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Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients

Authors :
Bunevicius, Adomas
Staniute, Margarita
Brozaitiene, Julija
Bunevicius, Robertas
Source :
Journal of Psychosomatic Research. Jan2012, Vol. 72 Issue 1, p22-25. 4p.
Publication Year :
2012

Abstract

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±9years) attending a rehabilitation program 2weeks 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. [Copyright &y& Elsevier]

Details

Language :
English
ISSN :
00223999
Volume :
72
Issue :
1
Database :
Academic Search Index
Journal :
Journal of Psychosomatic Research
Publication Type :
Academic Journal
Accession number :
70044307
Full Text :
https://doi.org/10.1016/j.jpsychores.2011.10.006