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The use of the hospital anxiety and depression scale in an outpatient alcohol treatment clinic

Published online by Cambridge University Press:  13 June 2014

Christopher A Vassilas ,
Andrew Nicol  and
Clare Short
Christopher A Vassilas
Affiliation:
Department of Mental Health, University of Bristol, 41 St Michael's Hill, Bristol BS2 8DZ, England
Andrew Nicol
Affiliation:
Burden Neurological Institute, Stoke Lane, Stapleton, Bristol BS16 1QT, England
Clare Short
Affiliation:
Barrow Hospital, Barrow Guerney, Bristol, BS16 1QT, England
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Abstract

Objectives: To validate the hospital anxiety and depression scale (HAD) in an outpatient alcohol treatment centre.

Methods: Forty three patients referred to an alcohol outpatient treatment centre completed the HAD which was validated against the external criteria of the Montgomery-Asberg Depression Rating Scale and the Clinical Anxiety Scale.

Results: The HAD performed well operating at a cut-off of 7/8 for the depression scale and for the anxiety scale of the HAD the optimal cut-off value was 10/11.

Conclusion: The HAD is acceptable to patients and its use in alcohol treatment clinics is recommended as a screening instrument for anxiety and depression which can easily be administered by non-psychiatrists.

Keywords

AlcoholismDepressionAnxietyRating scales
Type
Brief Report
Information
Irish Journal of Psychological Medicine , Volume 12 , Issue 3 , September 1995 , pp. 101 - 102
Copyright
Copyright © Cambridge University Press 1995

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References

1.Ross, HE, Glaser, FB, Germanson, T. The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry 1988; 45:1023–31.CrossRefGoogle ScholarPubMed
2.Ross, HE, Glaser, FB. Psychiatric screening of alcohol and drug patients: the validity of the GHQ-60. Am J Drug Alcohol Abuse 1989; 15:429–42.CrossRefGoogle Scholar
3.Grant, BF, Hasin, DS, Harford, TC. Screening for major depression among alcoholics: and application of receiver operation characteristic analysis. Drug Alcohol Depend 1989; 23:123–31.CrossRefGoogle ScholarPubMed
4.Zigmond, AS, Snaith, RP. The Hospital Anxiety and Depression Scale. Acta Psyhciatr Scand 1983; 67:361–70.CrossRefGoogle ScholarPubMed
5.Montgomery, SA, Asberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134:382–9.CrossRefGoogle ScholarPubMed
6.Snaith, RPet al.The Clinical Anxiety Scale: an instrument derived from the Hamilton Anxiety Scale. Br J Psychiatry 1982; 141:518–23.CrossRefGoogle ScholarPubMed
7.Snaith, RPet al.Grade scores of the Montgomery Asberg Depression and Clinical Anxiety Scales. Br J Psychiatry 1986; 148:599–601.CrossRefGoogle ScholarPubMed
8.Aylard, PRet al.A validation study of three anxiety and depression self-assessment scales. J Psychosom Res 1987; 31:261–8.CrossRefGoogle ScholarPubMed
9.Wing, JK, Cooper, JE, Sartorius, N. The measurement and classification of psychiatric symptoms. Cambridge: Cambridge University Press, 1974.Google Scholar
10.Spitzer, RL, Endicott, J, Robins, E. Research diagnostic criteria. Arch Gen Psychiatry 1978; 35:773–8.CrossRefGoogle ScholarPubMed
11.Maxwell, AE. Coefficients of agreement between observers and their interpretation. Br J Psychiatry 1977; 130:79–83.CrossRefGoogle ScholarPubMed
12.Altman, DG, Bland, JM. Diagnostic tests: receiver operating characteristic plote. BMJ 1994; 309:188.CrossRefGoogle Scholar
13.Schuckit, MA, Monteiro, MG. Alcoholism, anxiety and depression. Br J Addict 1988; 83:1373–80.CrossRefGoogle ScholarPubMed
14.Baekland, F, Lundwall, L, Shanahan, TJ. Correlates of patient attrition in the outpatient treatment of alcoholism. J Nerv Ment Dis 1973; 157:99–107.CrossRefGoogle Scholar
15.Rousanville, BJet al.Psychopathology as a predictor of treatment outcome in alcoholics. Arch Gen Psychiatry 1987; 44:501–13.Google Scholar
16.Hamer, Det al.Using the Hospital Anxiety and Depression Scale to screen for psychiatric disorders in people presenting with self-harm. Br J Psychiatry 1991; 158:782–4.CrossRefGoogle ScholarPubMed