Document Type

Article

Publication Date

5-1-2006

Keywords

Acute Disease, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Coronary Disease, Depressive Disorder, Female, Hospitalization, Humans, Male, Middle Aged, Questionnaires, Reproducibility of Results, Risk Factors, Time Factors

Comments

This article is available at http://www.jpsychores.com/ or http://www.sciencedirect.com/

Abstract

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.

Disciplines

Psychology

Citation

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.

PubMed ID

16650586

DOI Link

10.1016/j.jpsychores.2005.09.004


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