caa a22 4500 397499485 CHVBK 20180308164529.0 cr unu---uuuuu 161202e199506 xx s 000 0 eng 10.1093/fampra/12.2.149 doi (NATIONALLICENCE)oxford-10.1093/fampra/12.2.149 Can the Hospital Anxiety and Depression (HAD) Scale be used on Chinese elderly in general practice? [Elektronische Daten] [Cindy LK Lam, Pey-Chyou Pan, Aylwin WT Chan, Sai-Yin Chan, Clarke Munro] A study was carried out in a general practice in Hong Kong to find out if the Hospital Anxiety and Depression (HAD) Scale could be used to detect psychological problems in Chinese elderly. The HAD Scale was translated into Cantonese and administered by an interviewer to 298 Chinese aged 60 or above before their doctor consultations. The acceptance rate of the Scale was 96% and each interview took only 5-10 min to complete. All 298 elderly understood and completed the HAD Scale. Validation of the results of the HAD Scale by the Clinical Interview Schedule (CIS) was done on a random sample of 100 elderly. Relative operating characteristic (ROC) analysis showed that the optimal cut-off points of the HAD Scale was a depression score of 6 and an anxiety score of 3. The sensitivity was 80%, specificity was 90%, OMR (overall misclassification rate) was 12%, positive predictive value was 67% and negative predictive value was 95%. Thirty-six per cent of the elderly had scores above these cut-off points. More females than males had high anxiety scores. Nearly half of those with positive HAD scores were not known to have any psychological illness. The HAD Scale has great potential to be used as a screening instrument for psychological illnesses in Cantonese-speaking Chinese elderly all over the world. © Oxford University Press Investigation and diagnosis nationallicence Lam Cindy LK General Practice Unit, The University of Hong Kong, Hong Kong, Tauranga, New Zealand, Hong Kong, Hong Kong, Hong Kong aut Pan Pey-Chyou Medical Health Services, Western Bay Health Tauranga, New Zealand aut Chan Aylwin WT Nethersole Hospital, The University of Hong Kong Hong Kong aut Chan Sai-Yin Castle Peak Hospital, The University of Hong Kong Hong Kong aut Munro Clarke General Practice Unit, The University of Hong Kong Hong Kong aut Family Practice Oxford University Press 12/2(1995-06), 149-154 0263-2136 12:2<149 1995 12 famprj https://doi.org/10.1093/fampra/12.2.149 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/fampra/12.2.149 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lam Cindy LK General Practice Unit, The University of Hong Kong, Hong Kong, Tauranga, New Zealand, Hong Kong, Hong Kong, Hong Kong aut NATIONALLICENCE 700 1- Pan Pey-Chyou Medical Health Services, Western Bay Health Tauranga, New Zealand aut NATIONALLICENCE 700 1- Chan Aylwin WT Nethersole Hospital, The University of Hong Kong Hong Kong aut NATIONALLICENCE 700 1- Chan Sai-Yin Castle Peak Hospital, The University of Hong Kong Hong Kong aut NATIONALLICENCE 700 1- Munro Clarke General Practice Unit, The University of Hong Kong Hong Kong aut NATIONALLICENCE 773 0- Family Practice Oxford University Press 12/2(1995-06), 149-154 0263-2136 12:2<149 1995 12 famprj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford