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A number of researchers have explored HADS data to establish the cut-off points for caseness of anxiety or depression. Bjelland et al (2002) [3] through a literature review of a large number of studies identified a cut-off point of 8/21 for anxiety or depression. For anxiety (HADS-A) this gave a specificity of 0.78 and a sensitivity of 0.9.
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology.This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
All of these scores are used to compute an overarching score that indicates a person's anxiety severity. [4] The Hamilton Anxiety Rating scale has been considered a valuable scale for many years, but the ever-changing definition of anxiety, new technology, and new research has had an effect on the scale's perceived usefulness. [5]
[2] [3] Alternatively, the Montgomery-Åsberg Depression Rating Scale (MADRS) features ten items to be completed for the purpose of assessing the effects of drug therapy, [2] [4] Another scale is the Raskin Depression Rating Scale rating the severity of the patients' symptoms in three areas: verbal reports, behavior, and secondary symptoms of ...
The patient is rated by a clinician on 17 to 29 items (depending on version) scored either on a 3-point or 5-point Likert-type scale. For the 17-item version, a score of 0–7 is considered to be normal while a score of 20 or higher (indicating at least moderate severity) is usually required for entry into a clinical trial. [11]
They found they could not achieve this if the questions were the same to examine both types of anxiety. Each scale asks twenty questions each and are rated on a 4-point scale. [10] Low scores indicate a mild form of anxiety and high scores indicate a severe form of anxiety. Both scales have anxiety absent and anxiety present questions.
BR scores are indexed on a scale of 0 – 115, with 0 representing a raw score of 0, a score of 60 representing the median of a clinical distribution, 75 serving as the cut score for presence of disorder, 85 serving as the cut score for prominence of disorder, and 115 corresponding to the maximum raw score. [1]
Each item yields a score of 0 to 6; the overall score thus ranges from 0 to 60. [4] Higher MADRS score indicates more severe depression. Usual cutoff points are: 0 to 6: normal [5] /symptom absent [4] 7 to 19: mild depression [4] [5] 20 to 34: moderate depression [5] 35 to 60: severe depression. [5]