Validation of Two Screening Tools for Anxiety in Hemodialysis Patients

Els Nadort; Noëlle J. K. van Geenen; Robbert W. Schouten; Rosa E. Boeschoten; Prataap Chandie Shaw; Louis Jean Vleming; Marcel Schouten; Karima Farhat; Friedo W. Dekker; Patricia van Oppen; Carl E. H. Siegert; Birit F. P. Broekman

doi:10.3390/jpm12071077

journal article Open Access Jun 30, 2022

Validation of Two Screening Tools for Anxiety in Hemodialysis Patients

Noëlle J. K. van Geenen Robbert W. Schouten Rosa E. Boeschoten Prataap Chandie Shaw Louis Jean Vleming Marcel Schouten Karima Farhat Friedo W. Dekker

Patricia van Oppen Carl E. H. Siegert Birit F. P. Broekman

Journal of Personalized Medicine Vol. 12 No. 7 pp. 1077 · MDPI AG

View at Publisher Save 10.3390/jpm12071077

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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Details

Published: Jun 30, 2022
Vol/Issue: 12(7)
Pages: 1077
License: View

Authors

E

Els Nadort

Department of Psychiatry, OLVG Hospital, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands; Department of Psychiatry, Amsterdam University Medical Centre and GGZ inGeest, Oldenaller 1, 1081 HJ Amsterdam, The Netherlands

N

Noëlle J. K. van Geenen

Department of Psychiatry, OLVG Hospital, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands

R

Robbert W. Schouten

Department of Nephrology, OLVG Hospital, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands

R

Rosa E. Boeschoten

Department of Psychiatry, Amsterdam University Medical Centre and GGZ inGeest, Oldenaller 1, 1081 HJ Amsterdam, The Netherlands

P

Prataap Chandie Shaw

Department of Nephrology, Haaglanden Medisch Centrum, Lijnbaan 32, 2512 VA The Hague, The Netherlands

L

Louis Jean Vleming

Department of Nephrology, HagaZiekenhuis, Els Borst-Eilersplein 275, 2545 AA The Hague, The Netherlands

M

Marcel Schouten

Department of Nephrology, Tergooi Ziekenhuis, Van Riebeeckweg 212, 1213 XZ Hilversum, The Netherlands

K

Karima Farhat

Department of Nephrology, Spaarne Gasthuis, Boerhaavelaan 22, 2035 RC Haarlem, The Netherlands

F

Friedo W. Dekker

Department of Clinical Epidemiology, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA Leiden, The Netherlands

P

Patricia van Oppen

Department of Psychiatry, Amsterdam University Medical Centre and GGZ inGeest, Oldenaller 1, 1081 HJ Amsterdam, The Netherlands

C

Carl E. H. Siegert

Department of Nephrology, OLVG Hospital, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands

B

Birit F. P. Broekman

Department of Psychiatry, OLVG Hospital, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands; Department of Psychiatry, Amsterdam University Medical Centre and GGZ inGeest, Oldenaller 1, 1081 HJ Amsterdam, The Netherlands

Funding

ZonMw Award: 843001804

Stichting Wetenschappelijk Onderzoek OLVG Award: 843001804

Cite This Article

Els Nadort, Noëlle J. K. van Geenen, Robbert W. Schouten, et al. (2022). Validation of Two Screening Tools for Anxiety in Hemodialysis Patients. Journal of Personalized Medicine, 12(7), 1077. https://doi.org/10.3390/jpm12071077

Validation of Two Screening Tools for Anxiety in Hemodialysis Patients

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