Depression Subscale of the Hospital Anxiety and Depression Scale applied preoperatively in spinal surgery.
| Autor: | Falavigna A; Medical Faculty of the University of Caxias do Sul, Rua General Arcy da Rocha Nóbrega 401 / 602, Caxias do Sul, RS, Brazil. asdrubalmd@gmail.com, Righesso O, Teles AR, Baseggio N, Velho MC, Ruschel LG, Abruzzi F, Silva PG |
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| Jazyk: | angličtina |
| Zdroj: | Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2012 May; Vol. 70 (5), pp. 352-6. |
| DOI: | 10.1590/s0004-282x2012000500009 |
| Abstrakt: | Objective: To evaluate the accuracy of the Depression Subscale of Hospital Anxiety and Depression Scale (HADS-D) in spine surgery, comparing it to Beck Depression Inventory (BDI). Methods: In a cross-sectional study, the HADS-D and the BDI were applied to patients undergoing spine surgery for lumbar (n=139) or cervical spondylosis (n=17). Spearman correlation tests for HADS-D and BDI were applied. The internal consistency of HADS-D was estimated by Cronbach's alpha coefficient. Results: According to the BDI, the prevalence of depression was of 28.8% (n=45). The Spearman r coefficient between HADS-D and BDI was 0.714 (p<0.001). Cronbach's alpha for HADS-D was 0.795. The area of the ROC curve was 0.845. Using a cutoff for HADS-D >10, there was a sensitivity of 71.1%, specificity of 95.4%, and positive likelihood-ratio of 15.78. Conclusions: HADS-D showed a strong correlation with BDI and good reliability. HADS-D is a good alternative for screening depression and assessing its severity. |
| Databáze: | MEDLINE |
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