Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Burns, Annette; Höfer, Stefan; Curry, Philip A.; Sexton, Eithne; Doyle, Frank

doi:10.1016/j.jpsychores.2014.05.005

Cited by 24 publications

(31 citation statements)

References 46 publications

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“…Previous results in literature [48,49] confirm the high correlation found between HADS-A and HADS-D (r = .777, p b 0.001). In order to avoid collinearity between the covariates at the ANCOVA, we performed an exploratory factor analysis of HADS.…”

Section: Statistical Analysessupporting

confidence: 79%

The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

Marchesi

Ossola

Scagnelli

et al. 2015

Comprehensive Psychiatry

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Section: Statistical Analysessupporting

confidence: 79%

The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

Marchesi

Ossola

Scagnelli

et al. 2015

Comprehensive Psychiatry

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“…These data provide psychometric evidence against the internal consistency of the two subscales in favor of the reliability of the HADS-Tot [9,10]. What is more, a recent study shows that the HADS-Tot is a valid measure and that it is predictive of future symptoms of distress, healthcare costs and quality of life in a CHD population [11].…”

mentioning

confidence: 91%

“…A recent systematic review analysed the diagnostic accuracy of different screening tools, including the "Hospital Anxiety and Depression Scale" (HADS), in detecting MDD in CHD patients [4]. Although it highlighted that the HADS is a useful self-report instrument in CVD patients [4], other studies call into question the diagnostic accuracy of the two subscales separately, but strongly suggest the use of the HADS total score (HADS-Tot) [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…From a methodological standpoint, recent confirmatory factor analysis (CFA) suggests that the HADS is saturated by a single general distress factor (explaining over 70% of the variance), with the two subscales showing weak item loadings separately [9,10]. These data provide psychometric evidence against the internal consistency of the two subscales in favor of the reliability of the HADS-Tot [9,10].…”

mentioning

confidence: 97%

“…To this aim, recent evidence suggests using the HADS total score, but not the two subscales score separately [8][9][10][11]. This indication has both a clinical and a methodological rationale.…”

mentioning

confidence: 99%

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Screening of depression in cardiology: A study on 617 cardiovascular patients

Tesio

Marra

Molinaro

et al. 2017

International Journal of Cardiology

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BackgroundDepression screening in the cardiovascular disease (CVD) care setting is under-performed, also because the issue of the optimal screening tools cut-off is still open. We analysed which HADS (Hospital Anxiety and Depression Scale) total score cut-off value shows the best properties in two groups of 357 Acute Coronary Syndrome (ACS) and 260 Chronic Coronary Artery Disease (CAD) hospitalized patients. MethodsA Receiver Operating Characteristics (ROC) curve was plotted for both groups using the Montgomery-Asberg Depression Rating Scale (MADRS) as the criterion. Accuracy, positive (PPV) and negative (NPV) predictive values were computed for different cut-off scores. ResultsThe ROC curves confirmed the excellent/very good accuracy of the HADS in both groups, with an area under the curve of .911 for the ACS and .893 for the CAD patients. The cut-off of 14 showed the best compromise between high sensitivity and good specificity in both groups, with high negative predicted values (95.5% and 92.4%, respectively). ConclusionUsing a cut-off value of 14, the HADS could be considered a good screening tool to identify hospitalized CAD and ACS patients requiring a more accurate depression assessment, in order to promptly plan the most appropriate treatment strategies and prevent the negative effects of depression in CVD patients.3

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Prevalence of Symptoms of Anxiety Disorders and Depression in Cardiac Rehabilitation Patients in an Academic Hospital: a Case Study

et al. 2020

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Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Cited by 24 publications

References 46 publications

The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

Screening of depression in cardiology: A study on 617 cardiovascular patients

Prevalence of Symptoms of Anxiety Disorders and Depression in Cardiac Rehabilitation Patients in an Academic Hospital: a Case Study

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