Validation of visual analog scales of mood and anxiety at the workplace

PLoS One. 2024 Dec 31;19(12):e0316159. doi: 10.1371/journal.pone.0316159. eCollection 2024.

Abstract

The Hospital Anxiety and Depression Scale (HADS) is commonly used to detect depressive or anxious states, but its 14-item questionnaire is time-consuming. Visual analog scales (VAS) are easy to use and quick to implement. Although the VAS has been validated to assess pain and occupational stress, VAS scores for anxiety and mood have never been evaluated in the workplace. We aimed to validate the use of visual analog scales (VAS) for anxiety and mood compared to HADS in workers. A HADS self-reported questionnaire associated with VAS assessing perceived anxiety and mood on a horizontal line of 100 mm was administered to 182 workers, with a second test (retest) proposed one week later. Sociodemographic, characteristics of work, sleep, well-being, and stress were also assessed. VAS anxiety and mood correlated with the HADS sub-scores (0.70 and 0.65, respectively). The test-retest reliability was good. Optimal VAS cut-offs were ≥ 60/100 for anxiety and ≤ 60/100 for mood, to define at-risk patients. The VAS is quick to perform, easy to use, and reliable for screening depression and anxiety in occupational medicine. We recommend validated questionnaires for at-risk patients.

Clinicaltrials: gov: NCT02596737. Available at: https://www.

Clinicaltrials: gov/ct2/show/NCT02596737.

Publication types

  • Clinical Study
  • Validation Study

MeSH terms

  • Adult
  • Affect*
  • Anxiety* / diagnosis
  • Anxiety* / psychology
  • Depression / diagnosis
  • Depression / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Self Report
  • Surveys and Questionnaires
  • Visual Analog Scale*
  • Workplace* / psychology

Associated data

  • ClinicalTrials.gov/NCT02596737

Grants and funding

The study is integrally funded by WittyFit (https://www.cegid.com/fr/produits/cegid-wittyfit/), Paris, France. The funding went to FD. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.