医院焦虑抑郁量表HADS

医院焦虑抑郁量表Hospital Anxiety and Depression Scale(HADS)
HADs是 Zigmond 和Snaith首次在1983年提出的，主要是用于辅助医生评估住院患
者焦虑及抑郁的程度。

HADs由14个评分项目来计算出患者的综合评分情况，其中7
个为焦虑相关评分，另外7个是抑郁相关。

Zigmond 和 Snaith在提出该量表的时候就
考虑到尽量避免使用那些可能会受到躯体疾病影响的问题，例如疲劳，失眠，嗜睡等。

The items on the questionnaire that relate to anxiety are:
1.I feel tense or wound up
2.I get a sort of frightened feeling as if something bad is about to happen
3.Worrying thoughts go through my mind
4.I can sit at ease and feel relaxed
5.I get a sort of frightened feeling like butterflies in the stomach
6.I feel restless and have to be on the move
7.I get sudden feelings of panic
The items that relate to depression are:
1.I still enjoy the things I used to enjoy
2.I can laugh and see the funny side of things
3.I feel cheerful
4.I feel as if I am slowed down
5.I have lost interest in my appearance
6.I look forward with enjoyment to things
7.I can enjoy a good book or radio or TV program
问卷中的每个问题的得分均为0-3分，因此患者在焦虑和抑郁上的评分范围均是0-21。

相关研究的回顾性分析发现将8分作为评判焦虑和抑郁的零界点具有较好的特异性和
敏感性（HADS-A特异性0.78敏感性0.9；HADS-D特异性0.79敏感性0.83）。

A: D : .。