Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores

Giorgio Bertolotti,1 Loretta Moroni,1 Roberto Burro,2 Antonio Spanevello,3 Roberto FE Pedretti,4 Giandomenico Giorgetti5 1Psychology Unit, Salvatore Maugeri Foundation, IRCCS, Scientific Institute, Tradate, 2Department of Human Sciences – University of Verona, Verona, 3Department of Cardi...

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Autores principales:	Bertolotti G, Moroni L, Burro R, Spanevello A, Pedretti RFE, Giorgetti G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Anxiety depression questionnaire sensitivity and specificity rehabilitation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/7dd4b30bcc50489cb0211610814c0422
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spelling	oai:doaj.org-article:7dd4b30bcc50489cb0211610814c04222021-12-02T07:25:23ZShortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores1178-2021https://doaj.org/article/7dd4b30bcc50489cb0211610814c04222016-10-01T00:00:00Zhttps://www.dovepress.com/shortened-questionnaires-to-assess-anxiety-and-depression-during-in-h-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Giorgio Bertolotti,1 Loretta Moroni,1 Roberto Burro,2 Antonio Spanevello,3 Roberto FE Pedretti,4 Giandomenico Giorgetti5 1Psychology Unit, Salvatore Maugeri Foundation, IRCCS, Scientific Institute, Tradate, 2Department of Human Sciences – University of Verona, Verona, 3Department of Cardiology, 4Division of Pulmonary Disease, 5Department of Neuromotor Rehabilitation, Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Tradate, Italy Background: A postacute phase needs reliable routine screening instruments in order to identify the patients to be referred for a clinical interview with a psychologist. The aim of this study was to estimate the clinical cutoff scores of the anxiety and depression questionnaires and their clinical validity using a gold standard. Methods: The study involved 177 patients with pulmonary, cardiac, or neurological disease undergoing in-hospital rehabilitation. Receiver operating characteristic curves were used to determine the best concordance between questionnaire’s scores and the gold standards. Results: There was a significant difference (P<0.001) between clinically anxious and depressed patients and nonclinical subjects. The receiver operating characteristic curve for anxiety indicated that the best area under the curve for State Anxiety Inventory is obtained with a cutoff point of 21 for males and 25 for females; for depression scores, the highest area under the curve for Depression Questionnaire-Reduced Form is obtained with a cutoff point of six for males and eight for females. Conclusion: Using appropriate cutoff values, the State Anxiety Inventory and Depression Questionnaire-Reduced Form allow psychologists to optimize early clinical intervention strategies selecting patients with significant needs. Keywords: anxiety, depression, questionnaire, sensitivity and specificity, rehabilitationBertolotti GMoroni LBurro RSpanevello APedretti RFEGiorgetti GDove Medical PressarticleAnxietydepressionquestionnairesensitivity and specificityrehabilitationNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2627-2633 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anxiety depression questionnaire sensitivity and specificity rehabilitation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Anxiety depression questionnaire sensitivity and specificity rehabilitation Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Bertolotti G Moroni L Burro R Spanevello A Pedretti RFE Giorgetti G Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
description	Giorgio Bertolotti,1 Loretta Moroni,1 Roberto Burro,2 Antonio Spanevello,3 Roberto FE Pedretti,4 Giandomenico Giorgetti5 1Psychology Unit, Salvatore Maugeri Foundation, IRCCS, Scientific Institute, Tradate, 2Department of Human Sciences – University of Verona, Verona, 3Department of Cardiology, 4Division of Pulmonary Disease, 5Department of Neuromotor Rehabilitation, Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Tradate, Italy Background: A postacute phase needs reliable routine screening instruments in order to identify the patients to be referred for a clinical interview with a psychologist. The aim of this study was to estimate the clinical cutoff scores of the anxiety and depression questionnaires and their clinical validity using a gold standard. Methods: The study involved 177 patients with pulmonary, cardiac, or neurological disease undergoing in-hospital rehabilitation. Receiver operating characteristic curves were used to determine the best concordance between questionnaire’s scores and the gold standards. Results: There was a significant difference (P<0.001) between clinically anxious and depressed patients and nonclinical subjects. The receiver operating characteristic curve for anxiety indicated that the best area under the curve for State Anxiety Inventory is obtained with a cutoff point of 21 for males and 25 for females; for depression scores, the highest area under the curve for Depression Questionnaire-Reduced Form is obtained with a cutoff point of six for males and eight for females. Conclusion: Using appropriate cutoff values, the State Anxiety Inventory and Depression Questionnaire-Reduced Form allow psychologists to optimize early clinical intervention strategies selecting patients with significant needs. Keywords: anxiety, depression, questionnaire, sensitivity and specificity, rehabilitation
format	article
author	Bertolotti G Moroni L Burro R Spanevello A Pedretti RFE Giorgetti G
author_facet	Bertolotti G Moroni L Burro R Spanevello A Pedretti RFE Giorgetti G
author_sort	Bertolotti G
title	Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
title_short	Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
title_full	Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
title_fullStr	Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
title_full_unstemmed	Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
title_sort	shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/7dd4b30bcc50489cb0211610814c0422
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_version_	1718399410940936192

Shortened questionnaires to assess anxiety and depression during in-hospital rehabilitation: clinical validation and cutoff scores

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