| Title |
Reliability and validity of the Hospital Anxiety and Depression Scale in an emergency department in Saudi Arabia: a cross-sectional observational study
|
|---|---|
| Published in |
BMC Emergency Medicine, October 2015
|
| DOI | 10.1186/s12873-015-0051-4 |
| Pubmed ID | |
| Authors |
Zohair A. Al Aseri, M. Owais Suriya, Hosam A. Hassan, Mujtaba Hasan, Shaffi Ahmed Sheikh, Adel Al Tamimi, Mashhoor Alshathri, Najeeb Khalid |
| Abstract |
Depression and anxiety are prevalent psychiatric comorbidities that are known to have a negative impact on a patient's general prognosis. But screening for these potential comorbidities in a hospital's accident and emergency department has seldom been undertaken, particularly in Saudi Arabia and elsewhere in the Middle East. The Hospital Anxiety and Depression Scale (HADS) has been extensively used to evaluate these psychiatric comorbidities in various clinical settings at all levels of health care services except for the accident and emergency department. This study therefore aimed to assess the reliability and validity of the HADS for anxiety and depression among patients at a hospital accident and emergency department in Saudi Arabia. This cross-sectional observational study was conducted from January to December 2012. The participants were 257 adult patients (aged 16 years and above) who presented at the accident and emergency department of King Khalid University Hospital, Riyadh, Saudi Arabia, who met our inclusion criteria. We used an Arabic translation of the HADS. We employed factor analysis to determine the underlying factor structure of that instrument in assessing reliability and validity. We found the Arabic version of the HADS to be acceptable for 95% of the subjects. We used Cronbach's alpha coefficient to evaluate reliability, and it indicated a significant correlation with both the anxiety (0.73) and depression (0.77) subscales of the HADS, thereby supporting the validity of the instrument. By means of factor analysis, we obtained a two-factor solution according to the two HADS subscales (anxiety and depression), and we observed a statistically significant correlation (r = 0.57; p < 0.0001) between the two subscales. The HADS can be used effectively in an accident and emergency department as an initial screening instrument for anxiety and depression. It thus has great potential as part of integrated multidisciplinary care. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 135 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 135 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 24 | 18% |
| Student > Bachelor | 13 | 10% |
| Student > Ph. D. Student | 11 | 8% |
| Student > Postgraduate | 10 | 7% |
| Researcher | 9 | 7% |
| Other | 26 | 19% |
| Unknown | 42 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 24 | 18% |
| Psychology | 21 | 16% |
| Nursing and Health Professions | 18 | 13% |
| Biochemistry, Genetics and Molecular Biology | 4 | 3% |
| Neuroscience | 4 | 3% |
| Other | 14 | 10% |
| Unknown | 50 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 October 2015.
All research outputs
#20,944,189
of 23,577,761 outputs
Outputs from BMC Emergency Medicine
#680
of 781 outputs
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#235,816
of 280,593 outputs
Outputs of similar age from BMC Emergency Medicine
#10
of 11 outputs
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