The hospital anxiety and depression scale health and. Outcome measure hospital anxiety and depression scale hads sensitivity to change yes population adult domain psychological status anxiety and depression type of measure selfreport scale icfcodes b152 emotional functions description the hads is a 14item selfreport measure, with seven items forming a depression subscale and another seven measuring anxiety. Stage hoehn and yahr scale modified hoehn and yahr scale 1 unilateral involvement only usually with minimal or no functional disability unilateral involvement only 1. For each of the 7 categories of life activity listed, please circle the number on the scale that describes the level of disability you typically experience. The original dtsq is now referred to as the status version dtsqs in order to distinguish it from the dtsq change version dtsqc which has been developed. Hospital anxiety and depression scale hads a reliable selfrating scale that measures anxiety and depression. Validation of the hospital anxiety and depression scale for use with adolescents. Pdf the hospital anxiety and depression scale hads. The use of the distress thermometer and the hospital. Clinical global impression cgi singapore psychiatrist.
Pdf background anxiety disorders and selfreported symptoms are highly prevalent in pregnancy. The dass assesses negative emotional symptoms by using a 4point likert scale, ranging from 0 to 3. Its purpose is to provide clinicians with an acceptable, reliable, valid and easy to use practical tool for identifying and quantifying depression and anxiety. Depression anxiety and stress scale dass the dass is a 42item questionnaire which includes three selfreport scales designed to measure the negative emotional states of depression, anxiety and stress. Each of the three scales contains 14 items, divided into subscales of 25 items with similar content. Numerous and frequentlyupdated resource results are available from this search. This study therefore aimed to assess the reliability and validity of the hads for anxiety and depression. Full text the hospital anxiety and depression scale, in patients with.
Use the following scale to choose the most appropriate number for each situation. In general, intensity rating anchors correspond to severity scale anchors described below and should be interpreted and used in the same way, except that severity ratings require joint consideration of intensity and frequency. The respondent rates each item on a 4point scale ranging from 0 absence to 3 extreme presence. Distress is a factor that can adversely affect quality of life in breast cancer patients. Full details of the method of construction of the hads is given. Questa scala e stata tradotta in inglese, spagnolo e tedesco e italiano in corso di. Treatment response ratings should take account of both therapeutic efficacy. There is a need to assess the contribution of mood disorder, especially anxiety and depression, in order to understand the experience of suffering in the setting of medical practice. Rate by loss of desire for food or the need to force oneself to eat. Hads is a selfreport questionnaire consisting of 16 items, the first 14 of which are scored. Hamilton depression rating scale hdrs please complete the scale based on a structured interview instructions.
This study aimed to translate and test the reliability and. Consisting of 14 questions, seven for anxiety and seven for depression, the hads can detect the presence and severity. The italian version of the depression anxiety stress scales21. Because of your problem, do you restrict your travel for business or recreation.
Reliable information about the coronavirus covid19 is available from the world health organization current situation, international travel. Reliability and validity of the hospital anxiety and. Development and validation studies are described in marin et al. Reduced appetite representing the feeling of a loss of appetite compared with whenwell. Items for the scale were drawn from the tmas and from cattells scale, and further items were written as the development progressed 1, p19. Then indicate whether the statements are generally true or false for you. Appendix a statetrait anxiety inventory stai form y1. Factor structure and psychometric properties on community and clinical samples gioia bottesia. Print as image or, for acrobat only, separations or inrip separations. Dtsq diabetes treatment satisfaction questionnaire.
A confirmatory bifactor analysis of the hospital anxiety and depression scale in an italian community sample. The 15th and 16th items represent the total anxiety and depression. Essentially, the fss consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. Nearly always please circle the response the best describes how you feel. The diabetes treatment satisfaction questionnaire dtsq was first developed in the early 1980s. Given that the hads documents symptoms during the past week, postinjury conditions diagnosed by the scid that had resolved were not coded as present. Validity of the hospital anxiety and depression scale to. The taylor manifest anxiety scale tmas is a test of anxiety as a personality trait. A score of 0 means no disability at all, and a score of 10 signifies that all of the activities in which you would normally be involved have been totally disrupted or prevented by your pain. Hamilton anxiety rating scale hama university of florida.
Construction of the hospital anxiety and depression scale hads the study was conducted in the setting of a general medical hospital outpatient clinic. The hads consists of seven items for anxiety hadsa and seven for depression hadsd. Hospital anxiety and depression scale hads pdf book. The italian version of the depression anxiety stress. Doctors are aware that emotions play an important part in most illnesses. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. Rating neurological impairment in multiple sclerosis.
Further, because the intent of the tanxiety scale is to characterize a longstanding trait, clinicians and researchers should be mindful of this if seeking scales to detect change over. This questionnaire is designed to help your doctor know how you feel. The hospital anxiety and depression scale hads is a questionnaire widely used for detecting anxiety and depressive disorders. The hospital anxiety and depression scale hads was developed by zigmond and snaith in 1983. The cgi is rated on a 7point scale, with the severity of illness scale using a range of responses from 1 normal through to 7 amongst the most severely ill patients. It has 3 subscales depression, anxiety, and stress with 14 items in each subscale for the dass 42.
While this measure has been validated among diverse cultures resulting in varying sensitivity and specificity values, diversity and inconsistency in assessment procedures have. If the tile options are not in the menu, make sure that the following options are not selected in the advanced print dialog box. The statements below inquire about your behavior and emotions. Depression, anxiety and stress scale dass21 for each statement below, please circle the number in the column that best represents how you have been feeling in the last week. The hospital anxiety and depression scale hads is a widely used instrument to measure psychological morbidity in cancer patients. Hads is comprised of 14 questions which assess levels of depression and anxiety. Hospital anxiety and depression scale rehabmeasures database. Oclcs webjunction has pulled together information and resources to assist library staff as they consider how to handle coronavirus. Full text use of the hospital anxiety and depression. Cgic scores range from 1 very much improved through to 7 very much worse. Hospital anxiety and depression scale hads was originally developed by zigmond and snaith 1983 and is commonly used by doctors to determine the levels of anxiety and depression that a person is experiencing. These subscales are scored by the addition of the total item scores, which can range from 0.
The hospital anxiety and depression scale hads has been extensively used to evaluate these psychiatric comorbidities in various clinical settings at all levels of health care services except for the accident and emergency department. The item scores are added, giving subscale scores on the hadsa and the hadsd from zero to 21. A two dimension scale developed to identify depression and anxiety among physically ill patients. All books are in clear copy here, and all files are secure so dont worry about it. Comorbilita di ansia e depressione nei pazienti con tumori carcinoidi. A validation study of the hospital anxiety and depression scale ncbi. Read each item and circle the reply which comes closest to. The hospital anxiety and depression scale hads is a. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. Be sure to record the answers in the appropriate spaces positions 0 through 4. Subjects rate the 14 items on a fivepoint scale 04. Sono stati analizzati sia i punteggi concernenti il totale hadst sia le sue sotto scale. The hospital anxiety and depression scale hads is a widely used.
The hospital anxiety and depression scale 363 table 1 numbers of patients in each category according to subscale scores depression scale non doubtful scores cases cases cases 07 57 11 1 810 8 7 3 1121 1 4 8 and the rating scale of any respondent who replied positively to either of these questions was discarded. If your doctor knows about these feelings he or she will be able to help you more. About the hospital and anxiety depression scale hads the hads measures anxiety and depression in both hospital and community settings. Hospital anxiety and depression scale request pdf researchgate. Pdf a validation study of the hospital anxiety and depression. From the page scaling popup menu, select tile all pages to expose the tile scale % option. The expanded disability status scale edss kurtzke jf.
The hospital anxiety and depression scale hads was initially designed to assess the psychological distress of medically ill patients. The items are scored on a fourpoint scale from zero not present to three considerable. Available in 115 languages and therefore suitable for researchers internationally. The hospital anxiety and depression scale hads was developed from a study conducted in the outpatient clinic of a general medical hospital. Reprinted from seminars in clinical neuropsychiatry, vol 14, marin rs, apathy. Fatigue severity scale the fatigue severity scale fss is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Tick the box beside the reply that is closest to how you have been feeling in the past week. The hospital anxiety and depression scale hads is a brief and widely used instrument to measure psychological distress in cancer patients and it is available in many languages for example french, german, dutch, italian, spanish, chinese, and arabic. Read online hospital anxiety and depression scale hads book pdf free download link book now. Request pdf on apr 1, 2002, andreas hinz and others published hospital anxiety and depression scale deutsche versionhadsd find, read and cite all. Presentazione standard di powerpoint associazione italiana di. Download hospital anxiety and depression scale hads book pdf free download link or read online here in pdf. It is now widely used, particularly in clinical trials, but also for routine clinical monitoring.
However, few data are available about italian women in the early steps of. Hospital anxiety and depression scale scoring sheet. The result of the study undertaken for this purpose was published under the title of the hospital anxiety and depression scale. I wake early and then sleep badly for the rest of the night. The gds long form is a brief, 30item questionnaire in which participants. Hospital anxiety and depression scale hads spinal cord. Seven of the items relate to anxiety and seven relate to depression. The aims of the study were 1 to describe the womens experiences after having received a breast cancer diagnosis and while awaiting primary surgery, in terms of anxiety and depression, 2 to evaluate the use of the. Stage hoehn and yahr scale modified hoehn and yahr scale. Hospital anxiety and depression scale scoring sheet yes definitely yes sometimes no, not much no, not at all 1. Rate the patients by finding the answer which best describes the extent. Internal consistency of the anxiety subscale of the hads is high cronbachs a0. Most physicians are aware of this aspect of the illness of their patients but many feel incompetent to provide the patient with reliable information. Statement did not apply to me at all applied to me to some degree or some of the time applied to me a considerable degree or a good part of the time applied to me very.
Scale or resize printed pages in acrobat and reader. The initial intent was to select items that could be used both for state and trait anxiety, but using a different time reference e. A reliable selfrating scale that measures anxiety and depression. Pdf background the hospital anxiety and depression scale hads is a questionnaire widely used for detecting anxiety and depressive disorders. The hospital anxiety and depression scale, or hads, was. The hospital anxiety and depression scale hads and the scidiv were administered at the same time. Hospital anxiety and depression scale hads instructions. Depression anxiety stress scale rehabmeasures database. I get very frightened or have panic feelings for apparently no reason at all.
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