Depression in lung cancer patients: is the HADS an effective screening tool?
- 13 March 2009
- journal article
- research article
- Published by Springer Science and Business Media LLC in Supportive Care in Cancer
- Vol. 17 (8), 1129-1132
- https://doi.org/10.1007/s00520-009-0604-8
Abstract
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).This publication has 20 references indexed in Scilit:
- The measure of psychological distress in cancer patients: the use of Distress Thermometer in the Oncological Rehabilitation Center of FlorenceSupportive Care in Cancer, 2008
- Depression and cancer: recent data on clinical issues, research challenges and treatment approachesCurrent Opinion in Oncology, 2008
- Performance of the Hospital Anxiety and Depression Scale as a screening tool for major depressive disorder in cancer patientsJournal of Psychosomatic Research, 2007
- Screening for depressive symptoms in patients with unresectable lung cancerSupportive Care in Cancer, 2007
- Derivation of a definition of remission on the Montgomery–Asberg depression rating scale corresponding to the definition of remission on the Hamilton rating scale for depressionJournal of Psychiatric Research, 2004
- Prevalence of Depression in Patients With CancerJNCI Monographs, 2004
- Differentiating moderate and severe depression using the Montgomery–Åsberg depression rating scale (MADRS)Journal of Affective Disorders, 2003
- The validity of the Hospital Anxiety and Depression ScaleJournal of Psychosomatic Research, 2002
- A Comparison of Depression Rating ScalesThe British Journal of Psychiatry, 1982
- A New Depression Scale Designed to be Sensitive to ChangeThe British Journal of Psychiatry, 1979