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Validade da escala hospitalar de ansiedade e depressão em pacientes com dor crônica
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BACKGROUND AND OBJECTIVES: Several studies suggest a strong association between anxiety and depression with chronic pain. That can be demonstrated using standard scales to detect these symptoms. The objective of this study was to determine sensibility and specificity of the Hospital Anxiety and Depression Scale (HAD) in patients with chronic pain syndromes followed at the Pain Center of the Hospital Universitário Professor Edgard Santos. METHODS: A transversal, descriptive study was conducted with patients who sought to the Pain Center between March 2002 and July 2003. It was composed of interviews using the HAD Scale and the M.I.N.I. International Neuropsychiatric Interview Brazilian Version 5.0.0 (M.I.N.I. PLUS). RESULTS: Ninety-one patients were evaluated. The HAD demonstrated that 61 patients (67%) presented anxiety, while 42 patients (46.2%) presented depression. HAD results showed that among patients with depression, 38 (90.5%) also had anxiety; while among those with anxiety, 38 (62.3%) also had depression. Statistical analysis showed that this association was statistically significant (p < 0.001). M.I.N.I. PLUS revealed an incidence of 40.7% in current mood changes and 47.3% of anxiety. As for HAD's sensibility and specificity, we found the following results: sensibility of 73.3% for depression and 91.7% for anxiety, and a specificity of 67.2% for depression and 41.8% for anxiety. CONCLUSIONS: The HAD scale showed good sensibility to evaluate anxiety and depression symptoms, but did not demonstrate good specificity for the diagnosis of depression and anxiety.
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The HADS-Anxiety and HADS-Depression subscales have demonstrated sensitivity and specificity values of approximately 0.80.
“Both the HADS-Anxiety and HADS-Depression subscales have demonstrated sensitivity and specificity values of approximately 0.80 [41,42,43].”
From Experiential Avoidance in Primary Care Providers: Psychometric Properties of the Brazilian “Acceptance and Action Questionnaire” (AAQ-II) and Its Criterion Validity on Mood Disorder-Related Psychological Distress (2022) · cites this paper as [42]
The Results (Table IV) report depression sensitivity of 73.3%, reasonably close to 0.80. But anxiety sensitivity was 91.7%, and specificity was 41.8% for anxiety and 67.2% for depression; the paper does not support describing both subscales’ sensitivity and specificity as approximately 0.80. (LLM, conf=0.88)
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Metadata
- Authors
- Castro, M. M. C., Quarantini, L., Batista-Neves, S., Kraychete, D. C., Daltro, C., & Miranda-Scippa, Â.
- Affiliations
- Universidade Federal da Bahia (BR)
- Venue
- Revista Brasileira de Anestesiologia
- Publisher
- Elsevier BV
- Published
- 2006-10
- Volume
- 56
- Issue
- 5
- Pages
- 470-7
- ISSN
- 0034-7094 (ISSN-L)
- OpenAlex
- W1537905630
- Cited by
- 101
- References
- 15
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 11 · 2023: 10 · 2022: 8 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 6 · 2016: 4 · 2015: 5 · 2014: 8 · 2013: 9 · 2012: 4
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-nd
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- Locations
- Brazilian Journal of Anesthesiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- Hospital Anxiety and Depression Scale, anxiety, depression, chronic pain, psychometric validation, sensitivity and specificity, comorbid depression and anxiety
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