{"doi":"10.1016/j.jpsychores.2020.110256","title":"Depression prevalence using the HADS-D compared to SCID major depression classification: An individual participant data meta-analysis","abstract":"<h4>Objectives</h4>Validated diagnostic interviews are required to classify depression status and estimate prevalence of disorder, but screening tools are often used instead. We used individual participant data meta-analysis to compare prevalence based on standard Hospital Anxiety and Depression Scale - depression subscale (HADS-D) cutoffs of ≥8 and ≥11 versus Structured Clinical Interview for DSM (SCID) major depression and determined if an alternative HADS-D cutoff could more accurately estimate prevalence.<h4>Methods</h4>We searched Medline, Medline In-Process & Other Non-Indexed Citations via Ovid, PsycINFO, and Web of Science (inception-July 11, 2016) for studies comparing HADS-D scores to SCID major depression status. Pooled prevalence and pooled differences in prevalence for HADS-D cutoffs versus SCID major depression were estimated.<h4>Results</h4>6005 participants (689 SCID major depression cases) from 41 primary studies were included. Pooled prevalence was 24.5% (95% Confidence Interval (CI): 20.5%, 29.0%) for HADS-D ≥8, 10.7% (95% CI: 8.3%, 13.8%) for HADS-D ≥11, and 11.6% (95% CI: 9.2%, 14.6%) for SCID major depression. HADS-D ≥11 was closest to SCID major depression prevalence, but the 95% prediction interval for the difference that could be expected for HADS-D ≥11 versus SCID in a new study was -21.1% to 19.5%.<h4>Conclusions</h4>HADS-D ≥8 substantially overestimates depression prevalence. Of all possible cutoff thresholds, HADS-D ≥11 was closest to the SCID, but there was substantial heterogeneity in the difference between HADS-D ≥11 and SCID-based estimates. HADS-D should not be used as a substitute for a validated diagnostic interview.","journal":"Journal of Psychosomatic Research","year":2020,"id":5316,"datarank":1.201816803690873,"base_score":3.7376696182833684,"endowment":3.7376696182833684,"self_citation_contribution":0.5606504427425053,"citation_network_contribution":0.6411663609483678,"self_endowment_contribution":0.5606504427425053,"citer_contribution":0.6411663609483678,"corpus_percentile":null,"corpus_rank":null,"citation_count":41,"citer_count":28,"citers_with_citation_signal":21,"citers_with_endowment":21,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.0422,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-12-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":59287,"name":"Tiffany Dal Santo","orcid":"0000-0001-8505-3969","position":1,"is_corresponding":false},{"id":2035,"name":"Brooke Levis","orcid":"0000-0002-4310-3689","position":2,"is_corresponding":false},{"id":2039,"name":"Yin Wu","orcid":"0000-0001-5527-1746","position":3,"is_corresponding":false},{"id":2040,"name":"Ying Sun","orcid":"0000-0002-8529-3521","position":4,"is_corresponding":false},{"id":2042,"name":"Ankur Krishnan","orcid":"0000-0001-8671-7421","position":5,"is_corresponding":false},{"id":2041,"name":"Chen He","orcid":"0000-0002-7308-0350","position":6,"is_corresponding":false},{"id":2044,"name":"Parash Mani Bhandari","orcid":"0000-0002-4235-3029","position":7,"is_corresponding":false},{"id":2038,"name":"Zelalem Negeri","orcid":"0000-0002-3154-3855","position":8,"is_corresponding":false},{"id":2050,"name":"Kira E. 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