| |
| |
| |
Centre for Policy on Ageing | |
 | |
|
The Hospital Anxiety and Depression Scale
— low sensitivity for depression screening in demented and non-demented hospitalized elderly | | Author(s) | Nikolaos Samaras, Francois R Herrmann, Dimitrios Samaras |
| Journal title | International Psychogeriatrics, vol 25, no 1, January 2013 |
| Publisher | Cambridge University Press, January 2013 |
| Pages | pp 82-87 |
| Source | journals.cambridge.org/ipg |
| Keywords | In-patients ; General hospitals ; Anxiety ; Depression ; Symptoms ; Evaluation ; Screening ; Diagnosis ; Dementia. |
| Annotation | Specialists currently use the depression subscale (HADD) of the Hospital Anxiety and Depression Scale (HADS) for depression screening in older inpatients. Given recent concerns about the performance of the HADD in this age group, the authors performed a quality-control study retrospectively comparing HADD with the diagnosis of depression by a psychiatrist. The effect of dementia on the scale's performance was also studied. HADS produces two seven-item subscales assessing depression or anxiety. The HADD was administered by a neuropsychologist. As `gold standard' the authors considered the psychiatrist's diagnosis based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria. Patients older than 65 years, assessed by both the HADD and the psychiatrist, with a clinical dementia rating (CDR) score lower than three, were included. The effect of dementia was assessed by forming three groups according to the CDR score (CDR0_0.5, CDR1, and CDR2). Simple and multiple logistic regression models were applied to predict the psychiatrist's depression diagnosis from HADD scores. Areas under the receiver operating characteristics curve (AUC) were plotted and compared by different tests. Results showed that on both univariate and multiple analyses, HADD predicted depression diagnosis but performed poorly, regardless of cognitive status. Because mood could have changed between the two assessments (they occurred at different points of the hospital stay), the multiple analyses were repeated after limiting time interval at 28, 21, and 14 days. No major improvements were noted. Overall the HADD performed poorly in older inpatients regardless of cognitive status. It cannot be recommended in this population for depression screening without further study. (JL). |
| Accession Number | CPA-121221262 A |
| Classmark | LF7: LD3: ENP: ENR: CT: 4C: 3V: LK7: EA |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|
|