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Validation of Two Screening Tools for Anxiety in Hemodialysis Patients

Background: Symptoms of anxiety are often unrecognized and untreated in dialysis patients. We investigated the diagnostic accuracy of two widely used screening tools for anxiety in hemodialysis patients. Methods: For this cross-sectional validation study, chronic hemodialysis patients from eight dia...

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Autores principales: Nadort, Els, van Geenen, Noëlle J. K., Schouten, Robbert W., Boeschoten, Rosa E., Chandie Shaw, Prataap, Vleming, Louis Jean, Schouten, Marcel, Farhat, Karima, Dekker, Friedo W., van Oppen, Patricia, Siegert, Carl E. H., Broekman, Birit F. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318791/
https://www.ncbi.nlm.nih.gov/pubmed/35887577
http://dx.doi.org/10.3390/jpm12071077
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author Nadort, Els
van Geenen, Noëlle J. K.
Schouten, Robbert W.
Boeschoten, Rosa E.
Chandie Shaw, Prataap
Vleming, Louis Jean
Schouten, Marcel
Farhat, Karima
Dekker, Friedo W.
van Oppen, Patricia
Siegert, Carl E. H.
Broekman, Birit F. P.
author_facet Nadort, Els
van Geenen, Noëlle J. K.
Schouten, Robbert W.
Boeschoten, Rosa E.
Chandie Shaw, Prataap
Vleming, Louis Jean
Schouten, Marcel
Farhat, Karima
Dekker, Friedo W.
van Oppen, Patricia
Siegert, Carl E. H.
Broekman, Birit F. P.
author_sort Nadort, Els
collection PubMed
description Background: Symptoms of anxiety are often unrecognized and untreated in dialysis patients. We investigated the diagnostic accuracy of two widely used screening tools for anxiety in hemodialysis patients. Methods: For this cross-sectional validation study, chronic hemodialysis patients from eight dialysis centers in the Netherlands were included. The Beck Anxiety Inventory (BAI) and Hospital Anxiety and Depression Scale—Anxiety subscale (HADS-A) were validated by the Mini International Neuropsychiatric Inventory (MINI) diagnostic interview. Receiver operating characteristic curves were used to determine the optimal cut-off values. Results: Of 65 participants, 13 (20%) were diagnosed with one or more anxiety disorders on the MINI, of which 5 were included in the analysis. ROC curves showed a good diagnostic accuracy of the BAI and HADS-A. The optimal cut-off value for the BAI was ≥13 (sensitivity 100%, specificity 85%) and for the HADS-A was ≥10 (sensitivity 80%, specificity 100%). Conclusions: Based on our limited data, both the BAI and the HADS-A seem to be valid screening instruments for anxiety in hemodialysis patients that can be used in routine dialysis care. The HADS-A consists of fewer items and showed fewer false-positive results than the BAI, which might make it more useful in clinical practice.
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spelling pubmed-93187912022-07-27 Validation of Two Screening Tools for Anxiety in Hemodialysis Patients Nadort, Els van Geenen, Noëlle J. K. Schouten, Robbert W. Boeschoten, Rosa E. Chandie Shaw, Prataap Vleming, Louis Jean Schouten, Marcel Farhat, Karima Dekker, Friedo W. van Oppen, Patricia Siegert, Carl E. H. Broekman, Birit F. P. J Pers Med Article Background: Symptoms of anxiety are often unrecognized and untreated in dialysis patients. We investigated the diagnostic accuracy of two widely used screening tools for anxiety in hemodialysis patients. Methods: For this cross-sectional validation study, chronic hemodialysis patients from eight dialysis centers in the Netherlands were included. The Beck Anxiety Inventory (BAI) and Hospital Anxiety and Depression Scale—Anxiety subscale (HADS-A) were validated by the Mini International Neuropsychiatric Inventory (MINI) diagnostic interview. Receiver operating characteristic curves were used to determine the optimal cut-off values. Results: Of 65 participants, 13 (20%) were diagnosed with one or more anxiety disorders on the MINI, of which 5 were included in the analysis. ROC curves showed a good diagnostic accuracy of the BAI and HADS-A. The optimal cut-off value for the BAI was ≥13 (sensitivity 100%, specificity 85%) and for the HADS-A was ≥10 (sensitivity 80%, specificity 100%). Conclusions: Based on our limited data, both the BAI and the HADS-A seem to be valid screening instruments for anxiety in hemodialysis patients that can be used in routine dialysis care. The HADS-A consists of fewer items and showed fewer false-positive results than the BAI, which might make it more useful in clinical practice. MDPI 2022-06-30 /pmc/articles/PMC9318791/ /pubmed/35887577 http://dx.doi.org/10.3390/jpm12071077 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Nadort, Els
van Geenen, Noëlle J. K.
Schouten, Robbert W.
Boeschoten, Rosa E.
Chandie Shaw, Prataap
Vleming, Louis Jean
Schouten, Marcel
Farhat, Karima
Dekker, Friedo W.
van Oppen, Patricia
Siegert, Carl E. H.
Broekman, Birit F. P.
Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title_full Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title_fullStr Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title_full_unstemmed Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title_short Validation of Two Screening Tools for Anxiety in Hemodialysis Patients
title_sort validation of two screening tools for anxiety in hemodialysis patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318791/
https://www.ncbi.nlm.nih.gov/pubmed/35887577
http://dx.doi.org/10.3390/jpm12071077
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