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Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients.
J Psychosom Res. 2012 Jan; 72(1):22-5.JP

Abstract

OBJECTIVE

We evaluated the internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-II (BDI-II) for screening of major depressive episodes (MDE) in coronary artery disease (CAD) patients undergoing rehabilitation.

METHODS

Five-hundred and twenty-two consecutive CAD patients (72% men; mean age 58±9 years) attending a rehabilitation program 2 weeks after inpatient treatment for acute ischemic cardiac events completed the HADS depression subscale (HADS-D), HADS anxiety subscale (HADS-A) and the BDI-II. Interview outcome using the Mini International Neuropsychiatric Interview (MINI) for current MDE according to the DSM-IV-TR criteria was considered as the gold standard.

RESULTS

Fifty-six (11%) patients had a current MDE. The HADS-D, HADS-A, HADS-total and BDI-II had high internal consistency. Area under the ROC curve was the highest for the BDI-II followed by the HADS. Optimal cut-off values for screening of MDE were ≥5 for the HADS-D, ≥8 for the HADS-A and ≥14 for the HADS-total and for the BDI-II. At optimal cut-off values the BDI-II had slightly superior psychometric properties when compared to the HADS. However, positive predictive values were low for the HADS and for the BDI-II.

CONCLUSIONS

In CAD patients undergoing rehabilitation, the HADS and BDI-II had high internal consistency. Screening for MDE at optimal cut-off values the BDI-II was slightly superior when compared to the HADS. Positive predictive values for the BDI-II and for the HADS were low indicating that a large proportion of patients with positive screening results did not meet criteria for MDE.

Authors+Show Affiliations

Institute of Psychophysiology and Rehabilitation, Lithuanian University of Health Sciences, Palanga, Lithuania. a.bunevicius@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22200518

Citation

Bunevicius, Adomas, et al. "Diagnostic Accuracy of Self-rating Scales for Screening of Depression in Coronary Artery Disease Patients." Journal of Psychosomatic Research, vol. 72, no. 1, 2012, pp. 22-5.
Bunevicius A, Staniute M, Brozaitiene J, et al. Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients. J Psychosom Res. 2012;72(1):22-5.
Bunevicius, A., Staniute, M., Brozaitiene, J., & Bunevicius, R. (2012). Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients. Journal of Psychosomatic Research, 72(1), 22-5. https://doi.org/10.1016/j.jpsychores.2011.10.006
Bunevicius A, et al. Diagnostic Accuracy of Self-rating Scales for Screening of Depression in Coronary Artery Disease Patients. J Psychosom Res. 2012;72(1):22-5. PubMed PMID: 22200518.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients. AU - Bunevicius,Adomas, AU - Staniute,Margarita, AU - Brozaitiene,Julija, AU - Bunevicius,Robertas, Y1 - 2011/11/30/ PY - 2011/06/26/received PY - 2011/10/10/revised PY - 2011/10/27/accepted PY - 2011/12/28/entrez PY - 2011/12/28/pubmed PY - 2012/5/5/medline SP - 22 EP - 5 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 72 IS - 1 N2 - OBJECTIVE: We evaluated the internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-II (BDI-II) for screening of major depressive episodes (MDE) in coronary artery disease (CAD) patients undergoing rehabilitation. METHODS: Five-hundred and twenty-two consecutive CAD patients (72% men; mean age 58±9 years) attending a rehabilitation program 2 weeks after inpatient treatment for acute ischemic cardiac events completed the HADS depression subscale (HADS-D), HADS anxiety subscale (HADS-A) and the BDI-II. Interview outcome using the Mini International Neuropsychiatric Interview (MINI) for current MDE according to the DSM-IV-TR criteria was considered as the gold standard. RESULTS: Fifty-six (11%) patients had a current MDE. The HADS-D, HADS-A, HADS-total and BDI-II had high internal consistency. Area under the ROC curve was the highest for the BDI-II followed by the HADS. Optimal cut-off values for screening of MDE were ≥5 for the HADS-D, ≥8 for the HADS-A and ≥14 for the HADS-total and for the BDI-II. At optimal cut-off values the BDI-II had slightly superior psychometric properties when compared to the HADS. However, positive predictive values were low for the HADS and for the BDI-II. CONCLUSIONS: In CAD patients undergoing rehabilitation, the HADS and BDI-II had high internal consistency. Screening for MDE at optimal cut-off values the BDI-II was slightly superior when compared to the HADS. Positive predictive values for the BDI-II and for the HADS were low indicating that a large proportion of patients with positive screening results did not meet criteria for MDE. SN - 1879-1360 UR - https://www.unboundmedicine.com/medline/citation/22200518/Diagnostic_accuracy_of_self_rating_scales_for_screening_of_depression_in_coronary_artery_disease_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(11)00274-1 DB - PRIME DP - Unbound Medicine ER -