Introduction 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). Results 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).
Depression in Lung Cancer Patients: is the HADS an effective screening tool.
CASTELLI, Lorys;TORTA, Riccardo
2009-01-01
Abstract
Introduction 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). Results 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).I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.