Mood disorders among medical in-patients: A validation study of the hospital anxiety and depression scale (HAD)
Mood disorders among medical in-patients: A validation study of the hospital anxiety and depression scale (HAD)
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DOI：
10.1590/s0034-89101995000500004
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发表时间：
1995-10-01
影响因子：
2.8
通讯作者：
Pereira, WAB
中科院分区：
文献类型：
--
作者：
Botega, NJ;Bio, MR;Pereira, WAB
修订后的临床访谈时间表（CIS-R）和医院焦虑和抑郁（HAD）量表被用来估计情绪障碍的患病率在78个连续入院的普通内科病房在巴西的一所大学综合医院（43名男性和35名女性，平均年龄= 43.2岁）。访谈者还完成了焦虑和抑郁的5点症状严重程度量表。焦虑[和抑郁]病例的定义基于两个标准：在焦虑的CIS-R部分上得分大于或等于2 [在抑郁和抑郁想法的CIS-R部分上得分大于或等于4];和B.焦虑临床严重程度量表评分大于或等于2 [抑郁临床严重程度量表评分大于或等于2]。情感性精神障碍的患病率为39%，16例（20.5%）患者符合焦虑标准，大多数精神障碍的严重程度为轻度。20例患者（33%）有抑郁症状，其中7例为中度抑郁。患者容易理解HAD。焦虑和抑郁分量表的内部一致性分别为0.68和0.77。以8/9为分界点，焦虑的敏感性和特异性分别为93.7%和72.6%，抑郁的敏感性和特异性分别为84.6%和90.3%。HAD项目与各分量表呈正相关。在较小程度上，它们也与替代分量表相关。我们的研究结果证实了情绪障碍的高患病率的医疗住院病人。在临床实践中，HAD可能在检测需要进一步心理护理的患者方面发挥有用的作用。
The revised Clinical Interview Schedule (CIS-R) and the Hospital Anxiety and Depression (HAD) Scale were used to estimate the prevalence of mood disorders among 78 consecutive admissions to a general medical ward in a university general hospital in Brazil (43 males and 35 females; mean age = 43.2yr). Interviewers also completed a 5-point symptom severity scales for anxiety and depression. The definition of cases of anxiety [and depression] was based on two criteria: a. score greater than or equal to 2 on the CIS-R section of anxiety [greater than or equal to 4 on the CIS-R sections of depression and depressive ideas]; and b. score greater than or equal to 2 on the clinical severity scale for anxiety [score greater than or equal to 2 on the clinical severity scale for depression]. A 39% prevalence rate of affective disorders was found. Sixteen (20.5%) patients met criteria for anxiety, most of the disorders being of mild severity. Twenty-sie patients (33%) were depressed, 7 of them in a moderate degree. The HAD was easily understood by the patients. Anxiety and depression subscales had internal consistency of 0.68 and 0.77, respectively. At a cut-off point of 8/9 sensibility and specificity were 93.7% and 72.6% for anxiety, and 84.6% and 90.3% for depression. HAD items correlated positively with the respective subscales. To a lesser degree, they also correlated with the alternative subscale. Our findings confirm the high prevalence of mood disorders among medical in-patients. In clinical practice, the HAD may have a useful role in detecting those patients requiring further psychological care.