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Hospital anxiety and depression scale cutoff scores for cancer patients in acute care

The aim of this study was to determine optimal cutoff scores for the Hospital Anxiety and Depression Scale (HADS) when used in evaluating cancer patients in acute care. A total of 689 cancer patients were assessed during their first days of in-patient treatment, using the structured clinical intervi...

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Autores principales: Singer, S, Kuhnt, S, Götze, H, Hauss, J, Hinz, A, Liebmann, A, Krauß, O, Lehmann, A, Schwarz, R
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661775/
https://www.ncbi.nlm.nih.gov/pubmed/19240713
http://dx.doi.org/10.1038/sj.bjc.6604952
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author Singer, S
Kuhnt, S
Götze, H
Hauss, J
Hinz, A
Liebmann, A
Krauß, O
Lehmann, A
Schwarz, R
author_facet Singer, S
Kuhnt, S
Götze, H
Hauss, J
Hinz, A
Liebmann, A
Krauß, O
Lehmann, A
Schwarz, R
author_sort Singer, S
collection PubMed
description The aim of this study was to determine optimal cutoff scores for the Hospital Anxiety and Depression Scale (HADS) when used in evaluating cancer patients in acute care. A total of 689 cancer patients were assessed during their first days of in-patient treatment, using the structured clinical interview for DSM and the HADS. Statistical analysis was performed using ROC curves. A total of 222 patients (32%) had a mental disorder. The area under the curve was the best in the total scale of the HADS, namely 0.73. With a score of ⩾13, it is possible to detect 76% of the cases with a specificity of .60, whereas 95% of the cases can be detected with a score of ⩾6 (specificity 0.21). With scores of ⩾16 and ⩾22, recommended by the test authors for primary care, only 59 and 30% of the comorbid cancer patients are indicated. Lower HADS cutoff scores when preferable when evaluating cancer patients than are recommended for use in primary care. When using HADS in clinical practice and epidemiological studies, it is important to decide whether, for the task at hand, high detection rates of affected patients or low misclassification rates are more important.
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spelling pubmed-26617752010-03-24 Hospital anxiety and depression scale cutoff scores for cancer patients in acute care Singer, S Kuhnt, S Götze, H Hauss, J Hinz, A Liebmann, A Krauß, O Lehmann, A Schwarz, R Br J Cancer Clinical Study The aim of this study was to determine optimal cutoff scores for the Hospital Anxiety and Depression Scale (HADS) when used in evaluating cancer patients in acute care. A total of 689 cancer patients were assessed during their first days of in-patient treatment, using the structured clinical interview for DSM and the HADS. Statistical analysis was performed using ROC curves. A total of 222 patients (32%) had a mental disorder. The area under the curve was the best in the total scale of the HADS, namely 0.73. With a score of ⩾13, it is possible to detect 76% of the cases with a specificity of .60, whereas 95% of the cases can be detected with a score of ⩾6 (specificity 0.21). With scores of ⩾16 and ⩾22, recommended by the test authors for primary care, only 59 and 30% of the comorbid cancer patients are indicated. Lower HADS cutoff scores when preferable when evaluating cancer patients than are recommended for use in primary care. When using HADS in clinical practice and epidemiological studies, it is important to decide whether, for the task at hand, high detection rates of affected patients or low misclassification rates are more important. Nature Publishing Group 2009-03-24 2009-02-24 /pmc/articles/PMC2661775/ /pubmed/19240713 http://dx.doi.org/10.1038/sj.bjc.6604952 Text en Copyright © 2009 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical Study
Singer, S
Kuhnt, S
Götze, H
Hauss, J
Hinz, A
Liebmann, A
Krauß, O
Lehmann, A
Schwarz, R
Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title_full Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title_fullStr Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title_full_unstemmed Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title_short Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
title_sort hospital anxiety and depression scale cutoff scores for cancer patients in acute care
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661775/
https://www.ncbi.nlm.nih.gov/pubmed/19240713
http://dx.doi.org/10.1038/sj.bjc.6604952
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