Validity of the hospital anxiety and depression scale for use with patients with noncardiac chest pain

Psychosomatics. 2003 Jul-Aug;44(4):329-35. doi: 10.1176/appi.psy.44.4.329.


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 >or=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 >or=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.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Anxiety / diagnosis*
  • Anxiety / epidemiology*
  • Anxiety / psychology
  • Chest Pain / diagnosis
  • Chest Pain / psychology*
  • Depression / diagnosis*
  • Depression / epidemiology*
  • Depression / psychology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • First Aid
  • Heart / physiology*
  • Hospitalization*
  • Humans
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Surveys and Questionnaires*