian, persian farsi, polish, slovene, spanish, swedish and urdu. Center for epidemiological studies depression scale cesd center for epidemiological studies depression scale cesd study identification tool comparator population results consultation blank2004 quality assessed. Signs lose interest in things that you enjoy feel restless. There is a lack of study examining the correlation between depression, anxiety and quality of life qol with perceived social support pss among breast cancer patients. The instruments studied most widely in a variety of contexts are the general health questionnaire ghq and the hospital anxiety and depression scale hads. 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. Screening for anxiety and depression among adult filipino.
I get very frightened or have panic feelings for apparently no reason at all. According to the confirmatory factor analysis of the dass, none of the models 3 factors, a secondorder factor underlying the three factors had an acceptable fit. The hospital anxiety and depression scale hads, a fourpoint, 14item questionnaire, was tested as a screening method for adjustment disorders and major depressive disorders in a sample of 210. If your doctor knows about these feelings he or she will be able to help you more. 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. Aug 01, 2003 the hospital anxiety and depression scale, or hads, was designed to provide a simple yet reliable tool for use in medical practice. Adaptation to portuguese of the depression, anxiety and stress. Ab the englishlanguage version of the depression anxiety stress scale 21 dass21 was professionally translated into spanish and fieldtested among 98 bilingual hispanic adults. The spanish version was developed at the university of iowa based on earlier. Most physicians are aware of this aspect of the illness of their patients but many feel incompetent to provide the patient with reliable information. Hospital anxiety and depression scale hads doctors are aware that emotions play an important part in most illnesses. Depression and anxiety are common psychiatric morbidity among breast cancer patient.
The center for epidemiologic studies depression scale cesd. Generalized anxiety disorder gad is a prevalent mental health condition which is underestimated worldwide. Available in 115 languages and therefore suitable for researchers internationally. Hospital anxiety and depression scale hads is an instrument designed to detect the presence and severity of mild degrees of mood disorder, anxiety and depression. The scale will not detect mothers with anxiety neuroses, phobias or personality. Hads is a selfreport questionnaire consisting of 16 items, the first 14 of which are scored. The objectives of this study were to present some psychometric properties of the hads on a large sample of french employees. Hads is a 14item selfreport screening scale that was originally developed to indicate the possible presence of anxiety and depression states in the setting of a medical nonpsychiatric. Tick the box beside the reply that is closest to how you have been feeling in the past week. Anxiety, depression, perceived social support and quality. Spanish translation and validation with a hispanic sample.
Background the hospital anxiety and depression scale hads is widely used in the assessment of anxiety and depression, but there are scarce data about its psychometric properties in caregivers of older relatives. The term hospital in its title suggests that it is only valid in such a setting but many studies conducted throughout the world have confirmed that it is valid when used in community settings and primary care. Use of the hospital anxiety and depression scale hads in. Depression anxiety scale non doubtful scale non doubtful scores cases cases cases scwres cases cases cases 07 57 11 1 07 41 4 1 810 8 7 3 810 10 9 1 1121 1 4 8 1121 5 15 14 and the rating scale of any respondent who replied positively to either of these questions was discarded. The translation and evaluation of an urdu version of the hospital anxiety and depression. It is used extensively in france, but has never been the subject of a full study in a population at work. Objective the hospital anxiety and depression scale hads is widely used to screen for anxiety and depression. The beauty of the hads score is its simplicity, speed and ease. Read each item and place a firm tick in the box opposite the reply which. The englishlanguage version of the depression anxiety stress scale 21 dass21 was professionally translated into spanish and fieldtested among 98 bilingual hispanic adults. Spanish translation and validation with a hispanic sample article pdf available in journal of psychopathology and behavioral assessment 243. Problems in crosscultural use of the hospital anxiety and.
The englishlanguage version of the depression anxiety stress scale21 dass21 was professionally translated into spanish and fieldtested among 98 bilingual hispanic adults. I wake early and then sleep badly for the rest of the night. The hospital anxiety and depression scale hads is a questionnaire widely used for detecting anxiety and depressive disorders. This study carried out the cultural adaptation into spanish of the 7item selfadministered gad7 scale, which is used to identify probable patients with gad. A validation study of the hospital anxiety and depression scale ncbi. A large literature is citable in support of its validity, but difficulties are increasingly being identified, such as inexplicably discrepant optimal cutpoints and inconsistent factorstructures.
Psychometric properties of the hads were assessed in different groups of general medical outpatients attending the hospital clinic in barcelona n 385, and. Hospital anxiety and depression scale scoring sheet. Use of the general health questionnaire in clinical work. Use of the hospital anxiety and depression scale in. 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. A validation study of the hospital anxiety and depression scale hads in a spanish population. Seven of the items relate to anxiety and seven relate to depression. Hospital anxiety and depression scale hads spinal cord. The scale will not detect mothers with anxiety neuroses, phobias or. Patients with 8 or more points in the scale were considered probable case of anxiety or depression. Hamilton anxiety rating scale spanish translation linguee. The hospital anxiety and depression scale hads has been used in several languages to assess anxiety and depression in general hospital patients with good results. Hospital anxiety and depression scale hads is commonly used by doctors to determine the levels of anxiety and depression that a patient is experiencing. Child first focus on innovation and redesign in systems.
Other than physically ill individuals, the hads is also used with community samplespopulations. Child first focus on innovation and redesign in systems and treatment. The 15th and 16th items represent the total anxiety and depression score of the questionnaire. The hospital anxiety and depression scale health and. Edinburgh postnatal depression scale results pdf pediatric symptom checklist 17 psc17. The edinburgh postnatal depression scale epds has been developed to assist primary care. Validation of the spanish versions of the montgomeryasberg depression and hamilton anxiety rating scales med clin barc. The hospital anxiety and depression scale hads was originally developed and designed as a selfcompleted questionnaire to assess patients anxiety and depression in inpatient care according to two subscales, the anxiety and depression scales, which both comprise 7 questions, each rated from a score of 03 depending on the severity. This spanish version was developed at the university of iowa based on earlier spanish versions of the instrument.
Objective the goal of this study was to analyse the factor structure of the hads to verify its suitability to assess emotional symptomatology in. Subjects rate the 14 items on a fivepoint scale 04. 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 adaptation was performed by an expert panel using a conceptual equivalence process, including forward and backward. A reliable selfrating scale that measures anxiety and depression. Anxiety, depression, perceived social support and quality of. Many translated example sentences containing hospital anxiety and depression scale spanishenglish dictionary and search engine for spanish translations.
After translation and backtranslation with the help of experts, the dass 21 was administered to patients in external psychiatry consults n101, and its. 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. Participants who were diagnosed with an anxiety disorder on the anxiety disorders interview scheduleiv completed the dass21, the beck depression inventoryii, and the beck anxiety. Generalized anxiety disorder understanding the nature of worry and anxiety duration. Cultural adaptation into spanish of the generalized. Edinburgh postnatal depression scale epds spanish pdf edinburgh postnatal depression scale epds scoring instructions pdf sample signature page for new mothers re. Radloff, 1977 has been widely used as a screening tool for depressive symptoms in community and clinical settings. Lobo a, chamorro l, luque a, dalre r, badia x, baro e. Cultural adaptation into spanish of the generalized anxiety. Development of the 10item edinburgh postnatal depression scale. The depression items tend to focus on the anhedonic symptoms of depression. It has become a popular tool, for clinical practice and research. Edinburgh postnatal depression scale pdf sample letter to patients doctor re. Hads hospital anxiety and depression scale youtube.
This spanish version was developed at the university of iowa based on. Patients were assessed by the hospital anxiety and depression scale as a screening instrument wile following a systematized protocol to rule out the diagnosis of acute coronary syndrome and other potentially fatal diseases. If these feelings are severe or affect your everyday life for more than 2 weeks, see your doctor. Hospital anxiety and depression scale occupational medicine. To reduce the risk of a false positive bias, the scale does not assess symptoms of anxiety and depression related to. Use of the hospital anxiety and depression scale in spanish caregivers. Adaptation to portuguese of the depression, anxiety and. Background the hospital anxiety and depression scale hads is widely used in the assessment of anxiety and depression, but there are.
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