Why the study?
Does the presence of metabolic syndrome impact the optimal thresholds for anxiety and depressive disorder screening using HADS in middle-aged and elderly individuals?
Does the presence of metabolic syndrome impact the optimal thresholds for anxiety and depressive disorder screening using HADS in middle-aged and elderly individuals?
The presence of metabolic syndrome alters the optimal HADS-Depression screening threshold for major depressive disorder, requiring a higher cutoff (≥9 vs ≥8).
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MetS may require higher HADS-Depression cutoff for MDD screening; leaves open whether MetS-specific thresholds should be adopted pending validation.
The HADS is a reliable screening tool for current MDE and GAD in middle aged and elderly population with and without MetS. Optimal thresholds of the HADS-Depression subscale for current MDD is ≥9 for individuals with MetS and ≥8 - without MetS. Optimal threshold of the HADS-Anxiety subscale is ≥9 for current GAD in individuals with and without MetS. The presence of MetS should be considered when interpreting depression screening results.
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Butnorienė et al. (2018) studied this question.
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