Student anxiety and depression: Comparison of questionnaire and interview assessments

被引:47
作者
Andrews, Bernice [1 ]
Hejdenberg, Jennie [1 ]
Wilding, John [1 ]
机构
[1] Univ London, Royal Holloway & Bedford New Coll, Dept Psychol, Egham TW20 0EX, Surrey, England
基金
英国经济与社会研究理事会;
关键词
depression; anxiety; university students;
D O I
10.1016/j.jad.2006.05.003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Recent reports note a reliance on self-report measures and a lack of information about diagnosable mental disorder in university students. Professional concern about perceived increases in student mental health problems raises questions about whether questionnaire assessments can provide valid approximations of such disorders in this group. The aim of this study was to validate the Hospital Anxiety and Depression Scale (HADS) against DSM-IV diagnoses in university students. Methods: Eighty-nine students were administered with the HADS followed by the Structured Interview for DSM-IV. Results: At recommended cut-offs HADS anxiety and depression scales both showed good sensitivity in detecting DSM-IV anxiety and depression disorders, and the depression scale showed good specificity and overall efficiency. The HADS anxiety scale showed poor specificity and moderate overall efficiency. In the absence of an anxiety diagnosis, high HADS anxiety scores were not significantly associated with other measured indicators of serious mental health problems. Limitations: Further research is needed to investigate whether the current findings hold for student populations with higher social diversity. Conclusions: The HADS depression scale is likely to be a reasonably accurate indicator of depressive conditions in university students at the recommended cut-off but the HADS anxiety scale overestimates the extent of clinical anxiety. Students' self-reported higher symptom levels in comparison to general population norms cannot be assumed to indicate higher levels of more serious mental health conditions. However this is not to deny the genuine distress and severe problems that some students experience. (c) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:29 / 34
页数:6
相关论文
共 14 条
[1]   SELF-ESTEEM AND VULNERABILITY TO DEPRESSION - THE CONCURRENT VALIDITY OF INTERVIEW AND QUESTIONNAIRE MEASURES [J].
ANDREWS, B ;
BROWN, GW .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1993, 102 (04) :565-572
[2]   The relation of depression and anxiety to life-stress and achievement in students [J].
Andrews, B ;
Wilding, JM .
BRITISH JOURNAL OF PSYCHOLOGY, 2004, 95 :509-521
[3]  
*AUCC, 2000, ANN SURV COUNS FURTH
[4]   Changes in counseling center client problems across 13 years [J].
Benton, SA ;
Robertson, JM ;
Tseng, WC ;
Newton, FB ;
Benton, SL .
PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2003, 34 (01) :66-72
[5]   The validity of the Hospital Anxiety and Depression Scale - An updated literature review [J].
Bjelland, I ;
Dahl, AA ;
Haug, TT ;
Neckelmann, D .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2002, 52 (02) :69-77
[6]   Normative data for the HADS from a large non-clinical sample [J].
Crawford, JR ;
Henry, JD ;
Crombie, C ;
Taylor, EP .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2001, 40 :429-434
[7]   The effects of economic circumstances on British students' mental and physical health [J].
Roberts, R ;
Golding, J ;
Towell, T ;
Weinreb, I .
JOURNAL OF AMERICAN COLLEGE HEALTH, 1999, 48 (03) :103-109
[8]  
Royal College of Psychiatrists, 2003, CR112 ROYAL COLL PSY
[9]  
SEIGAL S, 1988, NONPARAMETRIC STAT B
[10]  
Spitzer M., 2002, STRUCTURED CLIN INTE