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HADS (Hospital Anxiety and Depression Scale) PDF Print E-mail

Developed by:
Snaith RP and Zigmond AS (UK)

Objective:
To detect states of anxiety and depression

Copyright:
HADS copyright © R.P. Snaith and A.S. Zigmond, 1983, 1992, 1994. Record form items originally published in Acta Psychiatrica Scandinavica, 67, 361–70, copyright © Munksgaard International Publishers Ltd, Copenhagen, 1983.

Published by GL Assessment Limited, The Chiswick Centre, 414 Chiswick High Road, London W4 5TF, UK. All rights reserved. GL Assessment is part of the Granada Learning Group.

Reference publication:
Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983;67:361-370

Conditions of use:

1. Registration and Licensing with GL Assessment:

The use of the HADS is licensed by GL Assessment.
A license agreement must be completed and a User fee is required.

Please contact:

GL Assessment
FREEPOST LON16517
Swindon
SN2 8BR

Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Website: www.gl-assessment.co.uk

2. Distribution of translations :

MAPI Research Trust has been contracted by GL Assessment, the copyright owner and publisher of the HADS, for the international distribution of the HADS translations.
To receive a copy of the needed translation(s) from MAPI Research Trust, you must first register with GL Assessment.

Then, please provide MAPI Research Trust with a copy of the signed GL Assessment license agreement for the use of the HADS in your project.

Note: The copyright in the German version of the HADS is held by Verlag Hans Huber, Bern, Switzerland. Please consult http://www.testzentrale.de/

    A. Access to existing translations (see also #3 Translation Agreement)

carre6 For existing validated translations: User is required to complete and sign a User Agreement in which specific conditions required by the copyright owner are detailed.

Please contact MAPI Research Trust at This e-mail address is being protected from spambots. You need JavaScript enabled to view it for the list of existing HADS translations (validated or not validated).

carre6 Processing fees for existing validated translation(s): Access to the HADS is subject to the following distribution fees (MAPI Research Trust) and per translation royalty fees (GL Assessment):

- In not-funded academic research (1) and individual clinical practice: free of charge
- In funded academic research (2): 300 €* per study + 50 €* per language version + 50 €* royalty fees per
   language version
- In commercial studies (3) involving "for-profit" organizations: 500 €* per study + 150 €* per language
   version   + 150 €* royalty fee per language version

* excluding VAT

(1) Not funded academic research: if the project is not explicitly funded, but funding comes from overall departmental funds or from the University or individual funds then fees are waived.

(2) Funded academic research: projects receiving funding from commerce, government, EU should anticipate paying the corresponding fees.

(3) Commercial studies (industry, CRO, any for-profit companies).


    B. New Translations or additionnal linguistic validation work on existing translations

The HADS has already been translated into various languages. However, most of the existing translations have not been validated or have not undergone a full linguistic validation process and additional work may be necessary. If not available in the language(s) required, a Linguistic Validation must be undergone.

Please contact MAPI Research Trust at This e-mail address is being protected from spambots. You need JavaScript enabled to view it for list of existing translations (validated or not validated).

Conditions to translate:

To be granted permission to translate the HADS, please complete the HADS Translation Agreement.

The Translation Agreement shall complement the User Agreement.
All HADS translations must be conducted in close collaboration with MAPI Institute in Lyon, France and with GL Assessment who jointly developed translation guidelines to fit the HADS specificities. GL Assessment owns the copyright on any new translation (refer to the User and Translation Agreements for more detailes about conditions of use)

  1. Commercial and/or International studies
    In order to undertake the linguistic validation of the HADS questionnaire, funds are needed to support the whole translation process. Please contact the MAPI Institute at This e-mail address is being protected from spambots. You need JavaScript enabled to view it for an estimate of time and cost to translate/validate the needed version(s).

  2. Academic translations / Not funded research and Evaluation studies
    If funds are not available, HADS translation guidelines will be provided to allow academics and clinicians to use the HADS in their institution.


Review copy:

Original UK English version available for review purpose only. Please click here to access.

Contact information:

MAPI Research Trust
Christelle Berne

27 rue de la Villette
F - 69003 LYON
Tel: +33 4 72 13 65 75
Fax: +33 4 72 13 66 82

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Please have the User Agreement and when applicable the Translation Agreement completed, dated and signed and return one original copy to MAPI Research Trust by post. As soon as we receive them, we will process your request.

More information on HADS on PROQOLID

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