2012
DOI: 10.1017/s1041610212001536
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The Hospital Anxiety and Depression Scale: low sensitivity for depression screening in demented and non-demented hospitalized elderly

Abstract: Background:We currently use the depression subscale (HADD) of the Hospital Anxiety and Depression Scale (HADS) for depression screening in elderly inpatients. Given recent concerns about the performance of the HADD in this age group, we performed a quality-control study retrospectively comparing HADD with the diagnosis of depression by a psychiatrist. We also studied the effect of dementia on the scale's performance.

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Cited by 12 publications
(12 citation statements)
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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%
See 1 more Smart Citation
“…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%
“…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%
“…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%