Hospital anxiety and depression scale hads spinal cord. The translation and evaluation of an urdu version of the hospital anxiety and depression. Which questionnaire should i use to measure distress. Most are available in both english and spanish, and we hope they are a useful supplement to any materials you currently give patients. Use of the hospital anxiety and depression scale in. However, validation studies have largely used european spanishspeaking samples with a variety of medical diagnoses. Based on three trials with usable data, cbt was superior to active control interventions when using the hamilton depression rating scale wmd5. Hospital anxiety and depression scale scoring sheet. French, german, hebrew, swedish, italian, and spanish. A validation study of the hospital anxiety and depression. The hads is composed of 14 items divided into two subscales with 7 items each, evaluating anxiety hads a and depression hads d, respectively. The hads is composed of 14 items divided into two subscales with 7 items each, evaluating anxiety hadsa and depression hadsd, respectively.
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. Background the hospital anxiety and depression scale hads is widely used in the assessment of anxiety and depression, but there are. 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. Assessing anxiety and depression with hads scale in a spanish cancer population. I wake early and then sleep badly for the rest of the night. Validation of the hospital anxiety and depression scale for. Center for epidemiologic studies depression scale cesd, nimh below is a list of the ways you might have felt or behaved. Spanish translation and validation with a hispanic sample. Patient education handouts chcs are encouraged to alter these patient education handouts, in order to personalize them for each individual organization. Tick the box beside the reply that is closest to how you have been feeling in the past week. The reliability of the instrument was assessed by a testretest study. The hads is the most frequently used measure of mood disturbance in. Evaluation of the psychometric and structural properties of. Among the most commonly encountered of these conditions are anxiety and depression.
D, geriatric depression scale gds, hospital anxiety and depression scale hads, and patient health questionnaire. Psychometric properties of the hads were assessed in different groups of general medical outpatients attending the hospital clinic in barcelona n 385, and. The destroy depression system cure depression naturally. Psychometric properties of a european spanish version of. Seven of the items relate to anxiety and seven relate to depression. T1 portuguese hospital anxiety and depression scale hads t2 usefulness in focal epilepsy. A global distress measure hads t can be obtained by summing. Problems in crosscultural use of the hospital anxiety and. Many translated example sentences containing hospital anxiety and depression scale spanishenglish dictionary and search engine for spanish translations. This study examines the psychometric properties of a brief selfreport measure of anxiety and depression, the hospital anxiety and depression scale hads 4, in a sample of veterans evaluated in a department of veterans affairs va polytraumatbi clinic. The hospital anxiety and depression scale hads is a widely used instrument to measure psychological morbidity in cancer patients. 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. The hospital anxiety and depression scale hads is a brief selfreport measure commonly used to screen for symptoms of anxiety and depression in cancer patients.
This study carried out the cultural adaptation into spanish of the 7item selfadministered gad7 scale, which is used to identify probable patients with gad. Reliability and factor structure of the hospital anxiety. Evaluation of the psychometric characteristics of the. These feelings often go away with time and you feel better. Psychometric properties of the hads were assessed in different groups of general medical outpatients attending the hospital clinic in barcelona n385, and. To assess the psychometric properties of the spanish version of the hospital anxiety and depression scalehads. This study aimed to translate and test the reliability and validity of the iranian version of the hads. Hamilton anxiety rating scale spanish translation linguee. To explore the usefulness of the portuguese hads for outpatients with focal epilepsy. Ii, center for epidemiologic studies depression scale ces. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1.
Pdf assessing anxiety and depression with hads scale in a. Psychometric properties of a european spanish version of the. The hospital anxiety and depression scale hads is a questionnaire widely used for detecting anxiety and depressive disorders. Validation of the hospital anxiety and depression scale. If these feelings are severe or affect your everyday life for more than 2 weeks, see your doctor. It has become a popular tool, for clinical practice and research. The objectives of this study were to present some psychometric properties of the hads on a large sample of french employees. Hospital anxiety and depression scale occupational medicine. During the past week rarely or none of the time less than 1 day. It has been translated into 78 languages for use in both western and nonwestern countries. Objective the hospital anxiety and depression scale hads is widely used to screen for anxiety and depression. Bifactor analysis and construct validity of the hads. Pdf the hospital anxiety and depression scale hads. Founded in 1979, adaa is an international nonprofit organization dedicated to the prevention, treatment, and cure of anxiety, depression, ocd, ptsd, and cooccurring disorders through education, practice, and research.
A global distress measure hadst can be obtained by summing. The hospital anxiety and depression scale hads assesses anxiety and depression in a nonpsychiatric population through selfreporting. Evaluation of the psychometric and structural properties. Pdf background the hospital anxiety and depression scale hads is a questionnaire widely used for detecting anxiety and depressive disorders. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. However, validation studies have largely used european spanish speaking samples with a variety of medical diagnoses. The english language version of the hads was translated into persian iranian language and was used in this study. Hads is listed in the worlds largest and most authoritative dictionary database of. A 14item scale divided into two subscales, anxiety and depression, each one comprising 7 items.
The beauty of the hads score is its simplicity, speed and ease. Hospital anxiety and depression scale y psicopatologia afectiva. It is used extensively in france, but has never been the subject of a full study in a population at work. Pdf a validation study of the hospital anxiety and depression. Center for epidemiologic studies depression scale cesd. Other than physically ill individuals, the hads is also used with community samplespopulations. The total hads scale showed a better balance between sensitivity and positive predictive value ppv in identifying cases of psychiatric disorder as defined by the present state examination than the depression subscale in identifying cases of unipolar depression as defined by icd8. Reclaim your power over your mind, your thoughts and your life. Sep 07, 2016 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 patient is experiencing. Construct validity studies were carried out through itemsubscale. The hospital anxiety and depression scale hads is a widely. Reliability and factor structure of the hospital anxiety and. Please tell me how often you have felt this way during the past week. Hospital anxiety and depression scale hads please check you.
Use of the hospital anxiety and depression scale in spanish. Cultural adaptation into spanish of the generalized anxiety. A validation study of the hospital anxiety and depression scale hads in a spanish population. Spanish fine tuning of language to describe depression. Evaluation of the psychometric characteristics of the spanish. The hospital anxiety and depression scale hads among patients. To adapt the scale for chilean cancer patients, we used the spanish version 31 of the original scale 27. Take full control over your thoughts, feelings and emotions, so you can banish any depression in your life forever. Signs lose interest in things that you enjoy feel restless. The destroy depression system will teach you how to. Cultural adaptation into spanish of the generalized.
The adaptation was performed by an expert panel using a conceptual equivalence process. Spanish patients with cancer completed the hospital anxiety and depression scale hads and six verbal numerical scales vns exploring the level. Rating clinicianrated administration time2030 minutes main purpose to assess severity of,and change in, depressive symptoms population adults commentary the hdrs also known as the hamd is the most widely used clinicianadministered depression assessment scale. A european spanish version of the pss scale is presented in appendix a. Pdf assessing anxiety and depression with hads scale in. This article examines whether these problems could be due to the construction of the. 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. 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 hads has demonstrated validity in over 100 languages, including spanish. The hads can be used as a screening tool or can be used to track symptom. Recursos en espanol anxiety and depression association. 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. Spanish patients with cancer completed the hospital anxiety and depression scale hads and six verbal numerical scales vns exploring the level of anxiety using the terms ansioso anxious.
Additional references maier w, buller r, philipp m, heuser i. The total hads scale showed a better balance between sensitivity and positive predictive value ppv in identifying cases of psychiatric disorder as defined by the present state examination than the depression subscale in identifying cases of unipolar depression as. I get very frightened or have panic feelings for apparently no reason at all. Hospital anxiety and depression scale hads was originally developed by zigmond and snaith 1983 and is commonly used by doctors to. 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. 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. An ivr version of the scale is available from healthcare technology systems. No special training is required to administer or score the tool. Recursos en espanol anxiety and depression association of.
Portuguese hospital anxiety and depression scale hads. Apr 28, 2003 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. Objective the goal of this study was to analyse the factor structure of the hads to verify its suitability to assess emotional symptomatology in. Free yourself from your negative thoughts and your feelings of selfblame. Responses are based on the relative frequency of symptoms over the past week. Boomershine, 2012, the depression subscale of the hospital anxiety and depression scale. We administered hads to 685 participants 256 controls and 429 patients with five different diagnoses.