Depression Subscale of the Hospital Anxiety and Depression Scale applied preoperatively in spinal surgery

Arquivos de Neuro-Psiquiatria

Asdrubal Falavigna²  Orlando Righesso¹  Alisson Roberto Teles¹  Natália Baseggio¹  Maíra Cristina Velho¹  Leonardo Gilmone Ruschel¹  Fabíola Abruzzi¹  Pedro Guarise Da Silva¹ 

[1] ,University of Caxias do SulCaxias do Sul RS ,Brazil

关键词: spine surgery;    depression;    Hospital Anxiety and Depression Scale;    Beck Depression Inventory;    cirurgia da coluna;    depressão;    Escala Hospitalar de Ansiedade e Depressão;    Inventário de Depressão de Beck;   

DOI  :  10.1590/S0004-282X2012000500009

来源: SciELO

【 摘 要 】

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.

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