Reliability and Validity of a Nepali-language Version of the Hospital Anxiety and Depression Scale (HADS)

Risal, Ajay; Manandhar, Kedar; Linde, Mattias; Koju, Rajendra; Steiner, Timothy J.; Holen, Are

doi:10.3126/kumj.v13i2.16783

Cited by 44 publications

(58 citation statements)

References 38 publications

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“…At beginning, we collected the basic demographic informa on such as age (in years), gender (male / female), address, dura on of illness (in months). We interviewed the par cipants in a quiet separate room with the Nepali version of Hospital Anxiety and Depression Scale (HADS) 14 ques onnaire. The baseline characteris cs of par cipants are described in Table 1.…”

Section: Methodsologymentioning

confidence: 99%

Association between depression and anxiety among the COPD patients in a Nepalese community hospital: a cross sectional study

Shakya

Gautam

2020

Birat J. Health Sci.

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Introduction: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disabling illness characterized by persistent airflow limitation affecting physical, psychological and social aspect of the individual. Amongst the associated co morbidities, depression and anxiety has been identified as common modifiable psychiatric comorbidities of COPD which impacts the patient’s quality of life. Objectives: To establish the prevalence of depression and anxiety among the COPD patient and determine the association between them. Methodology: The cross sectional study was conducted at Dhulikhel Hospital. We used a convenient sampling method to recruit seventy three COPD participants admitted in the Medicine ward. We interviewed the participants to evaluate anxiety and depression using the Nepali version of Hospital Anxiety and Depression Scale questionnaire. We considered positive result of anxiety and depression when the Hospital Anxiety and Depression score was above eight. Results: Depressive and Anxiety symptoms were observed in 30 % and 33% of the participants respectively. Similarly 20% of the participants had both the symptoms of depression and anxiety. The association between depression and anxiety was found to be highly significant (p<0.001). In the multivariate model the odds of depression and anxiety was nine percent increase with every one year increase in age after adjusting for gender and duration of illness. (adjusted OR: 1.07; CI 1.00- 1.17; p-value: 0.03). In an unadjusted model depression was significantly associated to every year increase in age (unadjusted OR: 1.07; CI: 1.00- 1.13; p-value: 0.03) Conclusion: Depression and anxiety is prevalent among COPD patient at Dhulikhel hospital with one fifth of the patient demonstrating both depression and anxiety symptoms.

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Section: Methodsologymentioning

confidence: 99%

Association between depression and anxiety among the COPD patients in a Nepalese community hospital: a cross sectional study

Shakya

Gautam

2020

Birat J. Health Sci.

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“…We used Hospital Anxiety and Depression scale (HADS) to assess anxiety and depression which contains 14 items in two subscales: anxiety (HADS-A) and depression (HADS-D), each with seven items (A1 to A7; D1 to D7) 9 . The Nepalese version of HADS validated in one of the tertiary care hospital in Nepal was used 10 .…”

Section: Methodsologymentioning

confidence: 99%

Anxiety and Depression Among Chronic Obstructive Pulmonary Disease Patients in A Tertiary Care Hospital, Nepal

Roka

Aryal

Ghimire

et al. 2018

J. Kathmandu Med. Coll.

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Background: Psychiatric co-morbidities such as anxiety and depression among patients with chronic obstructive pulmonary disease exacerbate the disease, prolong the hospital stay, increase the disease symptoms and deter the quality of life. Objective: To assess the proportion of anxiety or depression among patients with chronic obstructive pulmonary disease in a tertiary care hospital. Methodology: We carried out a cross sectional study interviewing 307 patients from a tertiary care hospital using sequential sampling technique. We used structured questionnaire and included hospital anxiety and depression scale to measure anxiety and depression. We considered a summed score of 11 on each of the subscale as a case-ness of anxiety and/or depression. We present the results as proportion and adjusted odds ratio with 95% confi dence interval. Results: We found 31% of the patients as having anxiety and 35% having depression, with 19% of co-morbidity. We found higher odds of anxiety among certain groups: female (adjusted odds ratio -1.93, 95%CI: 1.10-3.39), participants visiting doctor or health facility to manage their fi rst episode of illness (adjusted odds ratio -2.56, 95%CI: 1.35-4.87). Also, the latter group had higher odds (adjusted odds ratio -3.57, 95%CI: 1.54-8.29) of co-morbid anxiety and depression. Conclusion: We found a substantial proportion of participants with case-ness of anxiety and depression. Psy chiatric evaluation and additional management of these associated comorbidities could make the management of chronic obstructive pulmonary disease comprehensive and would improve quality of life of such patients.

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“…7 La Escala Hospitalaria de Ansiedad y Depresión (Hospital A n x i e t y a n d D e p r e s s i o n S c a l e , H A D S ) 8 e s e l i n s t r u m e n t o m á s referido por la literatura científica y a m p l i a m e n t e u t i l i z a d o p a r a evaluar la sintomatología ansiosodepresiva en personas con EC. [9][10][11][12] Está compuesta por 14 ítems, divididos en dos subescalas: ansiedad (HADS-A) y depresión (HADS-D), 8 y obtiene un indicador de malestar emocional a partir del sumatorio de Artículo original las puntuaciones de las subescalas. 8 Entre las principales aportaciones de la HADS en cuanto a otras medidas de clínica ansioso-depresiva (Beck Depression Inventory -BDI-o Beck Anxiety Inventory -BAI-), 13 está su enfoque centrado en los aspectos cognitivos frente a los somáticos, muy importante en los pacientes que presentan EC, cuyos síntomas podrían confundirse con la clínica ansioso-depresiva que acompaña la enfermedad propiamente dicha.…”

Section: Introductionunclassified

“…8 Entre las principales aportaciones de la HADS en cuanto a otras medidas de clínica ansioso-depresiva (Beck Depression Inventory -BDI-o Beck Anxiety Inventory -BAI-), 13 está su enfoque centrado en los aspectos cognitivos frente a los somáticos, muy importante en los pacientes que presentan EC, cuyos síntomas podrían confundirse con la clínica ansioso-depresiva que acompaña la enfermedad propiamente dicha. 8 La HADS se ha adaptado a múltiples idiomas 11,12,[14][15][16] y aplicado a pacientes con distintas enfermedades físicas. 9,11,[16][17][18][19][20][21] Aunque, inicialmente, se desarrolló para personas de entre 16 y 65 años, 9 se ha ampliado el rango de edad de su uso y se ha utilizado desde los 10 años hasta los 85.…”

Section: Introductionunclassified

“…[30][31][32] A u n q u e e s u n a e s c a l a m u y u t i l i z a d a internacionalmente en clínica e investigación, su uso se ha limitado a los adultos. 11,12,16,18 Asimismo, existen estudios realizados en adolescentes, pero en otros países. 25,31 En la actualidad, en España, no existe literatura que estudie las propiedades psicométricas de esta escala en la población adolescente.…”

Section: Introductionunclassified

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La estructura factorial de la Escala hospitalaria de Ansiedad y Depresión en pacientes adolescentes con enfermedad crónica

2019

Arch Argent Pediat

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Reliability and Validity of a Nepali-language Version of the Hospital Anxiety and Depression Scale (HADS)

Abstract: Background

Cited by 44 publications

References 38 publications

Association between depression and anxiety among the COPD patients in a Nepalese community hospital: a cross sectional study

Association between depression and anxiety among the COPD patients in a Nepalese community hospital: a cross sectional study

Anxiety and Depression Among Chronic Obstructive Pulmonary Disease Patients in A Tertiary Care Hospital, Nepal

La estructura factorial de la Escala hospitalaria de Ansiedad y Depresión en pacientes adolescentes con enfermedad crónica

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