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Escala hospitalar de ansiedade e depressão: estudo da validade de critério e da confiabilidade com pacientes no pré-operatório

Year: 2007
Type: article
Study design: Observational Study
Abstract: BACKGROUND AND OBJECTIVES: A few studies have shown that patients are frequently under strong distress in the preoperative period. The Hospital Anxiety and Depression Scale (HADS) is an instrument used to evaluate anxiety and depression. The aim of this study was to evaluate the validity of the criteria and reliability of the Hospital Anxiety and Depression Scale (HADS) in preoperative patients. METHODS: Seventy-nine patients admitted to the Surgery Department of Santa Casa de Misericórdia de São Paulo where evaluated, while the control group was composed of 56 companions. The following tools were applied: Demographics data questionnaire, Beck Anxiety and Depression Inventory, and HADS. RESULTS: HADS internal consistency ranged from 0.79 to 0.84. The items of HADS demonstrated a positive correlation with the total score of the relating subscales. Spearman correlation between HADS-A and Beck Anxiety Inventory (BAI), and between HADS-D and Beck Depression Inventory (BDI) ranged from 0.6 to 0.7. The sensitivity and specificity ranged from 69.6% and 90.9%. CONCLUSIONS: The subscales of HADS showed internal consistency indices recommended for screening tools. The items in HADS demonstrated a positive correlation with the total score of the anxiety and depression subscales. The moderate to strong correlation demonstrated for HADS-A and HADS-D may be related to the comorbidity between anxiety and depression. For the physician who uses HADS, the thought that anxiety and depression are separate concepts is still useful. The use of a simple tool, such as HADS, could reveal mood changes that can go unnoticed by the supporting team.
Authors: José Álvaro Marques Marcolino, Ligia Andrade da Silva Telles Mathias, Luiz Piccinini Filho, Álvaro Antônio Guaratini, Fernando Mikio Suzuki, Luís Augusto Cunha Alli
Language: Portuguese
Field: Psychology
Open Access status: diamond
OpenAlex ID: W1527754484
FWCI: 4.288
Cites:
Cited by: 137
Related to: 10