A cross‐sectional study of agreement between the Hospital Anxiety and Depression Scale and patient‐ and radiation oncologist–reported single‐item assessment of depression and anxiety
Abstract Objective To describe among radiation oncology patients: (1) the proportion likely to be experiencing symptoms of depression and anxiety as identified by ( a ) the Hospital Anxiety and Depression Scale (HADS; standardised tool), ( b ) patient‐reported single items (ultrashort tool), and ( c ) radiation oncologist–reported single items (clinician judgement); (2) preferences for being offered psychological support; and (3) agreement between single‐item measures and the HADS. Methods Adult cancer patients (n = 152; consent rate 58%) receiving radiotherapy completed a touchscreen tablet survey assessing symptoms of anxiety and depression (HADS and a single‐item tool) and support preferences. Each participant's treating radiation oncologist completed a survey assessing his or her perception of whether the patient was anxious or depressed. Results Prevalence estimates for likely depression (6.9‐18%) and anxiety (17‐33%) overlapped across the 3 measures. Overall, only 9.9% of patients (95% CI, 5.6%‐16%) wanted to be offered psychological support. For depression, agreement between the HADS and ultrashort tool was fair (κ = 0.37, P P P = 0.33), and agreement between the HADS and ultrashort tool was moderate (κ = 0.49, P Conclusions These findings highlight the important role that oncology consultations play in interpreting assessment tool results and responding to individual patient's history and preferences for psychological support.
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