Issues in cardiovascular nursingComparison of the Short Form 36 and the Hospital Anxiety and Depression Scale measuring emotional distress in patients admitted for elective coronary angiography
Section snippets
Design and subjects
The present study has a cross-sectional design. Between August 2000 and February 2002, 1283 patients were consecutively admitted to elective coronary angiography at the Department of Heart Disease, Haukeland University Hospital, Bergen, Norway. At least 214 of the patients were not invited to participate because of capacity reasons. This means that on particular days or weeks with limited staff resources, none of the patients were asked to participate. Among the remaining 1069 eligible
Characteristics of the study population
The characteristics of the 587 participants, 149 women and 438 men, are presented in Table I. The mean age was 63 years (standard deviation 10, range 32–86 years) for women and 61 years (standard deviation 10, range 31–84 years) for men. Most patients (95%) were examined because of suspected CAD, and significant CAD was more prevalent in men (86%) than in women (62%), as expected. Angina pectoris symptoms were similarly distributed in men and women, and none of the patients had unstable angina
Discussion
We compared the HADS and MH scales of SF-36 as measures of emotional distress among patients admitted for elective coronary angiography. In both men and women, the strongest association between the instruments was found between the SF-36 MH subscale and HADS-anxiety and HADS-depression subscales. Both instruments demonstrated high levels of emotional distress, particularly among the youngest patients. Both MH scales of the SF-36 and HADS were almost equally related to age. Our data may
Conclusion
Both the HADS and the SF-36 revealed a high occurrence of emotional distress in both women and men with suspected CAD who were referred to coronary angiography. However, because of its specificity, the HADS was the more feasible to detect anxiety, especially in the patients with negative angiography results. Anxiety is one aspect of mental health that is not specified by the SF-36 subscale. Thus, the HADS is recommended as a screening tool of mental health in patients with suspected CAD,
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2020, Health PolicyCitation Excerpt :This study used the Mental Health Inventory (MHI-5) of the Short Form 36 instrument (SF-36), a widely validated and reliable mental health measure [18,19]. This instrument has been used in a large body of medical literature [20–22] and health economics literature [23,24]. The scale is constructed from five items (nervous, down in dumps, peaceful, sad and happy) and its value ranges from 0-100.
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2018, American Journal of MedicineCitation Excerpt :One study supported an association between the HADS-D and QoL because patients with depression after myocardial infarction were more likely than those without depression to have poor QoL.18 Furthermore, when comparing the HADS-A and HADS-D with the SF-36, 1 study of patients with coronary heart disease found associations with all SF-36 subscales, most strongly with the mental health subscale, which indicates that the surveys measure similar aspects of mental health.19 Anxiety and depression are common and are associated with increased mortality in patients with coronary heart disease, even more strongly if the conditions coexist.20,21
Psychometric evaluation of the Hospital Anxiety and Depression Scale 3 months after acute lung injury
2015, Journal of Critical CareCitation Excerpt :However, taken together, our correlations, κ values, and ROC results suggest that neither the EQ-5D-3L anxiety/depression item nor the SF-36 mental health–related domains are measuring precisely the same thing as either of the HADS subscales. Although the SF-36 mental health domain was particularly strongly related to the HADS-A subscale in the current study, in another study involving a medical sample [36], this domain was strongly and approximately equally correlated with the HADS-A and HADS-D subscales. Thus, we conclude that the SF-36 mental health domain may be a particularly good measure of psychological distress, but not general anxiety or depressive symptoms in particular.
Is shared misery double misery?
2014, Social Science and MedicineCitation Excerpt :The measure of mental health we use is the 14 items relating to mental health within the Short-Form 36 questions (SF-36 henceforth), a widely used measure of psychological wellbeing with demonstrable validity and reliability in an Australian setting (Butterworth and Crosier, 2004; Sanson-Fisher and Perkins, 1998). The same instrument has been used in a large medical and psychiatric literature such as Crosier et al. (2007), Leese et al. (2008), Tunis et al. (1999), and Ulvik et al. (2008), and in health-economics research by, for example, Green (2010). Our measure of mental health combines 14 items from the SF-36 and covers four health domains: 1) vitality, e.g. feeling tired, feeling worn out, feeling full of life, and having a lot of energy; 2) social functioning, e.g. how emotional problems interfere with social activities; 3) role-emotional, e.g. changes in amount of time spent on work as a result of any emotional problems; and 4) mental health, e.g. being a nervous person, being calm and peaceful, feeling down, being a happy person, and feeling down in the dumps.2
Health-Related Quality of Life and Emotional Status of Anophthalmic Patients in Korea
2010, American Journal of OphthalmologyCitation Excerpt :There were 40 (29.9%) and 38 (28.4%) anophthalmic patients, respectively, who scored 8 or more on the HADS-A and HADS-D. These percentages are similar to those reported for other chronic diseases, including cancer and coronary artery disease, which have used HADS for evaluation.17,18 Among the sociodemographic factors that we assessed, higher age and female gender were associated with a lower quality of life, which is similar to reports for other chronic diseases.6,19–22
This project was aided by EXTRA funds from the Norwegian Foundation for Health and Rehabilitation, the Norwegian Nurses Association, and the Vesta Insurance Company.