Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-26T17:14:49.273Z Has data issue: false hasContentIssue false

Validation of the Hospital Anxiety and Depression Scale for use with adolescents

Published online by Cambridge University Press:  03 January 2018

David White*
Affiliation:
Wakefield and Pontefract Community Health NHS Trust
Chris Leach
Affiliation:
QED Department Wakefield and Pontefract Community Health NHS Trust and School of Human and Health Sciences, University of Huddersfield
Ruth Sims
Affiliation:
Community Health NHS Trust
Michelle Atkinson
Affiliation:
School of Medicine, University of Leeds
David Cottrell
Affiliation:
School of Medicine, University of Leeds
*
Dr David White, Wakefield and Pontefract Community Health NHS Trust, QED Department, Trust HQ, Fieldhead. Ouchthorpe Lane, Wakefield WFI 3 SP

Abstract

Background

The Hospital Anxiety and Depression Scale (HADS), developed for use with adults, has potential with adolescents.

Aims

To test the HADS's validity with adolescents.

Method

The HADS was given to 248 schoolchildren and to 48 psychiatric outpatients and 38 deliberate self-harm inpatients aged 12–17, and validated against ICD–10 diagnoses for the out-patients.

Results

The HADS has adequate test-retest reliability and factor structure, and discriminates between adolescents diagnosed with depressive or anxiety disorders and those without these diagnoses.

Conclusions

The psychometric properties of the HADS and its shortness make it useful for screening and in clinical settings with adolescents.

Type
Papers
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Declaration of interest

This work was supported by a grant from the National Health Service Executive, Northern and Yorkshire Region.

References

Bedford, A., de Pauw, K. & Grant, E. (1997) The structure of the Hospital Anxiety and Depression Scale (HADS): an appraisal with normal psychiatric and medical patient subjects, Personality and Individual Differences, 23, 473478.Google Scholar
Berard, R., Berard, M. F. & Ahmed, N. (1995) Hospital Anxiety and Depression Scale (HADS) as a screening instrument in a depressed adolescent and young adult population. International Journal of Adolescent Mediane and Health, 8, 157166.Google Scholar
Garrison, C. Z., Addy, C. L., Jackcson, K. L., et al (1991) The CES–D as a screen for depression and other psychiatric disorders in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 636641 Google Scholar
Moorey, S., Greer, S., Watson, M., et al (1991) The factor structure and factor stability of the Hospital Anxiety and Depression Scale in patients with cancer. British Journal of Psychiatry, 158, 255259.CrossRefGoogle ScholarPubMed
Roberts, R. E., Lewinsohn, P. M. & Seeley, J. R. (1991) Screening for adolescent depression: a comparison of depression scales. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 5866.Google Scholar
Rutter, M. & Graham, P. (1968) The reliability and validity of the psychiatric assessment of the child: I. Interview with the child. British Journal of Psychiotry, 114, 563579.Google Scholar
World Health Organization (1986) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10) Diagnostic Criteria for Research. Geneva: WHO.Google Scholar
Zigmond, A. S. & Snalth, R. P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.