The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice

BMC Psychiatry

Volumn 5, Issue , 2005, Pages

  Olssøn, Ingrid ^a   Mykletun, Arnstein ^b,c   Dahl, Alv A ^d  

^a Innlandet Hospital HF   (Norway)

^b UNIVERSITY OF BERGEN   (Norway)

^c NORWEGIAN INSTITUTE OF PUBLIC HEALTH   (Norway)

^d OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; DIAGNOSTIC ACCURACY; FEMALE; GENERAL PRACTICE; GENERALIZED ANXIETY DISORDER; HOSPITAL ANXIETY AND DEPRESSION SCALE; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; NORWAY; PREVALENCE; PSYCHOMETRY; QUESTIONNAIRE; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; STATISTICAL ANALYSIS; ANXIETY DISORDER; AREA UNDER THE CURVE; CLASSIFICATION; CLINICAL TRIAL; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DIAGNOSTIC ERROR; INTERNATIONAL CLASSIFICATION OF DISEASES; METHODOLOGY; MIDDLE AGED; MULTICENTER STUDY; PSYCHOLOGICAL RATING SCALE; STANDARD; STATISTICS;

ADULT; ANXIETY DISORDERS; AREA UNDER CURVE; CROSS-SECTIONAL STUDIES; DEPRESSIVE DISORDER; DEPRESSIVE DISORDER, MAJOR; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DIAGNOSTIC ERRORS; FAMILY PRACTICE; FEMALE; HUMANS; INTERNATIONAL CLASSIFICATION OF DISEASES; MALE; MIDDLE AGED; NORWAY; PREVALENCE; PSYCHIATRIC STATUS RATING SCALES; PSYCHOMETRICS; QUESTIONNAIRES; REFERENCE STANDARDS; SENSITIVITY AND SPECIFICITY;

EID: 29244491996     PISSN: 1471244X     EISSN: 1471244X     Source Type: Journal    
DOI: 10.1186/1471-244X-5-46     Document Type: Article

References (32)

1. Üstün TB, Sartorius N. Mental illness in general health care. Chichester: Wiley, 1995
2. Goldberg D, Steele JJ, Johnsen A, Smith C. Ability of primary care physicians to make accurate ratings of psychiatric symptoms. Arch Gen Psychiatry 1982, 39:829-33
3. Jencks SF. Recognition of mental distress and diagnosis of mental disorders in primary care. JAMA 1985,253:1903-7
4. Feinstein RE, Brewer (Editors) AA. Primary care psychiatry and behavioral medicine. New York: Springer 1999
5. Munk-Jørgensen P, Fink P, Brevik JI, Dalgard OS, Engberg M, Hansson L, Holm M, Joukamaa M, Karlsson H, Lehtinen V, Nettbladt P, Stefansson C, Sørensem L, Jensen J, Borgquist L, Sandanger I, Nordström G: Psychiatric morbidity in primary public health care: a multicentre investigation. Part II. Hidden morbidity and choice of treatment. Acta Psychiatr Scand 1997, 95: 6-12
6. Kessler RC. The epidemiology of pure and comorbid generalized anxiety disorder: a review and evaluation of recent research. Acta Psychiatr Scand Suppl 2000;(406) 7-13
7. Olfson M, Marcus SC, Druss B Elinson L, Tanielian T, Pincus HA. National trends in the outpatient treatment of depression. JAMA 2002,287:203-9
8. Wittchen HU, Kessler RC, Beesdo K, Krause P, Höfler M, Hoyer J. Generalized anxiety and depression in primary care: prevalence, recognition, and management. J Clin Psychiatry 2002; 63, Suppl. 8 24-34.
9. Henkel V, Mergl R, Kohnen R, Maier W, Möller HJ, Hegerl U. Identifying depression in primary care: a comparison of different methods in a prospective cohort study. BMJ 2003, 326:200-201.
10. Hoyer von J, Krause P, Höfler M, Beesdo H, Wittchen HU. When and how well does the family physician recognize generalized anxiety disorders and depressions? (in German) Fortschr Medizin 2001,119 Suppl 1: 26-35.
11. Beesdo K, Krause P, Höfler M, Witchen HU. Do primary care physicians know generalized anxiety disorders? Estimations of prevalence, attitudes and interventions (in German) Fortschr Medizin 2001, 119 Suppl 1: 13-16.
12. Herrmann C. International experiences with the hospital anxiety and depression scale - a review of validation data and clinical results. J Psychosom Res 1997, 42: 17-41.
13. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002, 52: 69-77.
14. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67: 361-70.
15. Moorey S, Greer S, Watson M, Gorman C Rowden L, Tunmore R, Robertson B, Bliss J. The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. Br J Psychiatry 1991, 158: 255-259.
16. Mykletun A, Stordal E, Dahl AA. Hospital anxiety and depression (HAD) scale: factor structure, item analyses and internal consistency in a large population. Br J Psychiatry 2001, 179: 540-544.
17. EL Rufaie OE, Absood GH. Retesting the validity of the arabic version of the hospital anxiety and depression (HAD) scale in primary health care. Soc Psychiatry Psychiatr Epidemiol 1995, 30: 26-31.
18. Lam CL, Pan PC, Chan AW, Chan CY, Munro C. Can the hospital anxiety and depression (HAD) scale be used on Chinese elderly in general practice? Family Pract 1995, 12: 149-154.
19. Wilkinson MJ, Barczak P. Psychiatric screening in general practice: comparison of the general health questionnaire and the hospital anxiety depression scale. J Royal Coll Gen Practit 1988, 38:311-313.
20. Löwe B, Spitzer RL, Gräfe K, Kroenke K, Quenter A, Zipfel S, Buchholz C, Witte S, Herzog W. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians diagnoses. J Affect Dis 2004, 78:131-140.
21. Allgulander C, Nilsson B. A nationwide study in primary health care. One out of four patients suffers from anxiety and depression. Lakartidningen 2003, 100: 832-838 (in Swedish)
22. Wittchen HU, Boyer P. Sensitivity and specificity of the anxiety screening questionnaire (ASQ-15). Br J Psychiatry 1998, 173, Suppl. 34: 10-17.
23. Krause P, Wittchen HU, Höfler M, Winter S, Spiegel B, Pfister H. Generalisierte angst und depression in der allgemeinartztpraxis (GAD-P). Fortschr Medizin 2001, 119, suppl 1: 5-12.
24. Winter S, Wittchen HU, Höfler M, Spiegel B, Ormel H, Müller N, Pfister H. Design und metoden der studie "Depression 2000". Fortschr Medizin 2000, 118, suppl 1:11-21.
25. Höfler M., Wittchen HU. Why do primary care doctors diagnose depression when diagnostic criteria are not met? Int J Methods Psychiat Res 2000, 9:110-120.
26. Wittchen HU, Höfler M, Meister W. Prevalence and recognition of depressive syndromes in German primary care settings: poorly recognized and treated? Int Clin Psychopharmacol 2001, 16: 121-135.
27. Watson D, Clark LA, Weber K, Assenheimer JC, Strauss ME, McCormick RA, Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. J Abnorm Psychol 1995, 104:15-25.
28. Guy W. Clinical global impressions scale. ECDEU assessment manual for psychopharmacology. US Dept Health, Education, and Welfare publication (AMD) 76-338. Rockville, Md: National Institute of Mental Health 1976; 221-227.
29. Statistics and research on physicians in Norway [http://www.legeforeningen.no/Legeforeningen/Legestatistikk/].
30. Engstrom S, Foldevi M, Borgquist L. Is general practice effective? A systematic literature review. Scand J Prim Health Care 2001, 19:131-144.
31. Crawford JR, Henry JD, Crombie C, Taylor EP. Normative data for the HADS from a large non-clinical sample. Br J Clin Psychol 2001, 40:429-434.
32. Spinhoven PH, Ormel J, Sloekers PPA, Kempen GI, Speckens AE, Van Hemert AM. A validation study of the hospital anxiety and depression scale (HADS) in different groups of Dutch subjects. Psychol Med 1997, 27:363-370.