The DOI matches its Crossref record; 24 of the 25 references it cites were found in a registry or an index.
Hospital anxiety and depression scale cutoff scores for cancer patients in acute care
Open accessAbstract
The aim of this study was to determine optimal cutoff scores for the Hospital Anxiety and Depression Scale (HADS) when used in evaluating cancer patients in acute care. A total of 689 cancer patients were assessed during their first days of in-patient treatment, using the structured clinical interview for DSM and the HADS. Statistical analysis was performed using ROC curves. A total of 222 patients (32%) had a mental disorder. The area under the curve was the best in the total scale of the HADS, namely 0.73. With a score of > or =13, it is possible to detect 76% of the cases with a specificity of .60, whereas 95% of the cases can be detected with a score of > or =6 (specificity 0.21). With scores of > or =16 and > or =22, recommended by the test authors for primary care, only 59 and 30% of the comorbid cancer patients are indicated. Lower HADS cutoff scores when preferable when evaluating cancer patients than are recommended for use in primary care. When using HADS in clinical practice and epidemiological studies, it is important to decide whether, for the task at hand, high detection rates of affected patients or low misclassification rates are more important.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“There is some debate with respect to whether the HADS is best assessed via the total 14-item score [223–225] or two 7-item subscale (anxiety and depression) scores [219, 222, 225, 226].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
The validity of the Hospital Anxiety and Depression Scale
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00296-3 · Cited by 9,779
The prevalence of psychiatric disorders among cancer patients
Derogatis, L. R. (1983) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1983.03330300035030 · Cited by 1,575
JACOBI, F., WITTCHEN, H.-U., HÖLTING, C., HÖFLER, M., PFISTER, H., MÜLLER, N., & LIEB, R. (2004) · Psychological Medicine · doi:10.1017/s0033291703001399 · Cited by 1,097
Psychiatric morbidity and its recognition by doctors in patients with cancer
Fallowfield, L., Ratcliffe, D., Jenkins, V, & Saul, J. (2001) · British Journal of Cancer · doi:10.1054/bjoc.2001.1724 · Cited by 694
Söllner, W., DeVries, A., Steixner, E., Lukas, P., Sprinzl, G., Rumpold, G., & Maislinger, S. (2001) · British Journal of Cancer · doi:10.1054/bjoc.2000.1545 · Cited by 442
Psychiatric disorders in advanced cancer
Miovic, M., & Block, S. (2007) · Cancer · doi:10.1002/cncr.22980 · Cited by 376
Herschbach, P., Keller, M., Knight, L., Brandl, T., Huber, B., Henrich, G., & Marten-Mittag, B. (2004) · British Journal of Cancer · doi:10.1038/sj.bjc.6601986 · Cited by 260
Recognition of distress and psychiatric morbidity in cancer patients: a multi-method approach
Keller, M., Sommerfeldt, S., Fischer, C., Knight, L., Riesbeck, M., Löwe, B., Herfarth, C., & Lehnert, T. (2004) · Annals of Oncology · doi:10.1093/annonc/mdh318 · Cited by 235
Sellick, S., & Edwardson, A. D. (2006) · Psycho-Oncology · doi:10.1002/pon.1085 · Cited by 186
Flagged first, then by citations
1 of the 25 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- First M, Spitzer R, Gibbon M, Williams J (1997) Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinician Version. American Psychiatric Press: Washington, DC
Cited by
Sorted by citations
Items 301–303 of 303
Supportive Care for Oral Cancer Survivors
Cristian, A., Keole, N. S., Orada, R. B., Callan, C., Seo, J. H., Dakova, D., Owens, M., & Halton, L. (2026) · Oral and Maxillofacial Surgery Clinics of North America · doi:10.1016/j.coms.2026.07.004
Jo, A., Iwamoto, T., Kawada, K., Suzuki, Y., Hara, K., Yoshitomi, S., Takabatake, D., Kubo, S., Ogasawara, Y., Ohsumi, S., et al. (2026) · Breast Cancer · doi:10.1007/s12282-026-01920-w
Wuttke, M. (2011) · eDiss (Georg-August-Universität Göttingen) · doi:10.53846/goediss-3125
Metadata
- Authors
- Singer, S., Kuhnt, S., Götze, H., Hauss, J., Hinz, A., Liebmann, A., Krauß, O., Lehmann, A., & Schwarz, R.
- Affiliations
- University of London (GB)
- Leipzig University (DE)
- Helios Park-Klinikum Leipzig (DE)
- Corresponding author
- Singer, S
- Venue
- British Journal of Cancer
- Published
- 2009-02-24
- Volume
- 100
- Issue
- 6
- Pages
- 908-912
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- PMC
- PMC2661775
- OpenAlex
- W2017154400
- Cited by
- 303
- References
- 25
- Citations by year
- 2026: 16 · 2025: 23 · 2024: 20 · 2023: 20 · 2022: 27 · 2021: 22 · 2020: 24 · 2019: 15 · 2018: 23 · 2017: 20 · 2016: 13 · 2015: 17 · 2014: 15 · 2013: 16 · 2012: 8
- FWCI
- 5.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-sa
- www.springer.com/tdm (unspecified)
- Locations
- British Journal of Cancer (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- Hospital Anxiety and Depression Scale, cut-off values, cancer patients, acute care, anxiety, depression, mental illness, diagnostic accuracy, receiver operating characteristic
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Inpatients, Male, Middle Aged, Neoplasms, Psychiatric Status Rating Scales
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
