A Self Test Questionnaire for Anxiety and Depression.

The HADS scale is a questionnaire commonly used by doctors and DTR therapists to assess patient/client levels of Anxiety and Depression.

HADS is a valid and reliable self-rating scale that measures anxiety and depression in both hospital and community settings. HADS gives clinically meaningful results as a psychological screening tool and can assess the symptom severity of anxiety and depression disorders in clients with illness and the general population.

Test details

  1. HADS – One questionnaire, comprising of fourteen questions
  2. The questionnaire features seven questions for anxiety and seven for depression of which can be answered within 2 – 5 minutes.
  3. Responses are scored on a scale of 3 to 0 – The maximum score is therefore 21 for Anxiety and 21 for Depression.
  4. Odd numbers: 1, 3, 5, 7, 9, 11 and 13 are Anxiety Questions (Grey in Colour)
  5. Even numbers: 2, 4, 6, 8, 10, 12 and 14 are Depression Questions (White in Colour)

The two sub-scales, anxiety and depression, have been found to be independent measures. In its current form the HADS is now divided into four stages:

Scores of:

  • 0-7 (Normal)
  • 8-10 (Mild)
  • 11-15 (Moderate)
  • 16-21 (Severe)

Why use HADS?

HADS facilitates the early identification of both anxiety and depression simultaneously, whilst giving a separate score for each.

Easy to score and simple to interpret, HADS provides clear cut-off scores to indicate the severity of the disorder.

It is ideal for use as a screening measure, and index of clinical change, an outcome measure and for research purposes.

As a single measure of anxiety and depression, it removes the need for separate measures and is suitable for all ages from 17+.

DTR Hospital Anxiety and Depression Scale (HADS) Questionnaire

Instructions: Doctors and DTR therapists are aware that emotions play an important part in most illnesses. If your doctor or DTR therapist knows about these feelings he or she will be able to help you more. This questionnaire is designed to help us know how you feel. Read each item and circle the reply which comes closest to how you have been feeling in the past week. Don’t take too long over your replies, your immediate reaction to each item will probably be more accurate than a long thought out response.

Questions relating to anxiety are indicated by an ‘A’ while those relating to depression are shown by a ‘D’.

I feel tense or ‘wound up’:

A

I feel as if I am slowed down:

D

Most of the time

3

Nearly all of the time

3

A lot of the time

2

Very often

2

Time to time, occasionally

1

Sometimes

1

Not at all

0

Not at all

0

I still enjoy the things I used to enjoy:

D

I get a sort of frightened feeling like ‘butterflies in the stomach’:

A

Definitely as much

0

Not at all

0

Not quite so much

1

Occasionally

1

Only a little

2

Quite often

2

Not at all

3

Very often

3

I get a sort of frightened feeling like something awful is about to happen:

A

I have lost interest in my appearance:

D

Very definitely and quite badly

3

Definitely

3

Yes, but not too badly

2

I don’t take as much care as I should

2

A little, but it doesn’t worry me

1

I may not take quite as much care

1

Not at all

0

I take just as much care as ever

0

I can laugh and see the funny side of things:

D

I feel restless as if I have to be on the move:

A

As much as I always could

0

Very much indeed

3

Not quite so much now

1

Quite a lot

2

Definitely not so much now

2

Not very much

1

Not at all

3

Not at all

0

Worrying thoughts go through my mind:

A

I look forward with enjoyment to things:

D

A great deal of the time

3

A much as I ever did

0

A lot of the time

2

Rather less than I used to

1

From time to time but not too often

1

Definitely less than I used to

3

Only occasionally

0

Hardly at all

2

I feel cheerful:

D

I get sudden feelings of panic:

A

Not at all

3

Very often indeed

3

Not often

2

Quite often

2

Sometimes

1

Not very often

1

Most of the time

0

Not at all

0

I can sit at ease and feel relaxed:

A

I can enjoy a good book or radio or TV programme:

D

Definitely

0

Often

0

Usually

1

Sometimes

1

Not often

2

Not often

2

Not at all

3

Very seldom

3

Scores of:

0 – 7 (Normal)

8 – 10 (Mild)

11 – 15 (Moderate)

16 – 21 (Severe)

Upon completion and scoring of the HADS questionnaire should you wish to discuss the outcome further with a DTR therapist, please email your details or call and we will get back to you at our earliest convenience.

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