Clinical utility of the Hospital Anxiety and Depression Scale (HADS) for an Outpatient Fibromyalgia Education Program

Abstract

This paper examines the clinical utility of the Hospital Anxiety and Depression Scale (HADS) in the context of evaluating the Fibromyalgia Outpatient Education Program at Southlake Regional Health Centre (Newmarket, Canada). A pre-test/post-test design was implemented for data analysis. A total of 232 patients' data were obtained through retrospective patient chart review. Complete pre-post data were available for 70 patients and qualitative analysis was done for 12 patients. Main outcome measures included HADS and Arthritis Self-Efficacy (ASE) scores. At the end of the education program, subgroups of patients (high attendance, high exercise habit, low medication) experienced significant improvement on HADS-depression and ASE scores. Linear regression analysis found that HADS pre-program scores explain far more variance in HADS post-test scores than ASE pre-program scores explain in ASE post-program scores; more variance in ASE post-program scores was explained by other variables. In contrast to the quantitative analysis of the Anxiety subscale of HADS, patients in the focus group indicated that their anxiety level decreased through attending the education program. These findings suggest that HADS is an appropriate tool for evaluating fibromyalgia and related patient education programs. Moreover, patient education programs have positive effects on enhancing patients' psychological well-being and self-confidence in controlling fibromyalgia-related symptoms.

Measures of Depression and Depressive Symptoms

“…Cronbach's coefficient α ranges from 0.78 to 0.93 for HADS‐A and from 0.82 to 0.90 for HADS‐D . Similar coefficient α values were observed for translated versions.…”

Mediating Roles of Anxiety, Self-Efficacy, and Sleep Quality on the Relationship Between Patient-Reported Physician Empathy and Inflammatory Markers in Ulcerative Colitis Patients

“…In this research, only HADS-a was applied to test patients’ anxiety. The HADS has been widely used to test anxiety and depression in inpatients and outpatients [28,29], and the scale has good reliability and validity.…”

La Escala de Ansiedad y Depresión Hospitalaria (HAD) en fibromialgia: Análisis de sensibilidad y especificidad

“…estas pacientes suelen mostrar medias más elevadas en el HaD que las de otros enfermos físicos (Bambauer, locke, aupont (cella, chalder y White, 2011;crawley et al, 2013;ledingham, Doherty y Doherty, 1993;ray, Jefferies y Weir, 1995). la literatura aporta puntuaciones medias en el HaD para FM que oscilan en torno a 9-12 para ansiedad y 8-10 para depresión (rangos: 0-21) (Miró, Diener, Martínez, sánchez y Valenza, 2014;scheafer et al, 2011;Nam, tin, Bain, thorne y ginsburg, 2013;Vallejo et al, 2012). en concreto, nuestras medias de ansiedad y depresión con población española de FM se acercan a las de Vallejo et al (2012, siendo ambas más elevadas que las aportadas por luciano et al (2013).…”