The Hospital Anxiety and Depression Scale: low sensitivity for depression screening in demented and non-demented hospitalized elderly

Samaras, Nikolaos; Herrmann, Françoís; Samaras, Dimitris; Lang, Pierre-Olivier; Canuto, Alessandra; Forster, A.; Hilleret, Henriette; Gold, Gabriel

doi:10.1017/s1041610212001536

Cited by 12 publications

(12 citation statements)

References 25 publications

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“…Across the 20 studies, the prevalence of depression ranged from 15% to 60%, with a median of 34%. [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] This finding may reflect different methods of screening or variation among diverse hospitalized populations. Many of the studies excluded patients with cognitive impairment or communication barriers.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies examined instruments that were self-administered by patients [10][11][12][13][14] ; 9 studies assessed instruments administered by nurses, physicians, or research staff members without formal psychiatric training [15][16][17][18][19][20][21][22][23] ; and 6 studies evaluated instruments administered by mental health professionals. [24][25][26][27][28][29] Four studies compared different instruments that were administered in the same manner (eg, both self-administered by patients). [12][13][14]22 In the remaining studies, both instruments and methods of administration differed between the index and reference conditions.…”

Section: Depression Screening Toolsmentioning

confidence: 99%

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Screening for Depression in Hospitalized Medical Patients

IsHak

Collison

Danovitch

et al. 2017

Journal of Hospital Medicine

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Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed and PsycINFO for published, peer-reviewed articles in English (1990English ( -2016 using search terms designed to capture studies that tested the performance of depression screening tools in inpatient settings and studies that examined associations between depression detected during hospitalization and clinical or utilization outcomes. Two investigators reviewed each full-text article and extracted data. The prevalence of depression ranged from 5% to 60%, with a median of 33%, among hospitalized patients. Several screening tools identified showed high sensitivity and specificity, even when self-administered by patients or when abbreviated versions were administered by individuals without formal training. With regard to outcomes, studies from several individual hospitals found depression to be associated with poorer functional outcomes, worse physical health, and returns to the hospital after discharge. These findings suggest that depression screening may be feasible in the inpatient setting, and that more research is warranted to determine whether screening for and treating depression during hospitalization can improve patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Depression Screening Toolsmentioning

confidence: 99%

Screening for Depression in Hospitalized Medical Patients

IsHak

Collison

Danovitch

et al. 2017

Journal of Hospital Medicine

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“…The test Hospital Anxiety and Depression Scale (HADS) [30][31][32] is a self-report test composed by 14 items and two subscales (subscale of depression and subscale of anxiety with seven items each) with format of Likert scale 0-3 and with a punctuation range in each subscale of 0-21. Higher score indicates greater anxiety and depression in both subscales.…”

Section: Instrumentsmentioning

confidence: 99%

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Ortí¹,

Pardo²,

Benllochi³

et al. 2019

Neuropsychiatry

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Background Alzheimer's disease (AD) is an irreversible neuro-degenerative dementia that causes emotional disorders such as anxiety and depression associated with low well-being and changes of state of mind. The aim of the present study was to assess the impact of a music therapy protocol as a tool to improve basic emotions in AD. Methods It is an analytical, experimental and prospective study. 30 Alzheimer patients of a mild level with an average age of 76,28 ± 4,6 years, participated in the study. Participants were randomly assigned either to a Control Group (n=15) or an Intervention Group (n=15) that received music therapy twice a week during three months (24 sessions). Due to some limitations of the work, it is only a pilot study. Results The data showed that no significant differences exist between pre and post values in the control group (that did not receive music therapy) in any basic emotion measure (fear, happiness, anger and sadness). However, in the intervention group (that received music therapy for three months) a significant improvement can be observed in all the emotions comparing pre and post intervention (more happiness and less fear, anger and sadness). Moreover, the result comparing control and intervention group between them in post-session showed that the patients of the intervention groups had a significant improvement in happiness and sadness after the application of music therapy. Conclusions An intervention using music therapy increases the state of happiness and decreases sadness in mild Alzheimer sufferers.

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“…Higher scores correspond to higher disease severity (Herrero et al 2003;Johnston et al 2000). The measure has acceptable internal consistency, is feasible for use with dementia patients and has demonstrated good validity in assessing symptom severity and caseness of anxiety and depression across populations (Bjelland et al 2002;Samaras et al 2013;Stott et al 2017b). …”

Section: Hospital Anxiety and Depression Scalementioning

confidence: 99%

Impact of Dementia on Mindful Attention: a Cross-Sectional Comparison of People with Dementia and Those Without

Bousfield

Stott

2018

Mindfulness

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Mindfulness-based interventions have been suggested as ways of improving mood and cognition in people with dementia. Existing findings suggest possible benefit from a mindfulness-based group intervention. However, it is unclear whether any structured group activity (rather than mindfulness practice per se) would produce the same benefits, particularly since dementia may impact mindful attention ability. Consequently, we investigated the potential impact of having dementia on mindful attention. We compared the performance of 34 people with dementia recruited from memory services with 55 communityrecruited older people on measures of mindful attention, cognitive flexibility, and cognition, as well as putative nuisance variates of depression, anxiety and premorbid intellectual ability. The groups differed significantly on a range of demographic characteristics and some neuropsychological and mood measures. However, neither the primary prediction (that there would be a large effect size difference between groups, with people with dementia performing significantly more poorly on a measure of mindful attention to the breath), nor the secondary prediction (that performance on this measure would positively correlate with measures of executive function and overall cognition) was supported. We concluded that a diagnosis of dementia may not have a large effect on mindful attention, with consequent implications for future research.

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The Hospital Anxiety and Depression Scale: low sensitivity for depression screening in demented and non-demented hospitalized elderly

Cited by 12 publications

References 25 publications

Screening for Depression in Hospitalized Medical Patients

Screening for Depression in Hospitalized Medical Patients

Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study

Impact of Dementia on Mindful Attention: a Cross-Sectional Comparison of People with Dementia and Those Without

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