"Assessing Anxiety and Depression with the Hospital Anxiety and Depression Scale (HADS)"

Assesses anxiety and depressive symptoms in patients, facilitating early intervention in non-psychiatric hospital settings.

HADS

Hospital Anxiety and Depression Scale

The Hospital Anxiety and Depression Scale (HADS) is a widely used medical instrument that assesses anxiety and depressive symptoms in patients. Comprised of 14 items, it's divided into two subscales: anxiety and depression. HADS is important in healthcare as it helps clinicians identify patients who may require further psychiatric evaluation, allowing for early intervention. By detecting symptoms of anxiety and depression, HADS plays a crucial role in patient care, particularly in non-psychiatric hospital settings. Its use has become a standard practice, providing a simple yet effective way to monitor patients' mental health status.

Category

Mental health
Diagnostic
Monitoring

Source

(Zigmond & Snaith, 1983)

Author Name

Zigmond, A.S., Snaith, R.P. (1983)

Page Editor

What is

Hospital Anxiety and Depression Scale

The Hospital Anxiety and Depression Scale (HADS) is a widely used assessment tool for detecting anxiety and depressive disorders in non-psychiatric hospital settings. It comprises 14 items divided into two subscales: anxiety and depression. Each item is rated on a four-point scale, allowing patients to report their symptoms over the past week. Clinicians and researchers value HADS for its ease of administration and scoring, making it a practical choice for assessing mental health in various clinical populations. The scale's focus on emotional distress rather than physical symptoms reduces the risk of confounding with physical illness, enhancing its utility in medical settings. As a result, HADS is often used in research and clinical practice to identify patients who may benefit from further mental health evaluation or intervention, ultimately informing treatment decisions and improving patient outcomes. Its application is particularly relevant in settings where early detection of anxiety and depression can lead to more effective management and better patient care.

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Scoring

The Hospital Anxiety and Depression Scale can be scored using one main approach with two subscales. 1. The scale consists of 14 items divided into two 7-item subscales: Anxiety and Depression. Each item is scored from 0 to 3, with some items reverse scored. 2. The scores for each subscale are summed, giving a total score ranging from 0 to 21 for each subscale. Interpretation is based on these subscale scores, with higher scores indicating greater anxiety or depression. Practitioners can use these scores to identify patients' mental health status and monitor changes over time.

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Advantages

Treatment planning

Develops personalised strategies based on assessment data.

Health monitoring

Tracks patient condition changes systematically.

Stats

12
Minutes
1
Questions

Hospital Anxiety and Depression Scale

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