Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Piker, Erin G.; Kaylie, David M.; Garrison, Douglas; Tucci, Debara L.

doi:10.1159/000438740

Cited by 26 publications

(26 citation statements)

References 31 publications

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“…Also, we found moderate correlations between the DHI and the HADS scores (total and subscales) in patients with either acute or chronic dizziness, comparable to the results of previous studies. [ 12 , 13 ] Interestingly, the DHI-E subscale data correlated slightly better with the HADS data than did the scores of the other subscales, again emphasizing that subjective symptom of dizziness is associated with emotional distress.…”

Section: Discussionmentioning

confidence: 93%

“…The Hospital Anxiety and Depression Scale (HADS) is a widely used self-report instrument screening for anxiety and depression in medical outpatient settings [ 6 , 7 ]. The reliability and validity of the HADS have been confirmed in various patient groups, including patients with dizziness [ 7 - 13 ]. However, all studies to date have focused on patients with chronic symptom of dizziness, or were limited to patients of certain ages or with particular diagnoses.…”

Section: Introductionmentioning

confidence: 99%

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Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study

Roh

Kim

et al. 2018

J Audiol Otol

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Background and ObjectivesDizziness is a common condition in outpatient clinics. Comorbid conditions such as anxiety and/or depression often complicate a patient’s ability to cope with dizziness. The purpose of the present study was to explore the extent of psychiatric distress using the Hospital Anxiety and Depression Scale (HADS) and to compare the results with the subjective severity of dizziness.Subjects and MethodsThe cross-sectional study included a total of 456 consecutive patients presenting with acute (n=327) and chronic (n=127) dizziness symptoms. The HADS was used to estimate emotional distress and compare between patients with acute and chronic dizziness symptoms. Also, we calculated correlations between subjective dizziness handicap scores and emotional distress using the total and subscale scores of the Dizziness Handicap Inventory (DHI), Disability Scale (DS), and HADS.ResultsThe HADS total and subscale scores were significantly increased in patients with chronic dizziness (p<0.01) compared with those with acute symptoms. In patients with symptoms of both acute and chronic dizziness, moderate correlations were evident between the DHI and HADS total scores. When we compared DHI subscale scores with the HADS scores, the emotional DHI subscale scores correlated more highly with the HADS total scores and the scores on the anxiety and depression subscales, than did the functional or physical DHI subscale scores.ConclusionsIncreased levels of distress measured using the HADS in patients with chronic symptoms suggest that emotional status of the patients may contribute to prolongation of dizziness symptoms from the acute phase.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study

Roh

Kim

et al. 2018

J Audiol Otol

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“…The Hospital Anxiety and Depression Scale (HADS) is a self-report instrument for screening for anxiety and depression in medical outpatient settings ( Andersson, 1993 ). It has been shown to also be a helpful screening for general psychological distress in dizzy patients ( Piker et al, 2015 ).…”

Section: Methodsmentioning

confidence: 99%

In Older Patients Treated for Dizziness and Vertigo in Multimodal Rehabilitation Somatic Deficits Prevail While Anxiety Plays a Minor Role Compared to Young and Middle Aged Patients

Dietzek

Finn

Karvouniari

et al. 2018

Front. Aging Neurosci.

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Objective: Many patients with dizziness and vertigo are of older age. It is still unclear which age-associated factors play a role in the treatment of dizziness and vertigo. Therefore, age-associated characteristics of patients subjected to an interdisciplinary day care approach for chronic vertigo and dizziness were analyzed.Subjects and Methods: 650 patients with chronic dizziness/vertigo subjected to a multimodal vestibular rehabilitation day care program were analyzed. Information concerning age, gender, medical diagnosis, medical consultations, technical diagnostics performed and therapy achieved before attending the clinic were collected. Furthermore, data were gathered using the Vertigo Severity Scale (VSS), Hospital Anxiety and Depression Scale (HADS), Mobility Inventory (MI), as well as the intensity of and the distress due to vertigo/dizziness using visual analog scales. As a follow-up, the VSS, HADS, MI, and the visual analog scales were collected again 6 months after attending the therapy program. Three age groups were compared to each other (<41, 41–65, and >65 years of age).Results: One-third of the patients were older than 65 years. This group had typical diagnoses with mainly organic deficits. In contrast to the dominance of mainly multifactorial, organic deficits the older patients reported less medical consultations, fewer technical diagnostics and even fewer treatments than the younger patients. The elderly scored significantly lower in total VSS, in VSS-V (vestibular-balance subscale), in VSS-A (autonomic-anxiety subscale) and in HADS-anxiety. Psychological diagnoses were clearly associated to the younger patients. 424 patients (65.2%) completed the follow-up questionnaire 6 months after attending the therapy week. The older patients revealed improvements of VSS-V and the Avoidance Alone scale of MI as well as decreased distress due to vertigo/dizziness.Conclusion: In the older patients, who took part in our vestibular rehabilitation program, mainly somatic deficits prevail while anxiety plays a minor role compared to young and middle aged patients. Older patients profited from vestibular rehabilitation especially in mobility and vestibular-balance. Therefore, vestibular rehabilitation programs for the elderly with a focus on physio- and occupational therapeutic interventions and less cognitive behavioral therapy may be reasonable.

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“…Piker et al found out that pathological test results for chronic vertigo are much better correlated with psychic symptoms such as anxiety and depression [ 265 ]. Since chronic vertigo is associated with psychic comorbidities to a high percentage [ 98 ], [ 100 ], [ 244 ], it should be assessed before overall evaluation if additional psychological or psychiatric reporting is necessary to clarify to what extent otolaryngological aspects are involved in the problem or if comorbidities have a significant impact.…”

Section: Modern Diagnostics Of Vertigo In Ent-specific Reportingmentioning

confidence: 99%

Current diagnostic procedures for diagnosing vertigo and dizziness

Walther

2017

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 16:Doc02

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Hospital Anxiety and Depression Scale: Factor Structure, Internal Consistency and Convergent Validity in Patients with Dizziness

Cited by 26 publications

References 31 publications

Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study

Role of Emotional Distress in Prolongation of Dizziness: A Cross-Sectional Study

In Older Patients Treated for Dizziness and Vertigo in Multimodal Rehabilitation Somatic Deficits Prevail While Anxiety Plays a Minor Role Compared to Young and Middle Aged Patients

Current diagnostic procedures for diagnosing vertigo and dizziness

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