{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T23:18:12Z","timestamp":1791155892156,"version":"4.1.0"},"reference-count":21,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":10228,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1990,1]]},"abstract":"<jats:p>The Hospital Anxiety and Depression Scale (HADS), a four-point, 14-item questionnaire, was tested as a screening method for adjustment disorders and major depressive disorders in a sample of 210 cancer in-patients. A receiver operating characteristic (ROC) analysis was performed, giving the relationship between the true positive rate (sensitivity) and the false positive rate (1 \u2013 specificity). This makes it possible to choose an optimal cut-off point that takes into account the costs and benefits of treatment of psychological distress. For screening for major depressive disorders only, a cut-off score of 19 gave 70% sensitivity and 75% specificity. For screening for adjustment disorders and major depressive disorders taken together, a cut-off score of 13 gave 75% sensitivity and 75% specificity. HADS appears in this study to be a simple, sensitive and specific tool for screening for psychiatric disorders in an oncology in-patient population.<\/jats:p>","DOI":"10.1192\/bjp.156.1.79","type":"journal-article","created":{"date-parts":[[2008,8,12]],"date-time":"2008-08-12T20:13:05Z","timestamp":1218571985000},"page":"79-83","source":"Crossref","is-referenced-by-count":442,"title":["Screening for Adjustment Disorders and Major Depressive Disorders in Cancer In-Patients"],"prefix":"10.1192","volume":"156","author":[{"given":"Darius","family":"Razavi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Delvaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Farvacques","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmond","family":"Robaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000060530_ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"S0007125000060530_ref19","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.99.1.100"},{"key":"S0007125000060530_ref17","unstructured":"Razavi D. , Delvaux N. , Farvacques C. , et al (1989) Validation de la version fran\u00e7aise du HADS dans une population de patients canc\u00e9reux hospitalis\u00e9s. Revue de Psychologie Appliqu\u00e9e (in press)."},{"key":"S0007125000060530_ref15","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.134.4.382"},{"key":"S0007125000060530_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700031500"},{"key":"S0007125000060530_ref12","first-page":"175","article-title":"Evaluation de l'anxi\u00e9t\u00e9 et de la d\u00e9pression chez des patients hospitalises dans un service de m\u00e9decine interne","volume":"2","author":"Lepine","year":"1985","journal-title":"Annales M\u00e9dico-Psychologiques"},{"key":"S0007125000060530_ref11","volume-title":"Evaluation of Chemotherapeutic Agents","author":"Karnofsky","year":"1949"},{"key":"S0007125000060530_ref8","volume-title":"M\u00e9thodes Statistiques en Psychologie Appliqu\u00e9e","volume":"II","author":"Faverge","year":"1954"},{"key":"S0007125000060530_ref7","doi-asserted-by":"publisher","DOI":"10.1080\/00332747.1987.11024344"},{"key":"S0007125000060530_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113236"},{"key":"S0007125000060530_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1983.03330300035030"},{"key":"S0007125000060530_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(76)71116-2"},{"key":"S0007125000060530_ref20","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.134.5.508"},{"key":"S0007125000060530_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0001-2998(78)80014-2"},{"key":"S0007125000060530_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(87)90083-3"},{"key":"S0007125000060530_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders.","author":"Pichot","year":"1980"},{"key":"S0007125000060530_ref9","volume-title":"Clinical Epidemiology: the Architecture of Clinical Research.","author":"Feinstein","year":"1985"},{"key":"S0007125000060530_ref10","first-page":"50","article-title":"The assessment of anxiety states by rating","volume":"32","author":"Hamilton","year":"1959","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000060530_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.1984.53.s10.2243"},{"key":"S0007125000060530_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1987.01800180068011"},{"key":"S0007125000060530_ref18","volume-title":"Structured Clinical Interview for DSM\u2013III.","author":"Spitzer","year":"1983"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000060530","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T18:48:03Z","timestamp":1558205283000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000060530\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1990,1]]}},"alternative-id":["S0007125000060530"],"URL":"https:\/\/doi.org\/10.1192\/bjp.156.1.79","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,1]]}}}