Normative values for the Hospital Anxiety and Depression Scale (HADS) in the general German population

The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general population (N=4410) was tested with the HADS. Females are more anxious than males, and older subjects are more depressed than younger subjects. Th...

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Published inJournal of psychosomatic research Vol. 71; no. 2; pp. 74 - 78
Main Authors Hinz, Andreas, Brähler, Elmar
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.08.2011
Elsevier
Subjects
Online AccessGet full text
ISSN0022-3999
1879-1360
1879-1360
DOI10.1016/j.jpsychores.2011.01.005

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Abstract The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general population (N=4410) was tested with the HADS. Females are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score. The regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values.
AbstractList The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general population (N=4410) was tested with the HADS. Females are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score. The regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values.
Abstract Objective The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). Methods A representative sample of the German general population (N=4410) was tested with the HADS. Results Females are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score. Conclusion The regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values.
The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS).OBJECTIVEThe aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS).A representative sample of the German general population (N=4410) was tested with the HADS.METHODSA representative sample of the German general population (N=4410) was tested with the HADS.Females are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score.RESULTSFemales are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score.The regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values.CONCLUSIONThe regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values.
The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general population (N=4410) was tested with the HADS. Females are more anxious than males, and older subjects are more depressed than younger subjects. The mean scores for anxiety / depression are 4.4 / 4.8 (males) and 5.0 / 4.7 (females). Using the cut-off 8+, the percentages of elevated anxiety and depression in the total sample are 21 % and 23 %, respectively. Regression analyses proved a linear but not a curvilinear age trend of anxiety and depression. Percentile rank norms are given for anxiety, depression, and the HADS total score. The regression coefficients allow the calculation of expected mean scores for each age and gender distribution of any sample of patients. HADS mean scores are better suited to describe the degree of anxiety and depression in patient samples compared to percentages of subjects with elevated values. [Copyright Elsevier Inc.]
Author Brähler, Elmar
Hinz, Andreas
Author_xml – sequence: 1
  givenname: Andreas
  surname: Hinz
  fullname: Hinz, Andreas
  email: andreas.hinz@medizin.uni-leipzig.de
– sequence: 2
  givenname: Elmar
  surname: Brähler
  fullname: Brähler, Elmar
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24363379$$DView record in Pascal Francis
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CODEN JPCRAT
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Issue 2
Keywords Normative values
Depression
Anxiety
Gender
Age
Reference values
Social environment
Mood disorder
Human
Hospital Anxiety and Depression Scale Zigmond Snaith
Affect affectivity
Reference value
Sex
Psychometrics
Sociodemographic factor
Cutoff note
Psychometric standardization
Language English
License https://www.elsevier.com/tdm/userlicense/1.0
CC BY 4.0
Copyright © 2011 Elsevier Inc. All rights reserved.
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Snippet The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general...
Abstract Objective The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). Methods A representative sample...
The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS).OBJECTIVEThe aim of this study was to present...
The aim of this study was to present normative values for the Hospital Anxiety and Depression Scale (HADS). A representative sample of the German general...
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StartPage 74
SubjectTerms Adolescent
Adult
Age
Age Factors
Aged
Aged, 80 and over
Anxiety
Anxiety - diagnosis
Anxiety - psychology
Anxiety disorders
Anxiety-Depression
Biological and medical sciences
Depression
Depression - diagnosis
Depression - psychology
Female
Gender
Germany
Hospitals
Humans
Male
Medical sciences
Middle Aged
Normative values
Psychiatric Status Rating Scales
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reference Values
Sex Factors
Techniques and methods
Title Normative values for the Hospital Anxiety and Depression Scale (HADS) in the general German population
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https://www.ncbi.nlm.nih.gov/pubmed/21767686
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https://www.proquest.com/docview/896190890
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