Istanbul Physical Medicine and Rehabilitation Training and Research Hospital, Istanbul, Turkey.
NeuroRehabilitation. 2013;33(2):337-41. doi: 10.3233/NRE-130964.
Emotional problems are common in spinal cord injury (SCI). Self report questionnaires are easy and useful for screening the emotional status in clinical practice.
The aim of this study was to assess the reliability of the Turkish version of the Hospital Anxiety and Depression Scale (HADS) as well as to investigate the frequency of anxiety and depression in a group with SCI admitted to the outpatient clinic of a rehabilitation hospital.
One hundred seventy-five persons with traumatic SCI were included in this study. The American Spinal Injury Association Impairment Scale, Functional Independence Measure (FIM) and HADS were used for assessments.
The mean age of the participants was 35 ± 13 years, and the mean time elapsed since injury was 13 ± 29 months. The mean motor FIM score was 41 ± 21. The Cronbach's alpha coefficient was 0.90 and 0.77 for the anxiety and depression subscales of the HADS, respectively. Forty percent of the participants had anxiety and 28% had depression. Anxiety was positively correlated with time since injury (r = 0.2). Depression was negatively correlated with the education level (r = 0.25), and positively correlated with age (r = 0.17). There was a positive correlation with completeness and anxiety and depression (r = 0.49, r = 0.55).
The Turkish version of the HADS is a reliable psychological screening test for anxiety and depression in people with SCI. Rehabilitation team should gather maximum information about the emotional status of the person with SCI, and plan the appropriate treatment for anxiety and depression.
情绪问题在脊髓损伤（SCI）中很常见。自我报告问卷对于在临床实践中筛查情绪状态很方便且有用。
本研究旨在评估土耳其版医院焦虑抑郁量表（HADS）的可靠性，并调查一组在康复医院门诊就诊的 SCI 患者中焦虑和抑郁的发生率。
本研究纳入了 175 名创伤性 SCI 患者。使用美国脊髓损伤协会损伤量表、功能独立性量表（FIM）和 HADS 进行评估。
参与者的平均年龄为 35 ± 13 岁，受伤后时间平均为 13 ± 29 个月。平均运动 FIM 评分为 41 ± 21。HADS 的焦虑和抑郁分量表的克朗巴赫α系数分别为 0.90 和 0.77。40%的参与者有焦虑，28%的参与者有抑郁。焦虑与受伤后时间呈正相关（r = 0.2）。抑郁与教育程度呈负相关（r = 0.25），与年龄呈正相关（r = 0.17）。与完全性和焦虑抑郁呈正相关（r = 0.49，r = 0.55）。
土耳其版 HADS 是一种可靠的用于评估 SCI 患者焦虑和抑郁的心理筛查测试。康复团队应尽可能多地收集有关 SCI 患者情绪状态的信息，并为焦虑和抑郁制定适当的治疗计划。
