HAMD Scale -14 items less than 7 points, between 7 14 points and more than 15 points indicates no anxiety, possible anxiety and definite anxiety, respectively.
Scale subscores for anxiety and depression of 0 7, 8 10, and 11 21 corresponded with no, doubtful, or definite anxiety or depression, respectively [ 16].
The corresponding kappa coefficients for borderline anxiety and depression and definite anxiety and depression were 0.61 and 0.30, and 0.80 and 0.62, respectively.
The findings indicate that both the Punjabi and English versions of the HADS were more than adequate in declaring people to be borderline cases of anxiety, and definite cases of anxiety or depression.
Concordance rates revealed that the Punjabi HADS adequately identified borderline cases of anxiety (80.8%), definite cases of anxiety (91.8%) and depression (91.8%), but was less reliable in identifying borderline cases of depression (65.8%).
A definite sense of anxiety pervades the capital as the music slows down, and people start scrambling for a seat.
A cut-off of > 11 implies definite cases of anxiety or depression, a cut-off of 8 10 a probable case, and < 7 not a case.
In addition, the Punjabi version of the HADS did not display any tendency to over- or under-identify definite cases of anxiety or depression.
Not definitive, just definite.
These concordance rates are similar to those found in the validation of the Urdu HADS [ 8] for anxiety (borderline and definite cases) and definite cases of depression but the borderline depression concordance rate was much lower in the present study (87.0% vs. 65.8%) [ 8].
Scale equivalence, the extent to which the Punjabi and English versions of the HADS identify the same individuals as either a definite or borderline case of anxiety and/or depression, was determined by simultaneously classifying each participant as either anxious or depressed on the two versions, and calculating the concordance rate between them.
