医院焦虑抑郁量表在综合性医院中的应用

目的 评价医院焦虑和抑郁量表在综合性医院住院病人中应用的信度和效度。方法 应用医院焦虑抑郁量表(HADS)对846名住院病人进行调查,并与焦虑自评量表(SAS)和抑郁自评量表(SDS)做相关分析。结果 (1)通过因素分析得到3个相互关联的因素,抑郁、精神性焦虑、精神运动性激越。(2)不同病种分析,HADS具有较高的内部一致性。(3)相关分析得到该量表与SAS、SDS存在较高的相关。(4)通过与SAS、SDS的比较得到以9分作为HADS的筛选临界值是较可靠的。结论 医院焦虑抑郁量表作为综合性医院焦虑抑郁情绪的筛查工具还是较为可靠的。

Application of Hospital Anxiety and Depression Scale in general hospital: an analysis in reliability and validity

Objective: To assess the reliability and validity of the Hospital Anxiety and Depression Scale (HADS) applied in general hospital. Methods: A total of 846 inpatients were assessed using HADS (Hospital Anxiety and Depression Scale). Correlation analysis was applied to HADS (Hospital Anxiety and Depression Scale) , SAS (Self-rating Anxiety Scale) and SDS (Self-rating Depression Scale). Results: (1) Three factors were generated by factor-analysis, which were Depression, Psychic anxiety and Psychomotor agitation. (2) Internal consistency of the HADS is stable in different categories of diseases. (3) There was high correlation between HADS and SAS, and between HADS and SDS. (4) It is reliable that takes 9 points as a cutpoint in screening. Conclusion: HADS is a reliable screening scale to be used in general hospital.