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Validity of the Hospital Anxiety and Depression Scale for Use With Patients With Noncardiac Chest Pain

Received Oct. 23, 2002; accepted Nov. 15, 2002. From the Departments of Psychiatry and Cardiology, University Hospital Maastricht; the Department of Psychology and Health, Tilburg University, Tilburg, the Netherlands; and the Interuniversity Cardiological Institute Netherlands, Utrecht. Address reprint requests to Dr. Honig, Department of Psychiatry, University Hospital Maastricht, P.O. Box 5800, 6202 AZ Maastricht, the Netherlands; adriaan.honig{at}spsy.azm.nl (e-mail).

Consecutive patients seen in the first-heart-aid service of a university hospital and given a diagnosis of noncardiac chest pain completed the self-report Hospital Anxiety and Depression Scale. Patients with a score 8 on either the anxiety or depression subscale (N=266, mean age=55.81 years, SD=13.03, 143 male patients) were compared with patients scoring <8 (N=78, mean age=60.55 years, SD=10. 84, 50 male patients) by means of the Mini International Neuropsychiatric Interview. Panic disorder and/or depression identified by the diagnostic interview were highly prevalent in the group with a score BORDER="0">8 (73.3% versus 3.9% in the comparison group). The Hospital Anxiety and Depression Scale is an adequate screening instrument for the detection of affective disorders in patients with noncardiac chest pain.

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