RELIABILITY INDONESIAN VERSION OF THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) OF STROKE PATIENTS IN SANGLAH GENERAL HOSPITAL DENPASAR Rudy, M*, Widyadharma, PE**, Oka Adnyana, IM** Department of Neurology, Faculty of Medicine, Udayana University Sanglah General Hospital Denpasar ABSTRACT Background : Anxiety and depression among general hospital patients are common, which could be much higher than generally assumed. Hospital Anxiety and Depression Scale (HADS) is a tool for identifying anxiety and depression in general hospital patients. HADS has been used in many languages to assess anxiety and depression with good results, but the translation in Indonesian language has not been done before. Objective : To measure Indonesian version of HADS reliability as an instrument for screening anxiety and depression of stroke patients in Sanglah General Hospital Denpasar. Methods : A cross-sectional observational study design. Every inclusion patients have been interviewed by 2 phycicians, with 5 minutes interval using HADS that has been translated in Indonesian language. Reliability, by means inter-rater agreement valuation and analyzed by using Kappa Cohen coefficient. Results : A total of 20 stroke patients as subjects consist of 16 men (80%) and 4 women (20%) with mean age 53,35 + 2,56 years and diagnosis of ischemic stroke 65% (13 cases) and hemorraghic stroke 35% (7 cases) were included in the study. The result of inter-rater agreement (Kappa coefficient) of HADS for anxiety subscale is 0,706 and for depression subscale is 0,681. Conclusion : Indonesian version of HADS showed good reliability with a good inter-rater agreement. Key words: HADS, anxiety, depression, reliability * Resident of Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital Denpasar ** Lecturer of Department of Neurology, Faculty of Medicine, Udayana University/Sanglah General Hospital Denpasar