Evidence map›Paper›PMID 42400687›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Agreement between the EQ-5D-5L anxiety/depression dimension and GAD-7/PHQ-9 for psychological distress assessment in patients with hematologic malignancies.

Fenfang Tong, Yue Zhang, Tingting Cheng, Shiyu Wang, Yan Chen, Wei Qin, Yajing Xu

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Fenfang TongDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Yue ZhangDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Tingting ChengDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Shiyu WangDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Yan ChenDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China.
Wei QinDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China. wqin99@csu.edu.cn.
Yajing XuDepartment of Hematology, Xiangya Hospital, Central South University, #87 Xiangya Road, Changsha, Hunan, China. xyyajingxu@csu.edu.cn.

Funding

China Postdoctoral Science Foundation GZC20242050 and 2024M763716Health Development Promotion - Spark Development Project XHJH-0032Hunan Provincial Natural Science Foundation of China 2025JJ60487National Natural Science Foundation of China 81974002Translational Research Grant of NCRCH 2021WWC02
6 · The paper itself

Abstract

backgroundPatients with hematologic malignancies (HMs) often experience psychological distress, significantly impairing health-related quality of life (HRQoL) and deteriorating clinical prognosis. Although the widely used instrument EuroQol 5-Dimension 5-Level (EQ-5D-5L) has been validated in the general population for accurately identifying the psychological symptoms, its performance in HM patients remains unclear. We aimed to investigate whether the EQ-5D-5L questionnaire anxiety/depression (A/D) dimension, when already collected for HRQoL assessment, correlates with anxiety and depression symptoms and may potentially flag patients who may warrant further psychiatric evaluation.

methodsEnrolled HM patients were invited to complete the EQ-5D-5L questionnaire. The anxiety/depression symptoms were additionally assessed using the symptom-specific tools Generalized Anxiety Disorder 7-item scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Spearman correlation analysis was performed to examine the correlation between the EQ-5D-5L A/D dimension and GAD-7/PHQ-9. The sensitivity and specificity of the A/D dimension were evaluated using GAD-7/PHQ-9 as a comparative measure. The associations between patient characteristics and responses on the A/D dimension were explored.

resultsThe A/D dimension exhibited moderate-to-strong correlations with GAD-7 grade (r = 0.607, P < 0.001), PHQ-9 grade (r = 0.579, P < 0.001), and combined GAD-7/PHQ-9 grade (r = 0.603, P < 0.001). For identifying the presence of anxiety/depression, the A/D dimension showed high specificity (94.3-98.6%) but relatively low sensitivity (47.2-60.0%). A subset of patients classified as having anxiety or depression according to the GAD-7/PHQ-9 reported no emotional problems on the A/D dimension. Further analysis revealed that patients with higher education level tended to report lower symptom severity on the A/D dimension.

conclusionsThe EQ-5D-5L A/D dimension showed moderate-to-strong correlation with GAD-7 and PHQ-9 among HM patients. Based on its limited sensitivity but high specificity, it may serve as a supplementary indicator within routine HRQoL assessments rather than a standalone screening tool. Due to the relatively small sample size and exploratory design of our study, further multicenter investigations with larger sample sizes are needed to validate our findings.

Indexed as

AnxietyDepressionHematologic NeoplasmsPsychological DistressQuality of LifeStress, PsychologicalAdultAgedFemaleHumansMaleMiddle AgedPsychometricsSensitivity and SpecificitySurveys and QuestionnairesAnxietyDepressionEQ-5D-5LGAD-7Hematologic malignancyPHQ-9

Identifiers

PMID42400687
PMCPMC13332957

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.