Agreement between a single-item measure of anxiety and depression and the Hospital Anxiety and Depression Scale: A cross-sectional study

被引:64
作者
Turon, Heidi [1 ,2 ,3 ]
Carey, Mariko [1 ,2 ,3 ]
Boyes, Allison [1 ,2 ,3 ]
Hobden, Bree [1 ,2 ,3 ]
Dilworth, Sophie [1 ,2 ,3 ]
Sanson-Fisher, Rob [1 ,2 ,3 ]
机构
[1] Univ Newcastle, Hlth Behav Res Collaborat, Callaghan, NSW, Australia
[2] Univ Newcastle, Prior Res Ctr Hlth Behav, Callaghan, NSW, Australia
[3] Hunter Med Res Inst, New Lambton Hts, NSW, Australia
来源
PLOS ONE | 2019年 / 14卷 / 01期
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
CANCER-RELATED DISTRESS; PSYCHOLOGICAL DISTRESS; EMOTIONAL DISTRESS; DETECT DEPRESSION; SCREENING TOOL; PRIMARY-CARE; METAANALYSIS; VALIDATION; VALIDITY; DISEASE;
D O I
10.1371/journal.pone.0210111
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Anxiety and depression can be heightened among individuals living with chronic diseases. Identifying these individuals is necessary for ensuring they are provided with adequate support. Traditional tools such as clinical interviews or symptom checklists are not always feasible to implement in practice. Robust single-item questions may be a useful alternative. This study aimed to measure agreement, sensitivity, specificity, positive predictive value and negative predictive value of a single-item question about anxiety and depression compared to the widely used Hospital Anxiety and Depression Scale (HADS). A cross-sectional survey of 2,811 people with cancer attending 19 treatment centres in Australia. Patients were approached in the waiting room prior to an outpatient clinic appointment and invited to complete a pen and paper survey. Participants completed the HADS as well as 2 single-items asking if they have felt anxious or depressed in the last week. The single-items for anxiety and depression each demonstrated moderate levels of sensitivity (0.78 for anxiety; 0.63 for depression) and specificity (0.75 for anxiety; 0.84 for depression) against the relevant HADS subscale. Positive predictive values were moderate (0.53 for anxiety and 0.52 for depression) while negative predictive values were high for both single-item questions (0.90 for anxiety and 0.89 for depression). The single-item measures of anxiety and depression may be useful to rule out individuals who do not require further psychological assessment or intervention for anxiety and depression. Further research is needed to explore whether these findings generalise to other chronic diseases.
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页数:12
相关论文
共 54 条
  • [1] Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults With Cancer: An American Society of Clinical Oncology Guideline Adaptation
    Andersen, Barbara L.
    Rowland, Julia H.
    Somerfield, Mark R.
    [J]. JOURNAL OF ONCOLOGY PRACTICE, 2015, 11 (02) : 133 - U499
  • [2] [Anonymous], 2001, CROSS QUAL CHASM NEW
  • [3] [Anonymous], 1996, SAN ANTONIO TX PSYCH
  • [4] The validity of the Hospital Anxiety and Depression Scale - An updated literature review
    Bjelland, I
    Dahl, AA
    Haug, TT
    Neckelmann, D
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) : 69 - 77
  • [5] How does the Distress Thermometer compare to the Hospital Anxiety and Depression Scale for detecting possible cases of psychological morbidity among cancer survivors?
    Boyes, Allison
    D'Este, Catherine
    Carey, Mariko
    Lecathelinais, Christophe
    Girgis, Afaf
    [J]. SUPPORTIVE CARE IN CANCER, 2013, 21 (01) : 119 - 127
  • [6] Identifying psychological morbidity among people with cancer using the Hospital Anxiety and Depression Scale: time to revisit first principles?
    Carey, Mariko
    Noble, Natasha
    Sanson-Fisher, Robert
    Mackenzie, Lisa
    [J]. PSYCHO-ONCOLOGY, 2012, 21 (03) : 229 - 238
  • [7] Clarke DM, 2009, MED J AUSTRALIA, V190, pS54
  • [8] Screening, referral and treatment for depression in patients with coronary heart disease
    Colquhoun, David M.
    Bunker, Stephen J.
    Clarke, David M.
    Glozier, Nick
    Hare, David L.
    Hickie, Ian B.
    Tatoulis, James
    Thompson, David R.
    Tofler, Geoffrey H.
    Wilson, Alison
    Branagan, Maree G.
    [J]. MEDICAL JOURNAL OF AUSTRALIA, 2013, 198 (09) : 483 - 484
  • [9] CLINICAL EPISTEMOLOGY OF SENSITIVITY AND SPECIFICITY - DISSENT
    DIAMOND, GA
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 1992, 45 (01) : 9 - 13
  • [10] Depression is a risk factor for noncompliance with medical treatment -: Meta-analysis of the effects of anxiety and depression on patient adherence
    DiMatteo, MR
    Lepper, HS
    Croghan, TW
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (14) : 2101 - 2107