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Screening for Adjustment Disorders and Major Depressive Disorders in Cancer In-Patients

Published online by Cambridge University Press:  02 January 2018

Darius Razavi ,
Nicole Delvaux ,
Christine Farvacques  and
Edmond Robaye
Darius Razavi*
Affiliation:
Service de Médecine et Laboratoire d'Investigation Clinique H. J. Tagnon, Institut Jules Bordet, Centre des Tumeurs de l'Université Libre de Bruxelles
Nicole Delvaux
Affiliation:
CAM, Groupe de Recherche et de Formation
Christine Farvacques
Affiliation:
CAM, Groupe de Recherche et de Formation
Edmond Robaye
Affiliation:
Université Libre de Bruxelles, Faculté des Sciences Psychologiques et Pédagogiques
*
∗rue Héger Bordet I, 1000 Bruxelles, Belgium
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Abstract

The Hospital Anxiety and Depression Scale (HADS), a four-point, 14-item questionnaire, was tested as a screening method for adjustment disorders and major depressive disorders in a sample of 210 cancer in-patients. A receiver operating characteristic (ROC) analysis was performed, giving the relationship between the true positive rate (sensitivity) and the false positive rate (1 – specificity). This makes it possible to choose an optimal cut-off point that takes into account the costs and benefits of treatment of psychological distress. For screening for major depressive disorders only, a cut-off score of 19 gave 70% sensitivity and 75% specificity. For screening for adjustment disorders and major depressive disorders taken together, a cut-off score of 13 gave 75% sensitivity and 75% specificity. HADS appears in this study to be a simple, sensitive and specific tool for screening for psychiatric disorders in an oncology in-patient population.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 1 , January 1990 , pp. 79 - 83
Copyright
Copyright © The Royal College of Psychiatrists 

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