Anxiety rating scales in Parkinson's disease: A validation study of the Hamilton anxiety rating scale, the Beck anxiety inventory, and the hospital anxiety and depression scale

2011 ◽  
Vol 26 (3) ◽  
pp. 407-415 ◽  
Author(s):  
Albert F.G. Leentjens ◽  
Kathy Dujardin ◽  
Laura Marsh ◽  
Irene H. Richard ◽  
Sergio E. Starkstein ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Validation Study ◽  
Rating Scales ◽  
Rating Scale ◽  
Depression Scale ◽  
Beck Anxiety Inventory ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Hamilton Anxiety Rating Scale ◽  
Hamilton Anxiety

scholarly journals Generalized anxiety disorder and the Hamilton Anxiety Rating Scale in Parkinson's disease

2010 ◽  
Vol 68 (4) ◽  
pp. 495-501 ◽  
Author(s):  
Arthur Kummer ◽  
Francisco Cardoso ◽  
Antonio Lucio Teixeira
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Rating Scales ◽  
Rating Scale ◽  
Cutoff Score ◽  
General Anxiety Disorder ◽  
Hamilton Anxiety Rating Scale ◽  
Hamilton Anxiety

Anxiety is common in Parkinson's disease (PD), but studies concerning specific anxiety disorders are scarce. Essential psychometric properties of anxiety rating scales are also lacking. OBJECTIVE: To investigate general anxiety disorder (GAD) in PD and psychometric properties of the Hamilton Anxiety Rating Scale (Ham-A). METHOD: Ninety-one PD patients underwent neurological and psychiatric examination, which included the MINI-Plus, the Ham-A and the Hamilton Depression Rating Scale (Ham-D). RESULTS: GAD was present in 30.8% of PD patients. Patients with GAD had longer disease duration (p=0.044) and were in use of higher doses of levodopa (p=0.034). They also tended to have more motor fluctuations and dyskinesias. The group with GAD scored higher in Ham-A (p<0.001), in the somatic (p=0.004) and psychic (p<0.001) subscales of Ham-A, and in Ham-D (p=0.004). The Ham-A showed good internal consistency (Cronbach's alpha=0.893) and a cutoff score of 10/11 is suggested to screen for GAD. CONCLUSION: GAD is frequent in PD and the Ham-A may be a useful instrument to screen for this disorder.

scholarly journals The Validity of the Hospital Anxiety and Depression Scale and the Geriatric Depression Scale in Parkinson’s Disease

2006 ◽  
Vol 17 (2) ◽  
pp. 109-115 ◽  
Author(s):  
Federica Mondolo ◽  
Marjan Jahanshahi ◽  
Alessia Granà ◽  
Emanuele Biasutti ◽  
Emanuela Cacciatori ◽  
...  
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Geriatric Depression ◽  
Operating Characteristics ◽  
Hospital Anxiety ◽  
Predictive Values ◽  
Face Scale

We assessed the concurrent validity of the Hospital Anxiety and Depression Scale (HADS) and the Geriatric Depression Scale (GDS) against the Hamilton Rating Scale for Depression (Ham-D) in patients with Parkinson’ disease (PD). Forty-six non-demented PD patients were assessed by a neurologist on the Ham-D. Patients also completed four mood rating scales: the HADS, the GDS, the VAS and the Face Scale. For the HADS and the GDS, Receiver Operating Characteristics (ROC) curves were obtained and the positive and negative predictive values (PPV, NPV) were calculated for different cut-off scores. Maximum discrimination between depressed and non-depressed PD patients was reached at a cut-off score of 10/11 for both the HADS and the GDS. At the same cut-off score of 10/11 for both the HADS and the GDS, the high sensitivity and NPV make these scales appropriate screening instruments for depression in PD. A high specificity and PPV, which is necessary for a diagnostic test, was reached at a cut-off score of 12/13 for the GDS and at a cut-off score of 11/12 for the HADS. The results indicate the validity of using the HADS and the GDS to screen for depressive symptoms and to diagnose depressive illness in PD.

Anxiety rating scales in Parkinson's disease: a critical review updating recent literature

2015 ◽  
Vol 27 (11) ◽  
pp. 1777-1784 ◽  
Author(s):  
Nadeeka N. W. Dissanayaka ◽  
Elizabeth Torbey ◽  
Nancy A. Pachana
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Literature Search ◽  
Rating Scales ◽  
Rating Scale ◽  
Depression Scale ◽  
Anxiety Scale ◽  
Future Research ◽  
Hamilton Anxiety Rating Scale ◽  
Assessment Scales

ABSTRACTBackground:Assessing anxiety in Parkinson's disease (PD) has been a recent focus, and a number of studies have extensively investigated the validity of anxiety rating scales in PD. The present review aims to provide an overview of anxiety scales widely used and/or validated in PD, and to highlight recommendations for future research required in this area.Methods:A literature search was performed using terms such as Parkinson* disease, psychiatric, depress*, anxiety, assessment, scales, and valid* in PsycInfo, PubMed, and Web of Science databases. Validation studies and reviews focussed on assessment of anxiety in PD were included.Results:The literature search identified nine anxiety rating scales. The new Parkinson's Anxiety Scale (PAS) showed good psychometric properties. Having a simple design appropriate for older adults and items focussed on cognitive anxiety, the Geriatric Anxiety Inventory (GAI) also appeared promising for use in PD. The Beck Anxiety Inventory (BAI), Hospital Anxiety and Depression Scale, and Hamilton Anxiety Rating Scale (HAM-A) did not demonstrate satisfactory psychometric characteristics when used in PD, while other scales had limited or no evidence of validity or reliability to infer judgments.Conclusions:PAS and GAI are can be recommended for use in PD without dementia. Usefulness of these scales to assess anxiety in dementia should be examined in the future. Moreover, the complex symptomatology of anxiety relating to “off” PD medication states were not addressed in these scales. Further research is required to develop an anxiety scale tailored for PD.

Rasch analysis of the hospital anxiety and depression scale in Parkinson's disease

2008 ◽  
Vol 24 (4) ◽  
pp. 526-532 ◽  
Author(s):  
Maria João Forjaz ◽  
Carmen Rodriguez-Blázquez ◽  
Pablo Martinez-Martin ◽  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rasch Analysis ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety

Which is the optimal depression rating scale for psychiatrists? a diagnostic validity comparison of hospital anxiety and depression scale (HADS) and psychiatric judgement against the MINI

2011 ◽  
Vol 26 (S2) ◽  
pp. 599-599
Author(s):  
Z. Al-Salihy ◽  
T. Rahim ◽  
A. Mitchell ◽  
M. Mahmud ◽  
A. Muhyaldin
Keyword(s):  
Major Depression ◽  
Disease Burden ◽  
Rating Scale ◽  
Epidemiologic Study ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Roc Curve Analysis ◽  
Symptoms Of Depression ◽  
Higher Sensitivity

IntroductionUstun et al estimated that depression is the fourth leading cause of global disease burden. The burden of depression on the healthcare system is equally significant with an estimated US annual cost of approximately $26 billion (1990). In a European epidemiologic study of mental disorders involving six countries, major depression was the single most common disorder assessed, with a 12-month prevalence of 3.9%.ObjectivesOur aim was to find the optimal tool with the highest accuracy in comparison to the (MINI) for depression.AimsWe aimed to find the depression rating scale with the highest accuracy when applied by psychiatrists in Iraq.MethodsWe recruited 400 subjects; The (MINI) was used as a gold standard to define the presence of major depression according to DSMIV criteria stratified into 200 patients with primary depression and 200 non-depressed subjects in Kurdistan region of Iraq. We examined the symptoms of depression using the Hospital Anxiety and Depression Scale (HADS) and Clinical Global Impression (CGI). Interviews were performed by three psychiatrists who were blinded to the group allocations. ROC curve analysis was used.ResultsBoth HADS and CGI performed with high accuracy compared with the MINI interview for DSMIV major depression. Clinicians using the CGI were accurate in their clinical judgement with sensitivity of 97% and specificity of 99%.ConclusionsWe found the psychiatrist's opinion alone was very accurate with higher sensitivity and specificity than the HADS and therefore it is unclear from our sample if questionnaires would help clinicians in their diagnoses.

Evaluation of the Hospital Anxiety and Depression Scale in Patients With Parkinson's Disease

2002 ◽  
Vol 25 (6) ◽  
pp. 318-324 ◽  
Author(s):  
Johan Marinus ◽  
Albert F. G. Leentjens ◽  
Martine Visser ◽  
Anne M. Stiggelbout ◽  
Jacobus J. van Hilten
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Hospital Anxiety

A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population

2003 ◽  
Vol 25 (4) ◽  
pp. 277-283 ◽  
Author(s):  
M.J. Herrero ◽  
J. Blanch ◽  
J.M. Peri ◽  
J. De Pablo ◽  
L. Pintor ◽  
...  
Keyword(s):  
Validation Study ◽  
Depression Scale ◽  
Spanish Population ◽  
Anxiety And Depression ◽  
Hospital Anxiety

scholarly journals Métodos de rastreamento da ansiedade e depressão em estudantes universitários: revisão integrativa

2021 ◽  
Vol 11 (60) ◽  
pp. 4686-4695
Author(s):  
Maira Gabriela Paetzold ◽  
Ligiane De Lourdes Silva ◽  
Márcia Regina Simões
Keyword(s):  
Beck Depression Inventory ◽  
Trait Anxiety ◽  
Depression Scale ◽  
Beck Anxiety Inventory ◽  
Anxiety And Depression ◽  
State Trait Anxiety Inventory ◽  
Hospital Anxiety ◽  
Stress Scale

Objetivo: A presente pesquisa teve como objetivo realizar uma revisão integrativa da literatura de instrumentos utilizados no rastreamento de depressão, ansiedade e misto (ambos) em amostras de estudantes de graduação. Método: a pesquisa ocorreu na base de dados PubMed, de 2009 até 2019. Resultados: Inicialmente foram encontrados 895 artigos, dos quais 345 foram incluídos após a leitura dos títulos e resumos; destes, 316 foram recuperados e posteriormente 176 foram excluídos após a leitura na íntegra, totalizando 140 artigos. Conclusão: Os instrumentos mais utilizados foram: a) Ansiedade: Beck Anxiety Inventory (BAI) (n=19) e State-Trait Anxiety Inventory (STAI) (n=17); b) Depressão: Beck Depression Inventory (BDI) (n=35); e c) Misto: Depression, Anxiety and Stress Scale (DASS-21) (n=40) e Hospital Anxiety and Depression Scale (HADS) (n=19). O curso mais avaliado foi Medicina e os países com mais produções de artigos foram China (n=24) e Estados Unidos (n=20). O Brasil publicou apenas 7 artigos.

Sensitivity and specificity of the Geriatric Anxiety Inventory and the Hospital Anxiety and Depression Scale in the detection of anxiety disorders in older people with chronic obstructive pulmonary disease

2011 ◽  
Vol 24 (1) ◽  
pp. 128-136 ◽  
Author(s):  
Gary Cheung ◽  
Colin Patrick ◽  
Glenda Sullivan ◽  
Manisha Cooray ◽  
Catherina L. Chang
Keyword(s):  
Anxiety Disorders ◽  
Older People ◽  
Rating Scales ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Chronic Obstructive ◽  
Hospital Anxiety ◽  
Obstructive Pulmonary Disease ◽  
Cut Points ◽  
Anxiety Subscale

ABSTRACTBackground: Anxiety and depression are prevalent in patients with chronic obstructive pulmonary disease (COPD). This study evaluates the sensitivity and specificity of two self-administered anxiety rating scales in older people with COPD. The Geriatric Anxiety Inventory (GAI) and the Hospital Anxiety and Depression Scale (HADS) are established useful screening tools but they have not been previously validated in this population.Methods: Older people with COPD completed the GAI and the HADS along with a structured diagnostic psychiatric interview, the Mini International Neuropsychiatric Interview (MINI). The outcomes of both rating scales were compared against the diagnosis of anxiety disorders based on the MINI. Receiver operating characteristic (ROC) curves were used to identify the optimal diagnostic cut points for each scale.Results: Fourteen (25.5%) of the 55 participants, were diagnosed with an anxiety disorder. Mean GAI and HADS-anxiety subscale scores were significantly higher in subjects with an anxiety disorder than those without the diagnosis (p = 0.002 and 0.005 respectively). Both scales demonstrated moderate diagnostic value (area under the ROC curve was 0.83 for GAI and 0.79 for HADS). Optimal cut points were ≥3 (GAI) and ≥4 (HADS-anxiety subscale). At these cut-points, the GAI had a sensitivity of 85.7%, specificity of 78.0% and the HADS had a sensitivity of 78.6%, specificity 70.7%.Conclusion: Our results support the use of the GAI and HADS as screening instruments for anxiety disorders in older people with COPD. The optimal cut points in this population were lower than previously recommended for both rating scales. The results of this study should be replicated before these cut points can be recommended for general use in older people with COPD.

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