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The HADS and the DT for screening psychosocial distress of cancer patients in Taiwan
Author(s) -
Wang GingLong,
Hsu ShengHui,
Feng AnChen,
Chiu ChiuYuan,
Shen JuFang,
Lin YuJu,
Cheng ChunChiu
Publication year - 2011
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.1952
Subject(s) - hospital anxiety and depression scale , concordance , receiver operating characteristic , anxiety , psychosocial , distress , population , depression (economics) , medicine , psychiatry , mandarin chinese , psychology , clinical psychology , linguistics , philosophy , environmental health , economics , macroeconomics
Purpose : This study assesses the sensitivity and specificity of Mandarin versions of two psychosocial screening tools for adjustment, anxiety and depressive disorders: the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT). Methods : The two scales were used to screen 103 consecutive cancer patients seen for psychiatric evaluation at KF‐SYSCC between May and November 2004 prior to their psychiatric interviews. Each scale was tested against clinical psychiatric diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition for their sensitivity and specificity. Results : For the Mandarin version of the DT, receiver operating characteristic (ROC) analyses identified a DT score of 4 as the optimal cut‐off, with sensitivity and specificity of 98 and 73%, respectively. For the Mandarin version of the HADS, ROC identified a score of 9 and 8 as the optimal cutoffs for the respective anxiety and depression subscales (HADS‐a and HADS‐d), with sensitivities and specificities of 84 and 73, 72 and 86%, respectively. For the full scale of the HADS (HADS‐t), 15 was identified as the optimal cutoff, which yielded sensitivity and specificity of 84 and 68%, respectively. Using the frequency table, the concordance rate of the two scales was found to be 72–80% based on the above optimal cut‐offs. Conclusion : The Mandarin versions of the HADS and the DT are efficacious for screening anxiety and depression for our population. Compared with the HADS‐t, the DT appears to have not only higher sensitivity, but also higher specificity. Copyright © 2011 John Wiley & Sons, Ltd.