Assessing Depression in Acute Coronary Syndrome Patients (original) (raw)

2008

Abstract

ABSTRACT Background: Depression is a prevalent disorder in patients with acute coronary syndromes (ACS), a recent review has documented use of assessment tools in research settings. This document is intended as a practical guide for primary care clinicians. Aims: To examine the psychometric properties of the instruments utilized to assess depression in patients with ACS in primary care. Methods: We identified studies published between 1990 and 2006 that used standardized validated questionnaires to assess depression. Results: Of the studies reviewed, 85% assessed depression within a week of hospitalization for ACS. Sensitivity ranged from 75% in the Hospital Anxiety Depression Scale to 88% in the Beck Depression Inventory (BDI) and Patient Health Questionnaire (PHQ-9). Specificity ranged from 62 % for the Geriatric Depression Scale to 88% for the PHQ-9. While the BDI was the instrument most frequently used, the PHQ-9 that is a public domain instrument was the questionnaire with the highest sensitivity and specificity. Conclusions: Evaluating depression in patients with ACS in clinical setting is complicated by the lack of uniform criteria in choosing appropriate instruments.

Mayra Tisminetzky hasn't uploaded this paper.

Let Mayra know you want this paper to be uploaded.

Ask for this paper to be uploaded.