Cardiac Depression Scale: Mokken scaling in heart failure patients
<p>Abstract</p> <p>Background</p> <p>There is a high prevalence of depression in patients with heart failure (HF) that is associated with worsening prognosis. The value of using a reliable and valid instrument to measure depression in this population is therefore essent...
Principais autores: | , , , , |
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Formato: | Artigo |
Idioma: | English |
Publicado em: |
BMC
2012-11-01
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coleção: | Health and Quality of Life Outcomes |
Assuntos: | |
Acesso em linha: | http://www.hqlo.com/content/10/1/141 |
Resumo: | <p>Abstract</p> <p>Background</p> <p>There is a high prevalence of depression in patients with heart failure (HF) that is associated with worsening prognosis. The value of using a reliable and valid instrument to measure depression in this population is therefore essential. We validated the Cardiac Depression Scale (CDS) in heart failure patients using a model of ordinal unidimensional measurement known as Mokken scaling.</p> <p>Findings</p> <p>We administered in face-to-face interviews the CDS to 603 patients with HF. Data were analysed using Mokken scale analysis. Items of the CDS formed a statistically significant unidimensional Mokken scale of low strength (H<0.40) and high reliability (Rho>0.8).</p> <p>Conclusions</p> <p>The CDS has a hierarchy of items which can be interpreted in terms of the increasingly serious effects of depression occurring as a result of HF. Identifying an appropriate instrument to measure depression in patients with HF allows for early identification and better medical management.</p> |
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ISSN: | 1477-7525 |