AI Article Synopsis
- Many dialysis patients experience anxiety, but it's often not recognized or treated.
- This study tested the Beck Anxiety Inventory (BAI) and the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) to see how well they diagnose anxiety in hemodialysis patients.
- Results showed that both tools accurately identified anxiety, with the HADS-A being simpler and having fewer false positives, suggesting it may be more practical for regular use in dialysis settings.
Article Abstract
Background: Symptoms of anxiety are often unrecognized and untreated in dialysis patients. We investigated the diagnostic accuracy of two widely used screening tools for anxiety in hemodialysis patients.
Methods: For this cross-sectional validation study, chronic hemodialysis patients from eight dialysis centers in the Netherlands were included. The Beck Anxiety Inventory (BAI) and Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) were validated by the Mini International Neuropsychiatric Inventory (MINI) diagnostic interview. Receiver operating characteristic curves were used to determine the optimal cut-off values.
Results: Of 65 participants, 13 (20%) were diagnosed with one or more anxiety disorders on the MINI, of which 5 were included in the analysis. ROC curves showed a good diagnostic accuracy of the BAI and HADS-A. The optimal cut-off value for the BAI was ≥13 (sensitivity 100%, specificity 85%) and for the HADS-A was ≥10 (sensitivity 80%, specificity 100%).
Conclusions: Based on our limited data, both the BAI and the HADS-A seem to be valid screening instruments for anxiety in hemodialysis patients that can be used in routine dialysis care. The HADS-A consists of fewer items and showed fewer false-positive results than the BAI, which might make it more useful in clinical practice.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318791 | PMC |
| http://dx.doi.org/10.3390/jpm12071077 | DOI Listing |
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