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Routine screening for depression in patients with coronary heart disease never mind.

Abstract

A recent Science Advisory from the American Heart Association (AHA) recommended routine screening of all patients with coronary heart disease (CHD) for depression. The authors of the advisory noted that the high prevalence of depression in patients with CHD supports this strategy. A systematic review of the evidence on depression screening and treatment in CHD patients published soon after the AHA advisory found that screening tools for major depression are reasonably accurate among patients with CHD, but that the majority of patients who screen positive will not have major depression; that depression treatment in CHD patients only accounts for a small amount of variance in depression symptom change scores; and that there is no evidence that screening for depression improves CHD outcomes. We call for the AHA to reassess their recommendations in light of this systematic review and considering the potential impact of their document on clinical practice.

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  • Authors+Show Affiliations

    ,

    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. rziegel@jhmi.edu

    , ,

    Source

    MeSH

    American Heart Association
    Coronary Disease
    Depression
    Humans
    Practice Guidelines as Topic
    United States

    Pub Type(s)

    Comment
    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    19712796

    Citation

    Ziegelstein, Roy C., et al. "Routine Screening for Depression in Patients With Coronary Heart Disease Never Mind." Journal of the American College of Cardiology, vol. 54, no. 10, 2009, pp. 886-90.
    Ziegelstein RC, Thombs BD, Coyne JC, et al. Routine screening for depression in patients with coronary heart disease never mind. J Am Coll Cardiol. 2009;54(10):886-90.
    Ziegelstein, R. C., Thombs, B. D., Coyne, J. C., & de Jonge, P. (2009). Routine screening for depression in patients with coronary heart disease never mind. Journal of the American College of Cardiology, 54(10), pp. 886-90. doi:10.1016/j.jacc.2009.01.082.
    Ziegelstein RC, et al. Routine Screening for Depression in Patients With Coronary Heart Disease Never Mind. J Am Coll Cardiol. 2009 Sep 1;54(10):886-90. PubMed PMID: 19712796.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Routine screening for depression in patients with coronary heart disease never mind. AU - Ziegelstein,Roy C, AU - Thombs,Brett D, AU - Coyne,James C, AU - de Jonge,Peter, PY - 2008/12/12/received PY - 2009/01/20/revised PY - 2009/01/25/accepted PY - 2009/8/29/entrez PY - 2009/8/29/pubmed PY - 2009/9/24/medline SP - 886 EP - 90 JF - Journal of the American College of Cardiology JO - J. Am. Coll. Cardiol. VL - 54 IS - 10 N2 - A recent Science Advisory from the American Heart Association (AHA) recommended routine screening of all patients with coronary heart disease (CHD) for depression. The authors of the advisory noted that the high prevalence of depression in patients with CHD supports this strategy. A systematic review of the evidence on depression screening and treatment in CHD patients published soon after the AHA advisory found that screening tools for major depression are reasonably accurate among patients with CHD, but that the majority of patients who screen positive will not have major depression; that depression treatment in CHD patients only accounts for a small amount of variance in depression symptom change scores; and that there is no evidence that screening for depression improves CHD outcomes. We call for the AHA to reassess their recommendations in light of this systematic review and considering the potential impact of their document on clinical practice. SN - 1558-3597 UR - https://www.unboundmedicine.com/medline/citation/19712796/Routine_screening_for_depression_in_patients_with_coronary_heart_disease_never_mind_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0735-1097(09)01950-0 DB - PRIME DP - Unbound Medicine ER -