Comparison of three scales to detect anxiety and depression evaluation in the patients with atrial fibrillation
Zhang Dan
Gao Hui
Zhou Yanan
Abstract：Objective To explore the emotional disorders (anxiety and depression) and the hospital anxiety and depression scale (HADS),Zung self evaluation scale (SAS/SDS),Hamilton anxiety and depression scale (HAMA/HAMD) in assessment anxiety and depression among atrial fibrillation (AF),To explore the feasibility of the HADS as a conventional screened implement for anxiety and depressive disorder of the AF patients in general hospital.Methods A total 179 patients with AF who had tested by HADS and SAS/SDS completed the HAMA/ HAMD.Internal consistency,and agreement (Kappa coefficient and McNemar test) were analyzed.Results The results of HADS were anxiety occurred in 38.0％ (68 cases) while depression occurred in 48.0％ (86 cases).The results of SAS/SDS were anxiety occurred in 39.7％ (71 cases) while depression occurred in 43.0％ (77 cases).The results of HAMA/HRSD were anxiety occurred in 36.3％ (65 cases)while depression occurred in 42.5％ (76 cases)of 179 patients diagnosed with AF.The agreement with (HADa),Kappa values of SAS and HAMA were 0.438,0.337,respectively (P ＜0.01).The agreement with HADd,SDS and HAMD their Kappa values were 0.416,0.395,respectively(P ＜0.01).Conclusions AF patients usually has emotional disorders (anxiety or depression).The consistency between HADS and HAMA/HAMD to screen anxiety and depressive disorder are mid-level,between SAS,SDS and HAMA,HAMD are minor.HADS is more effective and practical can be employed as a diagnostic screened implement for anxiety and depressive disorder of AF patients in general hospital.
Keywords：Atrail fibrillationHospital anxiety and depression scaleZung self evaluation scaleHamilton anxiety and depression scale
Publication Date：2014-04-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 474-476 )