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Cited by 826Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessHealthcare professionals’ stress and burnout

Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão

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Botega, Neury J., Bio, Márcia R., Zomignani, Maria Adriana, Garcia Jr, Celso, Pereira, Walter A. B.·1995·Revista de Saúde Pública
DOI 10.1590/s0034-89101995000500004
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Abstract

Para estimar a prevalência de transtornos do humor, foram utilizadas a entrevista estruturada, "Clinical Interview Schedule" (CIS-R), e a escala "Hospital Anxiety and Depression" (HAD) em 78 pacientes internados em uma enfermaria geral de adultos (43 homens e 35 mulheres, média de idade = 43,2 anos). Foi encontrada prevalência instantânea de 39% de transtornos do humor. Dezesseis (20,5%) pacientes preencheram critérios para ansiedade, a maioria dos casos sendo de gravidade leve. Vinte e seis (33%) casos de depressão foram detectados, 7 dos quais de gravidade moderada. Observou-se uma combinação de sintomas de preocupação, depressão, ansiedade e insônia. A HAD mostrou-se de fácil compreensão pelos pacientes. As subescalas de ansiedade e de depressão tiveram consistência interna de 0,68 e 0,77, respectivamente. A correlação dos itens com as respectivas subescalas sugere que essas possuem validades convergentes, não discriminantes. Com ponto de corte 8/9, a sensibilidade e a especificidade foram 93,7% e 72,6%, para ansiedade, e 84,6% e 90,3%, para depressão. Na prática clínica, a utilização da HAD poderia auxiliar na detecção de casos de transtornos do humor que necessitam de tratamento.

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  • The Hospital Anxiety and Depression Scale (HADS) has adequate psychometric properties in the Brazilian population.

    “The psychometric properties of HADS have previously been assessed in the Brazilian population and are considered adequate [14].”

    From A phase II study in advanced cancer patients to evaluate the early transition to palliative care (the PREPArE trial): protocol study for a randomized controlled trial. (2015) · cites this paper as [14]

    The Results section reports internal consistency and validation measures for HADS in 78 patients at a Brazilian general medical ward, and the Discussion calls it potentially useful for screening. The study does not establish adequate psychometric properties across the Brazilian population: the Discussion cautions that its findings may not apply even to other general hospitals and notes limited discrimination between anxiety and depression. No page numbers are available in our copy. (LLM, conf=0.85)

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  • The Brazilian version of the HADS was translated and validated by Botega, Bio and Zomignani (1995), with Cronbach's alpha values of 0.68 and 0.77 for anxiety and depression, respectively.

    “The Brazilian version was translated and validated by Botega, Bio and Zomignani (1995), with Cronbach's alpha values of 0.68 and 0.77 for anxiety and depression, respectively.”

    From Psychological inflexibility as a predictor associated with insomnia (2024) · cites this paper as Botega, Bio and Zomignani (1995)

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Research works printed but not linked: 2

  1. NUNNALLY, J.C. Psychometric theory. New York, McGraw Hill, 1978.
  2. WILLIAMS, P.; TARNOPOLSKY, A.; HAND, D. Case definition and case identification in psy- chiatric epidemiology: review and assess- ment. Psychol.Med., 13: 907-21, 1980.

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Authors
Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr, C., & Pereira, W. A. B.
Affiliations
  • Universidade Estadual de Campinas (UNICAMP) (BR)
  • Universidade Estadual de Campinas (UNICAMP), Brasil
Venue
Revista de Saúde Pública
Publisher
FapUNIFESP (SciELO)
Published
1995-10
Volume
29
Issue
5
Pages
359-363
ISSN
0034-8910 (ISSN-L)
DOI
10.1590/s0034-89101995000500004
OpenAlex
W2104254568
Cited by
826
References
23
Citations by year
2026: 46 · 2025: 69 · 2024: 67 · 2023: 57 · 2022: 84 · 2021: 59 · 2020: 59 · 2019: 42 · 2018: 58 · 2017: 36 · 2016: 28 · 2015: 38 · 2014: 29 · 2013: 16 · 2012: 26
FWCI
1.28
Type
journal article
Language
pt
Open access
Licence
cc-by-nc
Locations
  • Revista de Saúde Pública (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion)
  • Americanae (AECID Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Keywords
mood disorders, anxiety, depression, Hospital Anxiety and Depression Scale, scale validation, prevalence, medical inpatients, internal consistency, diagnostic accuracy, symptom severity
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Depression, Female, Humans, Inpatients, Male, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Sampling Studies, Mood Disorders

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