Depression in lung cancer patients: is the HADS an effective screening tool?

被引：26

作者：

Castelli, Lorys ^{[2
]}

Binaschi, Luca ^{[1
]}

Caldera, Paola ^{[1
]}

Torta, Riccardo ^{[1
]}

机构：

[1] Univ Turin, Phychooncol Unit, Dept Neurosci & Oncol, I-10126 Turin, Italy

[2] Univ Turin, Dept Psychol, I-10126 Turin, Italy

来源：

SUPPORTIVE CARE IN CANCER | 2009年 / 17卷 / 08期

关键词：

Depression; Lung cancer; HADS; MADRS; MONTGOMERY-ASBERG DEPRESSION; HOSPITAL ANXIETY; RATING-SCALE; PREVALENCE; VALIDATION; REMISSION; VALIDITY; ONCOLOGY;

D O I：

10.1007/s00520-009-0604-8

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The present study aimed at comparing the efficacy in recognizing depression, in 53 patients newly diagnosed with lung cancer, of the Hospital Anxiety and Depression Scale (HADS), a self-report screening questionnaire, and the Montgomery-Asberg Depression Rating Scale (MADRS), a semi-structured clinician-rated interview. Specifically, we aimed at addressing the question of which is the best HADS cutoff for the detection of patients to be further investigated through a clinical semi-structured interview (the MADRS). The MADRS identified 92% of the patients as depressed; the HADS, 70% and 87%, using a cutoff of 11 and 8, respectively. The results suggest substantial agreement between the HADS and the MADRS when a cutoff of 8 is used (McNemar: p = 0.51; Cohen K = 0.69), while a HADS cutoff of 11 resulted in a significantly lower concordance with the MADRS (McNemar: p = 0.002; Cohen K = 0.49).

引用

页码：1129 / 1132

页数：4

共 23 条

[1]

Ballenger JC, 2001, J CLIN PSYCHIAT, V62, P64

[2]

Berard RMF, 1998, PSYCHO-ONCOL, V7, P112, DOI 10.1002/(SICI)1099-1611(199803/04)7:2<112::AID-PON300>3.0.CO

[3]

2-W

[4] The validity of the Hospital Anxiety and Depression Scale - An updated literature review [J].