TY - JOUR
KW - Hospital Anxiety and Depression Scale
KW - distress
KW - Cancer
KW - cut-off score
AU - G. Costa Requena
AU - X. Pérez Martín
AU - M. Salamero Baró
AU - F. L. Gil Moncayo
AB - The most commonly used distress screening questionnaire in oncology patients is the Hospital Anxiety and Depression Scale (HADS). The aim of this study was to determine the optimal cut-off score to discriminate patients with probable significant clinical symptomatology (anxiety and depression) in a sample of oncology out-patients. The DSM-IV psychiatric diagnosis interview was used as the external criteria. A total of 234 oncology out-patients were assessed using the Structured Clinical Interview for DSM-IV Disorders (SCID-I) and the HADS. An exploratory factorial analysis with varimax rotation was carried out. The cut-off scores were calculated by the ROC curve. Results show good internal reliability for each subscale, the alpha coefficient was .82 for the anxiety subscale, and .84 for the depression subscale. Thirty one point two percent of the patients met clinical criteria for psychiatric diagnoses. According to the sensitivity and specificity rates which were approximately 70%, the optimal cut-off score for screening probable significant clinical symptomatology was a score of 8 for the anxiety subscale, and a cut-off score of 4 for the depression subscale. A score of 10 or more on HADS total scale resulted useful for screening significant distress. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)
IS - 2-3
M3 - Journal Article
N2 - The most commonly used distress screening questionnaire in oncology patients is the Hospital Anxiety and Depression Scale (HADS). The aim of this study was to determine the optimal cut-off score to discriminate patients with probable significant clinical symptomatology (anxiety and depression) in a sample of oncology out-patients. The DSM-IV psychiatric diagnosis interview was used as the external criteria. A total of 234 oncology out-patients were assessed using the Structured Clinical Interview for DSM-IV Disorders (SCID-I) and the HADS. An exploratory factorial analysis with varimax rotation was carried out. The cut-off scores were calculated by the ROC curve. Results show good internal reliability for each subscale, the alpha coefficient was .82 for the anxiety subscale, and .84 for the depression subscale. Thirty one point two percent of the patients met clinical criteria for psychiatric diagnoses. According to the sensitivity and specificity rates which were approximately 70%, the optimal cut-off score for screening probable significant clinical symptomatology was a score of 8 for the anxiety subscale, and a cut-off score of 4 for the depression subscale. A score of 10 or more on HADS total scale resulted useful for screening significant distress. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)
PB - Sociedad Española para el Estudio de la Ansiedad y el Estrés
PY - 2009
SN - 2174-0437/1134-7937
SP - 217
EP - 229
T2 - Ansiedad y Estrés
TI - Screening distress in cancer patients using the Hospital Anxiety and Depression Scale (HADS)
VL - 15
ER -