Validity of the hospital anxiety and depression scale for use with patients with noncardiac chest pain.
Consecutive patients seen in the first-heart-aid service of a university hospital and given a diagnosis of noncardiac chest pain completed the self-report Hospital Anxiety and Depression Scale. Patients with a score >or=8 on either the anxiety or depression subscale (N=266, mean age=55.81 years, SD=13.03, 143 male patients) were compared with patients scoring <8 (N=78, mean age=60.55 years, SD=10. 84, 50 male patients) by means of the Mini International Neuropsychiatric Interview. Panic disorder and/or depression identified by the diagnostic interview were highly prevalent in the group with a score >or=8 (73.3% versus 3.9% in the comparison group). The Hospital Anxiety and Depression Scale is an adequate screening instrument for the detection of affective disorders in patients with noncardiac chest pain.
Kuijpers
Petra M J C
PM
Department of Psychiatry and Cardiology, University Hospital Maastricht, the Netherlands.
Denollet
Johan
J
Lousberg
Richel
R
Wellens
Hein J J
HJ
Crijns
Harry
H
Honig
Adriaan
A
D000328:Adult; D001007:Anxiety / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D002637:Chest Pain / Q000175:diagnosis / Q000523:psychology*; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005392:First Aid; D006321:Heart / Q000502:physiology*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires