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The Hospital Anxiety and Depression Scale depression subscale, but not the Beck Depression Inventory-Fast Scale, identifies patients with acute coronary syndrome at elevated risk of 1-year mortality.
Doyle, Frank; McGee, Hannah; De La Harpe, Davida; Shelley, Emer; Conroy, Ronán
<p>This article is available at http://www.jpsychores.com/ or http://www.sciencedirect.com/</p> <p>OBJECTIVE: The objective of this study was to investigate the use of short-form depression scales in assessing 1-year mortality risk in a national sample of patients with acute coronary syndrome (ACS). METHODS: Patients with ACS (N=598) completed either the Hospital Anxiety and Depression Scale depression subscale (HADS-D) or the Beck Depression Inventory-Fast Scale (BDI-FS). Their mortality status was assessed at 1 year. RESULTS: Cox proportional hazards modeling showed that patients depressed at baseline (combining HADS-D and BDI-FS depressed cases) were more likely to die within 1 year [hazard ratio (HR)=2.8, 95% CI=1.4-5.7, P=.005], even when controlling for major medical and demographic variables (HR=4.1, 95% CI=1.6-10.3, P=.003). Scoring above the threshold on the HADS-D predicted mortality (HR=4.2, 95% CI=1.8-10.0, P=.001), but scoring above the threshold on the BDI-FS did not (HR=1.8, 95% CI=0.6-5.6, P=.291). CONCLUSION: The HADS-D predicted increased risk of 1-year mortality in patients with ACS.</p>
Keyword(s): Acute Disease; Adult; Aged; 80 and over; Anxiety Disorders; Coronary Disease; Depressive Disorder; Female; Hospitalization; Humans; Male; Middle Aged; Questionnaires; Reproducibility of Results; Risk Factors; Time Factors; Psychology
Publication Date:
2006
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): Doyle F, McGee HM, De La Harpe D, Shelley E, Conroy R. The Hospital Anxiety and Depression Scale depression subscale, but not the Beck Depression Inventory-Fast Scale, identifies patients with acute coronary syndrome at elevated risk of 1-year mortality. Journal of Psychosomatic Research 2006;60(5):461-7.
File Format(s): application/pdf
Related Link(s): http://epubs.rcsi.ie/psycholart/15
First Indexed: 2015-07-31 15:35:05 Last Updated: 2018-02-13 07:21:34