The predictive power of depression screening procedures for veterans with coronary artery disease
Stewart A Shankman1*, Jeffrey Nadelson2*, Sarah Kate McGowan1, Ali A Sovari2, Mladen I Vidovich21Department of Psychiatry and Psychology, University of Illinois, 2Department of Cardiology, Jesse Brown VA Medical Center, Chicago, IL, USA*These authors contributed equally to this workAbstract: Depress...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2012-04-01
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| Series: | Vascular Health and Risk Management |
| Online Access: | http://www.dovepress.com/the-predictive-power-of-depression-screening-procedures-for-veterans-w-a9708 |
| _version_ | 1811256497182605312 |
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| author | Shankman SA Nadelson J McGowan SK Sovari AA Vidovich MI |
| author_facet | Shankman SA Nadelson J McGowan SK Sovari AA Vidovich MI |
| author_sort | Shankman SA |
| collection | DOAJ |
| description | Stewart A Shankman1*, Jeffrey Nadelson2*, Sarah Kate McGowan1, Ali A Sovari2, Mladen I Vidovich21Department of Psychiatry and Psychology, University of Illinois, 2Department of Cardiology, Jesse Brown VA Medical Center, Chicago, IL, USA*These authors contributed equally to this workAbstract: Depression leads to a worse outcome for patients with coronary artery disease (CAD). Thus, accurately identifying depression in CAD patients is imperative. In many veterans affairs (VA) hospitals, patients are screened for depression once a year using the patient health questionnaire (PHQ-9). Although the PHQ-9 is generally considered a specific and sensitive measure of depression, there is reason to believe that these screening procedures may miss a large number of cases of depression within CAD patients and cardiology patients more generally. The goal of this study was to provide data as to the predictive power of this depression screening procedure by (a) comparing the prevalence rate of depression identified by the PHQ-9 to known prevalence rates and (b) examining whether patients identified as “depressed” also had conditions that consistently co-occur with depression (eg, post-traumatic stress disorder [PTSD], other medical issues). Participants were 813 consecutive patients who received an angiogram in the cardiac catheterization laboratory at a large VA Medical Center. Prevalence of depression was 6.9% in the overall sample and less than 6% when the sample was restricted to CAD patients with significant stenosis. Depression was significantly associated with PTSD, smoking, and alcohol problems. However, depression was not associated with other medical problems such as diabetes, renal failure, peripheral vascular disease, or anemia. In conclusion, the low prevalence rate of depression and lack of associations with comorbid medical problems may suggest that the VA’s depression screening procedures have low sensitivity for identifying depression in CAD patients. It is recommended that clinicians treating CAD regularly screen for depression and do not rely on archival depression screens.Keywords: depression screening, coronary artery disease, PHQ-9, veterans |
| first_indexed | 2024-04-12T17:42:05Z |
| format | Article |
| id | doaj.art-1206d02401b14e469369bac079d448b6 |
| institution | Directory Open Access Journal |
| issn | 1176-6344 1178-2048 |
| language | English |
| last_indexed | 2024-04-12T17:42:05Z |
| publishDate | 2012-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-1206d02401b14e469369bac079d448b62022-12-22T03:22:47ZengDove Medical PressVascular Health and Risk Management1176-63441178-20482012-04-012012default233238The predictive power of depression screening procedures for veterans with coronary artery diseaseShankman SANadelson JMcGowan SKSovari AAVidovich MIStewart A Shankman1*, Jeffrey Nadelson2*, Sarah Kate McGowan1, Ali A Sovari2, Mladen I Vidovich21Department of Psychiatry and Psychology, University of Illinois, 2Department of Cardiology, Jesse Brown VA Medical Center, Chicago, IL, USA*These authors contributed equally to this workAbstract: Depression leads to a worse outcome for patients with coronary artery disease (CAD). Thus, accurately identifying depression in CAD patients is imperative. In many veterans affairs (VA) hospitals, patients are screened for depression once a year using the patient health questionnaire (PHQ-9). Although the PHQ-9 is generally considered a specific and sensitive measure of depression, there is reason to believe that these screening procedures may miss a large number of cases of depression within CAD patients and cardiology patients more generally. The goal of this study was to provide data as to the predictive power of this depression screening procedure by (a) comparing the prevalence rate of depression identified by the PHQ-9 to known prevalence rates and (b) examining whether patients identified as “depressed” also had conditions that consistently co-occur with depression (eg, post-traumatic stress disorder [PTSD], other medical issues). Participants were 813 consecutive patients who received an angiogram in the cardiac catheterization laboratory at a large VA Medical Center. Prevalence of depression was 6.9% in the overall sample and less than 6% when the sample was restricted to CAD patients with significant stenosis. Depression was significantly associated with PTSD, smoking, and alcohol problems. However, depression was not associated with other medical problems such as diabetes, renal failure, peripheral vascular disease, or anemia. In conclusion, the low prevalence rate of depression and lack of associations with comorbid medical problems may suggest that the VA’s depression screening procedures have low sensitivity for identifying depression in CAD patients. It is recommended that clinicians treating CAD regularly screen for depression and do not rely on archival depression screens.Keywords: depression screening, coronary artery disease, PHQ-9, veteranshttp://www.dovepress.com/the-predictive-power-of-depression-screening-procedures-for-veterans-w-a9708 |
| spellingShingle | Shankman SA Nadelson J McGowan SK Sovari AA Vidovich MI The predictive power of depression screening procedures for veterans with coronary artery disease Vascular Health and Risk Management |
| title | The predictive power of depression screening procedures for veterans with coronary artery disease |
| title_full | The predictive power of depression screening procedures for veterans with coronary artery disease |
| title_fullStr | The predictive power of depression screening procedures for veterans with coronary artery disease |
| title_full_unstemmed | The predictive power of depression screening procedures for veterans with coronary artery disease |
| title_short | The predictive power of depression screening procedures for veterans with coronary artery disease |
| title_sort | predictive power of depression screening procedures for veterans with coronary artery disease |
| url | http://www.dovepress.com/the-predictive-power-of-depression-screening-procedures-for-veterans-w-a9708 |
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