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Anxiety and Depression Outcome Measures

Psychological symptoms, particularly those of anxiety and depression, are highly prevalent in individuals with chronic respiratory disease and associated with increased symptom burden, reduced exercise tolerance, poorer health-related quality of life and suboptimal engagement with pulmonary rehabilitation (PR). Routine assessment of anxiety- and depression-related symptoms within PR, enables identification of clinically significant psychological distress, facilitates appropriate referral or integration of psychological support, and allows evaluation of the impact of PR on mental health outcomes. A range of validated instruments have been used in PR populations, including disease-specific, symptom-focused and generic measures. These tools vary in length, sensitivity to change and conceptual focus (e.g., state vs. trait anxiety; affective vs. somatic symptoms). Importantly, these measures quantify symptom severity or psychological distress and do not, in themselves, yield a diagnosis of an anxiety disorder or depressive disorder. For this reason, most are referred to as “screening” instruments rather than diagnostic tools. Selection of an instrument should consider the clinical or research objective, feasibility within PR programs and the extent to which psychological symptoms overlap with respiratory symptoms such as dyspnea and fatigue.

The following outcome measures on anxiety and depression are described:

We thank the following who collated this material (ordered alphabetically): Dr Amy Baradell (University of Leicester, Leicester, United Kingdom), Dr Lisa Jane Brighton (King’s College London, London, United Kingdom), Professor Jean-Marie Bruzzese (Columbia University, New York, US), Ms Camilla Fischer Christiansen (University of Southern Denmark, Odense, Denmark), Dr Ingeborg Farver-Vestergaard (University of Southern Denmark, Odense, Denmark), Ms Suzanne Lareau (University of Colorado, Denver, US), Dr Liz Steed (Queen Mary University of London, London, United Kingdom), Professor Clarice Tang (Victory University, Melbourne, Australia), Dr Eleonora Volpato (Università Cattolica del Sacro Cuore, Milan, Italy) and Professor Abebaw Yohannes (University of Alabama, Birmingham, US).  

Anxiety Inventory for Respiratory Disease

 Description
Name of QuestionnaireAnxiety Inventory for Respiratory Disease (AIR) scale1
Abbreviation/Alternate NameAIR scale
Description:A measure for screening for non-somatic aspects of anxiety in patients with COPDs.
DevelopersTG Willgoss,
E-mailamyohnn@uab.edu OR yohannesam25@gmail.com
Cost Please contact authors/developers for permission to use the questionnaire.
License required AIR © Thomas Willgoss and Manchester Metropolitan University, 2013. All rights reserved.
Self-or rater-administeredSelf-administered
Time to complete3 minutes
Number of items10
Domains & categories (#)1
Name of domains/categoriesAnxiety
Scaling of items0 to 3
Scoring0-30, higher scores indicate higher levels of anxiety. > 8 indicates a ‘case’ for symptoms of anxiety.3
Test-retest/ reproducibility

·     Test-retest: ICC = 0.811 ; ICC = 0.604

·     Internal consistency Cronbach’s α = 0.92.1

Validity

Content1,2,3

Concurrent / divergent

  • Correlates with: Hospital Anxiety Depression Scale -Anxiety 0.91; HADS-Depression 0.66; HADS-total 0.871
  • Convergent validity with HADS-A (r = 0.91).4
  • Sensitivity (0.80), and specificity (0.75)3 and sensitivity of 0.66 and specificity=0.65 with MINI.4
  • Screening accuracy with AIR=66%, HADS-A= 83%, GAD-7=77%.4
Responsiveness to PRYes4
MID55
LanguagesEnglish, Chinese6, Portuguese7 , Hindi8 , Arabic9
References
  1. Willgoss TG et al. Chest. 2013; 144: 1587-1596.
  2. Willgoss TG et al. Heart Lung. 2012; 41: 562-571.
  3. Yohannes AM et al. Int J Geriatr Psychiatry. 2015; 30:106-108.
  4. Baker AM et al. Ann Am Thorac Soc 2018; 15: 926-934
  5. Yohannes AM et al. Chest. 2016; 150: 188-195.
  6. Dong XY et al. Int J COPD. 2017; 12: 49-58.
  7. Vieira DSR et al. J Multidisciplinary Healthcare. 2024:17; 3283-3293.
  8. Dayal P. Cureus. 2023; 15: e36241.

9.     Albarrati A et al. Disabil Rehabil 2022; 44: 7297-7303.

Date information on this outcome was updatedJuly, 2026

 

Beck Anxiety Inventory 

 Description
Name of QuestionnaireBeck Anxiety Inventory
Abbreviation/Alternate NameBAI
Description:Most appropriate as a screening tool for anxiety rather than a diagnostic instrument. 1,2
DeveloperBeck A et al. 1988
E-mailNot available
CostFrom £114.50
License required"Beck Anxiety Inventory," and "BAI" are registered trademark(s) in the U.S. and/or other countries, of Pearson Education, Inc., or its affiliate(s).
License can be obtained here: https://www.pearsonclinical.co.uk/en-gb/Store/Professional-Assessments/Personality-%26-Biopsychosocial/Brief/Beck-Anxiety-Inventory/p/P100009033 
Self-or rater-administeredSelf-administered or interviewer
Time to complete5-10 minutes
Number of items21
Domains & categories (#)1
Name of domains/ categoriesAnxiety symptoms including both subjective and somatic dimensions. 1,2
Scaling of items0-3
ScoringScore Total Score   = 63 (high scores correspond to severe anxiety) 1
Cutoff score BAI > 16 Probable clinically relevant anxiety symptoms 1,2
Test-retest/ reproducibilityInternal consistency α = ICC=0.92 1
Test-retest reliability (1 week) = 0.75 1
ValidityContent 1  
Convergent 1,3
Concurrent. 4,5  Moderately correlated with the revised Hamilton Anxiety Rating Scale (0.51) and mildly correlated with the Hamilton Depression Rating Scale (0.25). 2
Discriminant 4
Responsiveness to PRIn a couple of studies of the effect of PR on anxiety symptoms measured with BAI, the decrease was not significant. 6,7 Other studies, however, found significant effects of PR on the BAI both at short 8,9 and long term (24 months’ follow up) 8
MIDNo established minimal important difference has been consistently defined for the BAI
Languages Translated into 20 or more languages 
References1.     Beck, A.T et al. Journal of Consulting and Clinical Psychology. 1998, 56,893-897.
2.     Osman, A., et al. Journal of Psychopathology and Behavioral Assessment,  1993 ; 15 (4), 287–297. 
3. Dozois DJ, et al. Psychol Assess 1998;10:83
4.        Phan T, et al. J Psychom R 2019;120:60-65.
5.       Phan T, et al. Chron Respir Disease 2016;13:220-228.
6.       Pirraglia P A et al. J Psychosom Res. 2011; 71: 45-49
7.       De Souza, R M et al. Int J Sports Exercise Med. 2017; 3: 061.
8.       De Godoy, R F et al.. J Bras Pneumol. 2009; 35.
9.       Tavares, C M R et al. EC Psychology and Psychiatry 2020; 9: 53-60.
Date information on this outcome was updated May, 2026

 

 

Breathlessness Beliefs Questionnaire

 Description
Name of QuestionnaireBreathlessness Beliefs Questionnaire 1
Abbreviation/Alternate NameBBQ
Description:Evaluates breathlessness beliefs and dyspnoea-related anxiety.
DeveloperGiardino ND et al. 2004   (original) 1
E-mailsteven.depeuter@psy.kuleuven.be 
ModificationsReduction from 17 items to 11 items
CostFree
License requiredNo 
Self-or rater-administeredSelf-reported
Time to complete (minutes)7-May
Number of items11
Domains & categories 2 domains 
Name of domains/categoriesSomatic Focus (BBQ-SF); Activity Avoidance (BBQ-AA).
Scaling of items5-point 1 (“strongly disagree”) -5 (“strongly agree”) Likert scale.
ScoringThe 11-item version has 2 total scores for Somatic Focus (BBQ-SF, 5 items) and Activity Avoidance (BBQ-AA, 6 items). Higher scores suggest increased perceived level of breathlessness (and a signal to engage in avoidance activities such as exercising).
Test-retest/reproducibilityTest-retest
over 2-weeks: r = 0.80 3  
ICC 0.96-0.98 and 0.97-0.98 5
BBQ-SSc over 1 week, ICC 0.83, 95% CI:0.702-0.907 2
Internal consistency :
α = 0.85, 3 0.82, 5 0.78 5
BBQ-SSc, α = 0.86 2
ValidityBBQ 2 significant associations with functional status, emotional distress, and health-related quality of life, supporting its construct and convergent validity.
Correlation with HADS r=0.39 5  
Responsiveness to PRReduction in scores post PR, particularly on BBQ-AA 6
MIDNot available. 
LanguagesTranslated into English, Dutch, Chinese and Turkish.
References1.   Giardino ND et al. Society for Behavioral Med Annual Meeting, Baltimore, MD 2004. 
2.   De Peuter S et al. Chron Respir Dis. 2001; 8:11-19.
3.   Janssens T et al. Chest. 2011; 140:618–625.
4.   Wu Q et al. Chron Respir Dis. 2018; 15:114-122. 
5.   Gurses HN et al. Physiother Theory Pract. 2023; 39:834-839.
6.   Janssens T et al. Chest. 2011; 140: 618–625. 
Date information on this outcome was updated July, 2026

Breathlessness Catastrophizing Scale

 Description
Name of QuestionnaireBreathlessness catastrophizing Scale 1
Abbreviation/Alternate NameBCS
Description:Adapted from the Pain Catastrophizing Scale, scale measures maladaptive catastrophic thoughts related to breathlessness, reflecting cognitive-emotional responses that are associated with anxiety, fear, distress and avoidance behaviours.
DeveloperBK Soloman et al. 
E-mailbrahm.solomon@gmail.com 
CostFree
License requiredN/A
Self-or rater-administeredSelf-administered
Time to complete5-10 minutes 1
Number of items13
Domains & categories (#)NA
Name of domains/ categoriesNA
Scaling of items5-point scale 0=not at all, 4= all the time. 
ScoringTotal=sum of 13 items. Range from 0-52 (52 more severe). 
Test-retest/ reproducibilityInternal consistency Cronbach’s α 0.96 2
ValidityContent validity demonstrated with item-level ICC values >0.69 2
Evidence of convergent validity through significant associations with anxiety sensitivity, depressive symptoms (Beck Depression Inventory), and COPD self-efficacy 2
Lack of association with physical performance measures (e.g. 6MWT, non-stop walk test and stair climbing tests) 2
Responsiveness to PRSignificant reductions in BCS scores following pulmonary rehabilitation have been reported (mean change −6.14; p<0.01) 1
Improvements in breathlessness catastrophizing occurred alongside improvements in depressive symptoms (BDI-II, PHQ-9), self-efficacy, and exercise capacity 1  
MIDNA
LanguagesEnglish
References1. Ong WJ et al. Clin Rheumatol. 2021; 40:295-301.
2. Solomon BK et al. J Psychosom Res. 2015; 79:62-68.
Date information on this outcome was updated July, 2026

COPD Anxiety Questionnaire -Revised

 Description  
Name of Questionnaire/InstrumentCOPD Anxiety Questionnaire - Revised 1  
Abbreviation/Alternate NameCAF-R  
Description:A 20 item questionnaire to assess disease-related anxiety in COPD.  
DeveloperKeil building on original CAF 2  
E-maildaniel.keil@uni-marburg.de  
CostNo cost 2  
  
License requiredPlease contact authors / developers for permission to use the questionnaire.  
Self-or rater-administeredSelf administered  
Time to complete (minutes)5-10 minutes  
Number of items20 items  
Domains & categories 5 domains   
Name of domains/categoriesFear of social isolation, Fear of dyspnea, Fear of physical activity, Fear of progression, Sleep-related worries.  
Materials/equipment needed*Can be paper or computer administered  
Scaling of items5-point Likert scale (0-4 – never to always)   
ScoringScores are totalled and range from 0 (low anxiety) -80 (high anxiety).  
ModificationsSuperseded versions: CAF 2 ,  
Changes included: reduction from 27 to 20 items,  Original CAF published in German but not data on responsiveness in PR   
Test-retest/reproducibilityModerate to high reliability (Cronbach’s α ranging from 0.78 to 0.87).  1  
ValidityConstruct:  
Item-total correlations for the scales were assessed and ranged from 0.47 (FPA) to 0.82 (FP), showing adequate selectivity. 1  
   
Convergent / divergent validity:   
Moderate to high correlations to disease-related fears ( r  = 0.31–0.61). 1  
Correlations with discriminant constructs were generally lower ( r  = −0.15 to 0.34). An exception was a higher correlation between PHQ-15 and sleep-related worries ( r  = 0.47). 1  
Responsiveness to PRResponsive to change in PR (Cohen’s d= 0.32) 3,4  
MIDMID not yet reported 3    
LanguagesThe CAF-R has been translated into  Danish, 5 Chinese 6 (25 items, 6 factor solution) and Brazilian 7  
References1.     Keil DC et al. Chronic Respiratory Disease. 2014;11(1):31-40. doi:10.1177/1479972313516881   
2.     Kuhl, K et al. Psychother.Pschosom. Med. Psychol. 2011; 61.   
3.     Farver-Vestergaard I et al, Front Rehabil Sci. 2024 Aug 7;5:1428893.  
4.     Farver-Vestergaard I et al  Front. Psychol. 2022. 13:907939.  
5.    Miao, X et al. International Journal of COPD. 2024;19:1047-1060.   
Date information on this outcome was updated July, 2026  

Depression Anxiety Stress Scale-21

 Description
Name of QuestionnaireDepression Anxiety Stress Scale
Abbreviation/Alternate NameDASS-42, DASS-21©
Description:Measure of depression, anxiety and stress both in general population, and respiratory diseases. Not intended to be used as a diagnostic instrument. 2
ModificationsOriginal 42 items, 1 reduced to 21 items (most commonly in use)
DeveloperLovibond SH and Lovibond PF 1
E-mailhttps://www2.psy.unsw.edu.au/groups/dass/
CostManual $55.00 USD. “…scales may not be modified or sold for profit.”
License requiredCopyrighted DASS-21© Lovibond SH and Lovibond PF.
Self-or rater-administeredSelf-administered 
Time to complete (mins)10-May
Number of items21 (7 items in each domain)
Domains & categories (#)3-Depression, Anxiety, and Stress
Name of domains/categoriesDepressive symptoms (DASS-D), anxiety symptoms (DASS-A) and stress symptoms (DASS-S)
Scaling of items4-point Likert Scale from 0-3 (does not apply to them to does apply). Higher scores reflect more symptomatology. 
Scoring0-21 per subscale (scores multiplied by two making them comparable to the original DASS-42 scoring system) 1 . Range 0-126.
Clinically relevant levels in COPD 3
≥9 DASS-D 
>7 DASS-A 
>14 DASS-S 
Test-retest/reproducibilityICC=0.94 1  
Internal consistencies α=0.91 for depression, 0.80 anxiety, 0.84 stress. 1
ValidityContent, 1 Convergent, 4,5 Divergent, 1,4
Responsiveness to PRDASS-S 3,6 
MID3.6 on DASS-A 6
5.4 on DASS-D score of >9 at baseline 6
LanguagesTranslated into several languages
References1.     Lovibond SH and Lovibond PF (1995). Manual for the Depression Anxiety Stress Scales. Sydney, Psychology Foundation.
2.     Osman A et al. J of Clin Psych. 2012; 68: 1322-1338.
3.     Yohannes AM et al. Respir Med. 2022; 197:106850.
4.     Norton PJ. Anxiety Stress and Coping. 2007; 20:253-265.
5.     Sinclair SJ et al. Eval Health Prof. 2012; 35:259-279.
6.     Yohannes AM et al. Chest. 2019; 155:1166-1177. 
Date information on this outcome was updated February, 2026

General Anxiety Disorder Questionnaire

 Description
Name of Questionnaire/InstrumentGeneral Anxiety Disorder-7 1
Abbreviation/Alternate NameGAD-7
Description:Screening tool for generalized anxiety disorder (GAD) and assesses severity of symptoms 1
DeveloperSpitzer RL et al 1
E-mailRLS8@Columbia.edu or obtain copy at https://www.phqscreeners.com/select-screener
CostNone 
License requiredNo 
Self-or rater-administeredSelf administered
Time to complete (minutes)3
Number of items7
Domains & categories 1
Name of domains/categoriesAnxiety
Materials/equipment needed*Paper or computer administered
Scaling of items0-3 (0=not at all to 3=nearly every day)
ScoringTotal Score = 0-21 (higher scores, more severe anxiety symptoms) 
≥ 10= probable case of GAD 1
Grading of symptom level 1
>5= no anxiety
5-9= mild 
10-14= moderate
15-21= severe 
Test-retest/reproducibilityICC=0.83,    Internal consistency α= 0.92 1  
COPD ICC=0.70, Internal consistency α=0.89 2
ValidityContent, 1,2  Convergent, 1,2  Concurrent 1,2
Responsiveness to PRYes 3,4,5
MIDCOPD 2 points 2  
LanguagesTranslated into several langauges
References1.    Spitzer RL et al. JAMA Intern Med. 2006; 166:1092-1097.
2.    Baker A et al. Ann Am Thorac Soc.  2018; 15: 926-934.
3.   Reijnders T et al. RespirMed. 2019;146:87-95.
4.   Shi XY et al. Medicine. 2024; 103: e37778.
5.   Alsubheen S et al. Can J Respir Crit Care Sleep Med. 2024; 8:245-253.
Date information on this outcome was updated February, 2026

Hamilton Anxiety Rating Scale 

 Description
Name of QuestionnaireHamilton Anxiety Rating Scale 1
Abbreviation/Alternate NameHAM-A, HARS-A
Description:Assesses severity of anxiety symptoms in individuals who have already been diagnosed with an anxiety disorder. 1
DeveloperMax Hamilton, MD (1959)
E-mailNot available
CostMay involve fees depending on distributor and language version.
License required Copyrighted managed by Mapi Research Trust. https://eprovide.mapi-trust.org/instruments/hamilton-anxiety-scale  
Self-or rater-administeredClinician-rated:  Administrator must be experienced in clinical psychopathology. 
Time to complete (minutes)10-15 minutes
Number of items14
Domains & categories 3
Name of domains/categories·      Global 
·      Psychic anxiety (mental agitation and psychological distress)
·      Somatic anxiety (physical complaints related to anxiety)
Scaling of items5 point Likert scale (0-4) from no symptoms (0) to very severe (4). 2
ScoringTotal score = 0 to 56, higher scores indicating worse severity.
Clinical cut-off for grading of symptom severity have been reported. 3  
Mild severity: <17
Mild to moderate severity: 18-24
Moderate to severe: 25-30 
Test-retest/reproducibilityInternal Consistency:  those with and without generalized anxiety disorder: 0.85 4
Inter-rater reliability
-    0.74-0.96 2
-    Patients with/without generalized anxiety disorder: 0.86 (ICC) 4
Test-retest: Patients with/without generalized anxiety disorder: 0.98 (ICC) 4
ValidityConstruct validity (Concurrent validity)
-    Correlated to Covi Anxiety Scale (r=0.63) 5
-    Correlated to Beck’s Anxiety Inventory (r=0.53) 4
Sensitivity to change
-    PR patients with COPD had decreased HAM-A scores following 2 months of PR compared to no PR. 6
Responsiveness to PRDecreased HAM-A scores following 2 months of treatment compared to controls (<.05) . 6
MIDNot available. 
Languages14 languages. 
References1.     Hamilton M. Br J Med Psychol 1959; 32:50–55.
2.     Bruss GS et al. Psychiatry Research 1994; 53:191-202.
3.     Thompson E. Occupational Med 2015; 65:601.
4.     Shear MK et al. Depression & Anxiety 2001;13:166-178.
5.     Maier W, et al. J Affect Disord 1988; 14:61–68.
6.     Kayahan B. Respir Med 2006; 100:1050-1057.
Date information on this outcome was updated July, 2026

Hamilton Depression Rating Scale

 Description
Name of Questionnaire/InstrumentHamilton Depression Rating Scale 1
Abbreviation/Alternate NameHAM-D or HDRS
Description:Assesses the severity of depressive symptoms based on the patient's clinical status at the time of assessment. 1, 2, 3  
DeveloperMax Hamilton
E-mailNot available.
CostNone
License requiredNo 
ModificationsSeveral versions are available 4 , ranging from 6 to 29 items. The 17-item version (HAM-D-17/HDRS-17) is the most widely used.
Self-or rater-administeredClinician administered; interviewer training is recommended. 
Time to complete (minutes)15-20
Number of items6-29 (depending on the version administered) 4, 5 :  
Domains & categories 1
Name of domains/categoriesDepression
Scaling of items9 items are scored on a 0–4 scale; the remaining 8 items are scored on a 0–2 scale.
ScoringHAM-D-17 (most commonly used) total score ranges 0-52. 
Total scores are summed and commonly interpreted according to severity thresholds: 5
0-7= No depression.
8-16= Mild
17-23= Moderate
≥24=Severe 
Test-retest/reproducibilityInter-rater reliability= 0.88-0.98, ICC=0.94. 2
ValidityPsychometric analyses suggest that the 6-item Hamilton Depression subscale (HAM-D6) demonstrated good internal validity, while psychometric analyses suggested that the full 17-item scale was less internally consistent in patients with COPD. 6  
Responsiveness to PRClinically significant alleviation of depression in patients with COPD in some studies 7, 8  while another study did not find a significant effect on measure post PR.  
MID3–5 points 8
LanguagesMultiple languages including French, German, Italian, Thai, and Turkish.
References1.   Hamilton M. J Neurol Neurosurg Psychiat. 1960; 23:56-62.
2.   Bech P et al. Acta Psychiatr Scand. 1975; 51:161-170. 
3.   Bech P et al., Acta Psychiatrica Scandinavica (1981).
4.   Carrozzino D et al., Psychother Psychosom. 2020; 89:133-150
5.   Zimmerman M et al. J Affective Dis. 2013; 150:384-388.
6.   Stage KB et al. Nord J Psychiatry. 2003; 57:297-301. 
7.   Kayahan B et al. Respir Med. 2006; 100:1050-7. 
8.   Hengartner, M. P., & Plöderl, M. BMJ Evidence-Based Medicine. 2022; 27 (2), 69-73.
Date information on this outcome was updated July, 2026

Hospital Anxiety Depression Scale 

 Description
Name of QuestionnaireHospital Anxiety Depression Scale 1
Abbreviation/Alternate NameHADS
Description:Developed to detect probable states of depression (HADS-D) and anxiety (HADS-A) in outpatients. Largely excludes somatic symptoms. Assesses severity of symptoms.
DeveloperZigmond AS and Snaith RP
E-mailNot available 
CostUser fee required. Cost depends on context of use. https://eprovide.mapi-trust.org/instruments/hospital-anxiety-and-depression-scale   
License requiredUK contact: permissions@gl-assessment.co.uk; other countries: https://eprovide.mapi-trust.org.
Self-or rater-administeredSelf-administered
Time to complete (minutes)5
Number of items14
Domains & categories (#)2
Name of domains/categoriesAnxiety and depression
Scaling of itemsFour-point Likert scale (0-3) 
Scoring7 items each HADS-A & HADS-D. Scores range from 0-21.
HADS-D ≥8 elevated depressive symptoms
HADS-A ≥8 elevated anxiety symptoms 
Test-retest/ reproducibilityGeneral population ICC=0.81 1
In COPD ICC (meta-analysis) =0.86-0.90 2
ValidityContent 1
General population internal consistency α=0. 91; 1  
COPD (meta-analysis) α=0.73-0.87 2
Convergent, Concurrent 1,2
Responsiveness to PRYes 3-6
MIDIn COPD 1.5 7
LanguagesAvailable in several languages
References1. Zigmond AS et al. Acta Psychiatr Scand  . 1983; 67:361-170.
2. Nikolovski A et al.   Disab Rehabil.   2024; 46:1230-1238. 
3. von Leupoldt A et al. Chest. 2011; 140:730-736.
4. Wynne SC et al. Chronic Respir Dis. 2020; 7:1-9.
5. Smid et al. J Am Med Dir Assoc.   2017; 18:53-58.
6. Harrison SL et al. Res Med.2012;838-844
7. Puhan MA et al. Health Qual Life Outcomes. 2008; 6:46.
Date information on this outcome was updated July, 2026

Patient Health Questionnaire-9

 Description
Name of QuestionnairePatient Health Questionnaire-9 1 
Abbreviation/Alternate NamePHQ-9
Description:Screens for probable depression (based on the DSM-IV criteria) and monitoring of symptom severity over time. 1
DevelopersKroenke K et al. 
E-mailNot available 
CostNo
License requiredPHQ-9 © 1999 Pfizer inc. www.phqscreeners.com
Self-or rater-administeredSelf- or interviewer-administered
Time to complete (mins)5
Number of items9
Domains & categories (#)1
Name of domains/ categoriesDepressive symptoms
Scaling of itemsLikert scale 0-3 over the last two weeks.
ScoringTotal Score =0-27 (high scores more severe depressive symptoms) 
> 10 clinically relevant depressive symptoms 1,2
Symptom severity: 2
0-4= none
5-9= mild
10-14= moderate
15-19= moderately severe
≥20= severe
COPD ≥7 3
Test-retest/ reproducibilityICC=0.94 1
ValidityContent  
General: internal consistency α=0.91 1
COPD: internal consistency α=0.75 4
Convergent, 4 Concurrent 4,5,6
Responsiveness to PRYes 2,7,8
MID5 points in PR 3  
LanguagesAvailable in numerous languages 
References1.   Kroenke K et al. J Gen Intern Med. 2001; 16:606-13.
2.   Kroenke K et al. Psychiatr Ann. 2013; 32:509-515.
3.   Ubhi et al. BMC Pulm Med. 2025; 25:249.
4.   Drawl KR et al. TeleMed J E Health. 2024; 30:2456-2465.
5.   Liu M et al. J COPD. 2023; 20:144-152.
6.   Liu et al. BMC Psychiatry. 2025; 25: 37.
7.   Reijnders T et al. Respir Med. 2019; 146:87-95.
8.   Schuler M et al. J Affective Disorders. 2018; 232:268-275.
Date information on this outcome was updated July, 2026

Self-Rating Anxiety Scale

 Description
Name of Questionnaire/InstrumentSelf-Rating Anxiety Scale 1,2
Abbreviation/Alternate NameSAS
Description:Developed to measure levels of anxiety in individuals and to screen for the risk of anxiety disorder.
DeveloperWilliam WK Zung, MD
E-mailNot available
Costhttps://eprovide.mapi-trust.org/instruments/zung-self-rating-anxiety-scale   
License requiredCan be obtained via eProvide. https://eprovide.mapi-trust.org/instruments/zung-self-rating-anxiety-scale  
Self-or rater-administeredSelf-administered
Time to complete (minutes)10
Number of items20
Domains & categories 1
Name of domains/categoriesAnxiety
Scaling of items4 point scale (1-4) 
ScoringRange 20-80, higher scores indicating worse anxiety  1,2
Cut-off scores of 36 used in clinical screening 2 and scores of 40 used in research 1
Test-retest/reproducibilityICC=0.82-0.83 1,2
ValidityConcurrent  
Relates to TMAS (Taylor Manifest Anxiety Scale) r=0.30. 
Those diagnosed with an anxiety disorder on ASI (Anxiety Status Inventory) r=0.74. 1
Responsiveness to PRScores reduced post PR for lung cancer. 3
MIDNot available
LanguagesTranslation into multiple languages: https://eprovide.mapi-trust.org/instruments/zung-self-rating-anxiety-scale  
References1.        Zung WWK. Psychosomatics.1971; 12:371–9.
2.        Dunstan D et al. BMC Psychiatr. 2020; 20:90.
3.        Wang Q et al. BMC Pulm Med. 2025; 25:315.
Date information on this outcome was updated July, 2026