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The advisory brought to practice: routine screening on depression (and anxiety) in coronary heart disease; consequences and implications.

Abstract

INTRODUCTION

Following the evidence, the American Heart Association recently published a Science Advisory with the recommendation that patients with Coronary Heart Disease (CHD) should be screened for depressive symptoms and depression. Also the Heart Failure Guidelines recommend routine screening for depressive symptoms. Screening for anxiety was not included in these recommendations, despite findings in literature suggesting that cardiac patients are at risk for high levels of anxiety.

OBJECTIVE

The aim of the current study is to obtain a realistic estimation of the consequences and implications of this advice for clinical practice.

METHOD

Data on anxiety, and depression, need for help, demographics and disease related variables were collected in a cross-sectional study within a 2-month period (July-August 2008) at the cardiac outpatient clinic of the University Medical Center Groningen (The Netherlands).

PATIENTS

Data of 217 patients were analyzed, mean age was 58years (±16) and 62% of the respondents were male.

RESULTS

Of 217 patients, 26% indicated to have depressive symptoms and 42% indicated elevated levels of anxiety. About 35-50% of these patients indicated a moderate to high need for help. The prevalence of anxiety and depression was mainly associated with demographic factors and the occurrence of stressful life events.

CONCLUSION

Routine screening will put an increased demand on psychosocial diagnostics and treatment, therefore the availability of professionals should be guaranteed in advance.

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  • Authors+Show Affiliations

    ,

    Department of Cardiology, University Medical Center Groningen, University of Groningen, The Netherlands. m.l.a.luttik@thorax.umcg.nl

    , ,

    Source

    MeSH

    Adolescent
    Aged
    Aged, 80 and over
    American Heart Association
    Coronary Disease
    Cross-Sectional Studies
    Depressive Disorder
    Female
    Humans
    Male
    Middle Aged
    Netherlands
    Nursing Assessment
    Outpatients
    Practice Guidelines as Topic
    Surveys and Questionnaires
    United States
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    20875772

    Citation

    Luttik, M L A., et al. "The Advisory Brought to Practice: Routine Screening On Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications." European Journal of Cardiovascular Nursing : Journal of the Working Group On Cardiovascular Nursing of the European Society of Cardiology, vol. 10, no. 4, 2011, pp. 228-33.
    Luttik ML, Jaarsma T, Sanderman R, et al. The advisory brought to practice: routine screening on depression (and anxiety) in coronary heart disease; consequences and implications. Eur J Cardiovasc Nurs. 2011;10(4):228-33.
    Luttik, M. L., Jaarsma, T., Sanderman, R., & Fleer, J. (2011). The advisory brought to practice: routine screening on depression (and anxiety) in coronary heart disease; consequences and implications. European Journal of Cardiovascular Nursing : Journal of the Working Group On Cardiovascular Nursing of the European Society of Cardiology, 10(4), pp. 228-33. doi:10.1016/j.ejcnurse.2010.08.005.
    Luttik ML, et al. The Advisory Brought to Practice: Routine Screening On Depression (and Anxiety) in Coronary Heart Disease; Consequences and Implications. Eur J Cardiovasc Nurs. 2011;10(4):228-33. PubMed PMID: 20875772.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The advisory brought to practice: routine screening on depression (and anxiety) in coronary heart disease; consequences and implications. AU - Luttik,M L A, AU - Jaarsma,T, AU - Sanderman,R, AU - Fleer,J, Y1 - 2010/09/27/ PY - 2010/03/16/received PY - 2010/07/05/revised PY - 2010/08/16/accepted PY - 2010/9/30/entrez PY - 2010/9/30/pubmed PY - 2012/2/18/medline SP - 228 EP - 33 JF - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology JO - Eur J Cardiovasc Nurs VL - 10 IS - 4 N2 - INTRODUCTION: Following the evidence, the American Heart Association recently published a Science Advisory with the recommendation that patients with Coronary Heart Disease (CHD) should be screened for depressive symptoms and depression. Also the Heart Failure Guidelines recommend routine screening for depressive symptoms. Screening for anxiety was not included in these recommendations, despite findings in literature suggesting that cardiac patients are at risk for high levels of anxiety. OBJECTIVE: The aim of the current study is to obtain a realistic estimation of the consequences and implications of this advice for clinical practice. METHOD: Data on anxiety, and depression, need for help, demographics and disease related variables were collected in a cross-sectional study within a 2-month period (July-August 2008) at the cardiac outpatient clinic of the University Medical Center Groningen (The Netherlands). PATIENTS: Data of 217 patients were analyzed, mean age was 58years (±16) and 62% of the respondents were male. RESULTS: Of 217 patients, 26% indicated to have depressive symptoms and 42% indicated elevated levels of anxiety. About 35-50% of these patients indicated a moderate to high need for help. The prevalence of anxiety and depression was mainly associated with demographic factors and the occurrence of stressful life events. CONCLUSION: Routine screening will put an increased demand on psychosocial diagnostics and treatment, therefore the availability of professionals should be guaranteed in advance. SN - 1873-1953 UR - https://www.unboundmedicine.com/medline/citation/20875772/The_advisory_brought_to_practice:_routine_screening_on_depression__and_anxiety__in_coronary_heart_disease L2 - http://journals.sagepub.com/doi/full/10.1016/j.ejcnurse.2010.08.005?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -