Psychometric properties of the Hospital Anxiety and Depression Scale (HADS) in individuals with stable chronic obstructive pulmonary disease (COPD): a systematic review.

The HADS-A is recommended for use in individuals with stable COPD. The lack of high-quality evidence on the validity of the HADS-D and HADS-T prevented drawing robust conclusions about their clinical utility in COPD.Implications for rehabilitationAnxiety and depression are common in individuals with chronic obstructive pulmonary disease (COPD).Anxiety and depression can negatively impact the physical and mental health of individuals with COPD.The HADS can be used to assess anxiety and depression in COPD in rehabilitation settings.