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Health and Quality of Life Outcomes BioMed Central Commentary Open Access The Hospital Anxiety And Depression Scale R Philip Snaith* Address: Senior Lecturer In Psychiatry, University Of Leeds, 21 Gledhow Wood Road Leeds LS8 4BW, UK Email: R Philip Snaith* - psyrps@stjames.leeds.ac.uk * Corresponding author Published: 01 August 2003 Health and Quality of Life Outcomes 2003, 1:29 This article is available from: http://www.hqlo.com/content/1/1/29 Received: 27 June 2003 Accepted: 01 August 2003 © 2003 Snaith; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original. | BioMed Central Health and Quality of Life Outcomes Commentary The Hospital Anxiety And Depression Scale R Philip Snaith Address Senior Lecturer In Psychiatry University Of Leeds 21 Gledhow Wood Road Leeds LS8 4BW UK Email R Philip Snaith - psyrps@stjames.leeds.ac.uk Corresponding author Open Access Published 01 August 2003 Received 27 June 2003 Accepted 01 August 2003 Health and Quality of Life Outcomes 2003 1 29 This article is available from http www.hqlo.com content l l 29 2003 Snaith licensee BioMed Central Ltd. This is an Open Access article verbatim copying and redistribution of this article are permitted in all media for any purpose provided this notice is preserved along with the article s original URL. Abstract There is a need to assess the contribution of mood disorder especially anxiety and depression in order to understand the experience of suffering in the setting of medical practice. Most physicians are aware of this aspect of the illness of their patients but many feel incompetent to provide the patient with reliable information. The Hospital Anxiety And Depression Scale or HADS was designed to provide a simple yet reliable tool for use in medical practice. The term hospital in its title suggests that it is only valid in such a setting but many studies conducted throughout the world have confirmed that it is valid when used in community settings and primary care medical practice. It should be emphasised that self-assessment scales are only valid for screening purposes definitive diagnosis must rest on the process of clinical examination. Background Quality of life is a broad term without exact definition. It depends on a number of factors support from friends and relatives ability to work and interest in one s occupations accommodation appropriate to expectations and of course health and disabilities whether congenital or recently acquired disorder. In the field of ill health physicians by their training concentrate attention on possible somatic .
