title: Depression in lung cancer patients: is the HADS an effective screening tool?
abstract: BACKGROUND
  The present study aimed at comparing the efficacy in recognizing depression, in 53 patients newly diagnosed with lung cancer, of the Hospital Anxiety and Depression Scale (HADS), a self-report screening questionnaire, and the Montgomery-Asberg Depression Rating Scale (MADRS), a semi-structured clinician-rated interview. Specifically, we aimed at addressing the question of which is the best HADS cutoff for the detection of patients to be further investigated through a clinical semi-structured interview (the MADRS).
  
  
  RESULTS
  The MADRS identified 92% of the patients as depressed; the HADS, 70% and 87%, using a cutoff of 11 and 8, respectively. The results suggest substantial agreement between the HADS and the MADRS when a cutoff of 8 is used (McNemar: p = 0.51; Cohen K = 0.69), while a HADS cutoff of 11 resulted in a significantly lower concordance with the MADRS (McNemar: p = 0.002; Cohen K = 0.49).
authors.affiliation: Department of Psychology, University of Turin, Turin, Italy.
authors.forename: Lorys
authors.initials: L
authors.lastname: Castelli
authors.forename: Luca
authors.initials: L
authors.lastname: Binaschi
authors.forename: Paola
authors.initials: P
authors.lastname: Caldera
authors.forename: Riccardo
authors.initials: R
authors.lastname: Torta
mesh_terms: D000368:Aged; D003863:Depression / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008175:Lung Neoplasms / Q000523:psychology*; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011795:Surveys and Questionnaires