Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS)

<p>Abstract</p> <p>Background</p> <p>While it is recognised that depression is prevalent in Rheumatoid Arthritis (RA), recent studies have also highlighted significant levels of anxiety in RA patients. This study compared two commonly used scales, the Depression Anxiety and Stress Scale (DASS) and the Hospital Anxiety and Depression Scale (HADS), in relation to their measurement range and cut points to consider the relative prevalence of both constructs, and if prevalence rates may be due to scale-specific case definition.</p> <p>Methods</p> <p>Patients meeting the criteria for RA were recruited in Leeds, UK and Sydney, Australia and asked to complete a survey that included both scales. The data was analysed using the Rasch measurement model.</p> <p>Results</p> <p>A total of 169 RA patients were assessed, with a repeat subsample, resulting in 323 cases for analysis. Both scales met Rasch model expectations. Using the 'possible+probable' cut point from the HADS, 58.3% had neither anxiety nor depression; 13.5% had anxiety only; 6.4% depression only and 21.8% had both 'possible+probable' anxiety and depression. Cut points for depression were comparable across the two scales while a lower cut point for anxiety in the DASS was required to equate prevalence.</p> <p>Conclusions</p> <p>This study provides further support for high prevalence of depression and anxiety in RA. It also shows that while these two scales provide a good indication of possible depression and anxiety, the estimates of prevalence so derived could vary, particularly for anxiety. These findings are discussed in terms of comparisons across studies and selection of scales for clinical use.</p

Challenge in the aerospace university classroom

Challenging problems and research have been considered as vital components of Aerospace Engineering curricula. Some Engineering, Computer Science, and Math Courses in American colleges have been analyzed to find positive factors that would be helpful in mutually beneficial cooperation between colleges and industry. The analysis of traditional and modern applications of the course concepts [design of a hypersonic vehicle, nonequilibrium thermodynamics, anisotropic media and liquid crystals, properties of Martian atmospheric gases, non-monotone aerodynamic coefficients of simple-shape bodies, etc.] and ways of collaboration between industry and universities have been discussed. Students ’ “mistakes” have been reviewed allowing to generate new research ideas and numerical algorithms, as well as to discover new physical phenomena. Challenge in the classroom allows motivating students in the analysis of modern engineering concepts, developing strong background and research skills, finding unique solutions of new problems, and preparing students for success and surviving in industrial environment