Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study
Depression and anxiety disorders are common among cardiovascular disease (CVD) populations, leading several cardiology societies to recommend routine screening to streamline psychological interventions. However, it remains poorly understood whether routine screening in CVD populations identifies the...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-12-01
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| Series: | Frontiers in Psychology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2019.02829/full |
| _version_ | 1818023673951420416 |
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| author | Megan Grech Megan Grech Deborah A. Turnbull Deborah A. Turnbull Gary A. Wittert Phillip J. Tully the CHAMPS Investigators John D. Horowitz John F. Beltrame Alison Barrett Nathan Harrison Christopher Bean John F. Beltrame Terina Selkow Libby Markwick Bernhard T. Baune Harald Baumeister Shannon Sauer-Zavala |
| author_facet | Megan Grech Megan Grech Deborah A. Turnbull Deborah A. Turnbull Gary A. Wittert Phillip J. Tully the CHAMPS Investigators John D. Horowitz John F. Beltrame Alison Barrett Nathan Harrison Christopher Bean John F. Beltrame Terina Selkow Libby Markwick Bernhard T. Baune Harald Baumeister Shannon Sauer-Zavala |
| author_sort | Megan Grech |
| collection | DOAJ |
| description | Depression and anxiety disorders are common among cardiovascular disease (CVD) populations, leading several cardiology societies to recommend routine screening to streamline psychological interventions. However, it remains poorly understood whether routine screening in CVD populations identifies the broader groups of disorders that cluster together within individuals, known as anxious-misery and fear. This study examines the screening utility of four anxiety and depression questionnaires to identify the two internalizing disorder clusters; anxious-misery and fear. Patients with a recent hospital admission for CVD (n = 85, 69.4% males) underwent a structured clinical interview with the MINI International Neuropsychiatric Interview. The participants also completed the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7) scale, Overall Anxiety Severity Impairment Scale (OASIS), and the stress subscale of the Depression Anxiety Stress Scale (DASS). The PHQ-9 and the GAD-7 yielded appropriate screening properties to detect three different iterations of the anxious-misery cluster (sensitivity >80.95% and specificity >82.81%). The GAD-7 was the only instrument to display favorable screening properties to detect a fear cluster omitting post-traumatic stress disorder (PTSD) but including obsessive-compulsive disorder (OCD; sensitivity 81.25%, specificity 76.81%). These findings indicate that the PHQ-9 and GAD-7 could be implemented to reliably screen for anxious-misery disorders among CVD in-patients, however, the receiver operating characteristics (ROC) to detect fear disorders were contingent on the placement of PTSD and OCD within clusters. The findings are discussed in relation to routine screening guidelines in CVD populations and contemporary understandings of the internalizing disorders. |
| first_indexed | 2024-12-10T03:48:04Z |
| format | Article |
| id | doaj.art-969a2b416b244f03aa8e98f574490d3a |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-10T03:48:04Z |
| publishDate | 2019-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-969a2b416b244f03aa8e98f574490d3a2022-12-22T02:03:22ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-12-011010.3389/fpsyg.2019.02829483754Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics StudyMegan Grech0Megan Grech1Deborah A. Turnbull2Deborah A. Turnbull3Gary A. Wittert4Phillip J. Tully5the CHAMPS InvestigatorsJohn D. HorowitzJohn F. BeltrameAlison BarrettNathan HarrisonChristopher BeanJohn F. BeltrameTerina SelkowLibby MarkwickBernhard T. BauneHarald BaumeisterShannon Sauer-ZavalaSchool of Psychology, The University of Adelaide, Adelaide, SA, AustraliaFreemasons Foundation Centre for Men’s Health, School of Medicine, The University of Adelaide, Adelaide, SA, AustraliaSchool of Psychology, The University of Adelaide, Adelaide, SA, AustraliaFreemasons Foundation Centre for Men’s Health, School of Medicine, The University of Adelaide, Adelaide, SA, AustraliaFreemasons Foundation Centre for Men’s Health, School of Medicine, The University of Adelaide, Adelaide, SA, AustraliaFreemasons Foundation Centre for Men’s Health, School of Medicine, The University of Adelaide, Adelaide, SA, AustraliaDepression and anxiety disorders are common among cardiovascular disease (CVD) populations, leading several cardiology societies to recommend routine screening to streamline psychological interventions. However, it remains poorly understood whether routine screening in CVD populations identifies the broader groups of disorders that cluster together within individuals, known as anxious-misery and fear. This study examines the screening utility of four anxiety and depression questionnaires to identify the two internalizing disorder clusters; anxious-misery and fear. Patients with a recent hospital admission for CVD (n = 85, 69.4% males) underwent a structured clinical interview with the MINI International Neuropsychiatric Interview. The participants also completed the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7) scale, Overall Anxiety Severity Impairment Scale (OASIS), and the stress subscale of the Depression Anxiety Stress Scale (DASS). The PHQ-9 and the GAD-7 yielded appropriate screening properties to detect three different iterations of the anxious-misery cluster (sensitivity >80.95% and specificity >82.81%). The GAD-7 was the only instrument to display favorable screening properties to detect a fear cluster omitting post-traumatic stress disorder (PTSD) but including obsessive-compulsive disorder (OCD; sensitivity 81.25%, specificity 76.81%). These findings indicate that the PHQ-9 and GAD-7 could be implemented to reliably screen for anxious-misery disorders among CVD in-patients, however, the receiver operating characteristics (ROC) to detect fear disorders were contingent on the placement of PTSD and OCD within clusters. The findings are discussed in relation to routine screening guidelines in CVD populations and contemporary understandings of the internalizing disorders.https://www.frontiersin.org/article/10.3389/fpsyg.2019.02829/fulldepressionanxietyinternalizing disordersreceiver operating characteristicscardiovascular diseasepost-traumatic stress disorder |
| spellingShingle | Megan Grech Megan Grech Deborah A. Turnbull Deborah A. Turnbull Gary A. Wittert Phillip J. Tully the CHAMPS Investigators John D. Horowitz John F. Beltrame Alison Barrett Nathan Harrison Christopher Bean John F. Beltrame Terina Selkow Libby Markwick Bernhard T. Baune Harald Baumeister Shannon Sauer-Zavala Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study Frontiers in Psychology depression anxiety internalizing disorders receiver operating characteristics cardiovascular disease post-traumatic stress disorder |
| title | Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study |
| title_full | Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study |
| title_fullStr | Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study |
| title_full_unstemmed | Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study |
| title_short | Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study |
| title_sort | identifying the internalizing disorder clusters among recently hospitalized cardiovascular disease patients a receiver operating characteristics study |
| topic | depression anxiety internalizing disorders receiver operating characteristics cardiovascular disease post-traumatic stress disorder |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2019.02829/full |
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