Detecting depressive and anxiety disorders in distressed patients in primary care; comparative diagnostic accuracy of the Four-Dimensional Symptom Questionnaire (4DSQ) and the Hospital Anxiety and Depression Scale (HADS)

Table 1 Recommended cut-off points for the 4DSQ and HADS depression and anxiety scales*

Instrument	Scale	Lower cut-off point	Higher cut-off point
4DSQ	depression	≥3	≥6
	anxiety	≥8	≥13
HADS	depression	≥8	≥11
	anxiety	≥8	≥11

* Scores below the lower cut-off point indicate the probable absence of a disorder, scores between the lower and higher cut-off points indicate the possible existence of a disorder, and scores exceeding the higher cut-off point indicate the probable existence of a disorder.
4DSQ = Four-Dimensional Symptom Questionnaire
HADS = Hospital Anxiety and Depression Scale

ISSN: 2731-4553