An evaluation of two self‐report screening measures for mood in an out‐patient chronic heart failure population

Haworth, Jo; Moniz-Cook, Esmé; Clark, Andrew L.; Wang, M.; Cleland, John G.F.

doi:10.1002/gps.1807

Cited by 45 publications

(53 citation statements)

References 34 publications

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“…A cutoff score of ≥8 on each subscale represents clinically relevant levels of anxiety and depression 26. The HADS has been demonstrated to be a valid screening tool for detecting symptoms of anxiety and depression in HF 27. The internal consistency has been demonstrated previously with Cronbach’s alpha of 0.83 for the anxiety subscale and 0.82 for the depression subscale, respectively 26.…”

Section: Methodsmentioning

confidence: 97%

Symptoms of Anxiety and Cardiac Hospitalizations at 12 Months in Patients with Heart Failure

et al. 2011

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OBJECTIVEHeart failure (HF) is a leading cause of hospitalization. Clinical and socio-demographic factors have been associated with cardiac admissions, but little is known about the role of anxiety. We examined whether symptoms of anxiety were associated with cardiac hospitalizations at 12 months in HF patients.METHODSHF outpatients (N = 237) completed the Hospital Anxiety and Depression Scale (HADS) at baseline (i.e., inclusion into the study). A cutoff ≥8 was used to indicate probable clinical levels of anxiety and depression. At 12 months, a medical chart abstraction was performed to obtain information on cardiac hospitalizations.RESULTSThe prevalence of symptoms of anxiety was 24.9% (59/237), and 27.0% (64/237) of patients were admitted for cardiac reasons at least once during the 12-month follow-up period. Symptoms of anxiety were neither significantly associated with cardiac hospitalizations in univariable logistic analysis [OR = 1.13, 95% CI (0.59–2.17), p = 0.72] nor in multivariable analysis [OR = 0.94, 95% CI (0.38–2.31), p = 0.89]. New York Heart Association (NYHA) functional class III [OR = 3.00, 95% CI (1.08–8.12), p = 0.04] and a history of HF-related hospitalizations [OR = 1.18, 95% CI (1.01–1.38), p = 0.03] were independently associated with 12-month cardiac admissions.CONCLUSIONSThe current study found no significant association between symptoms of anxiety and cardiac hospitalizations at 12 months in HF patients. In contrast, clinical indicators (i.e., NYHA class III and a history of HF-related hospitalizations) were significantly associated with admissions due to a cardiac cause. Future studies are warranted to investigate the importance of symptoms of anxiety in HF using a larger sample size and a longer follow-up duration.

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Section: Methodsmentioning

confidence: 97%

Symptoms of Anxiety and Cardiac Hospitalizations at 12 Months in Patients with Heart Failure

et al. 2011

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“…The Hospital Anxiety and Depression Scale (HADS) [14] was shown to be a reliable depression screening instrument in general practice [15] and in medical patients [16], but yielded conflicting results in CAD patients [17][18][19][20]. The Beck Depression Inventory-II (BDI-II) [21] is widely used in CAD patients, but there are a few studies evaluating the psychometric properties of the BDI-II in stable CAD patients [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients

Bunevičius

Staniūtė

Brožaitienė

et al. 2012

Journal of Psychosomatic Research

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“…Lifestyle classification when compared to: 34,35 The depression subscale consists of seven items, rated on a 4-point Likert scale.…”

Section: Text Boxmentioning

confidence: 99%

Daily Physical Activity in Stable Heart Failure Patients

Dontje

Wal

Stolk

et al. 2014

Journal of Cardiovascular Nursing

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An evaluation of two self‐report screening measures for mood in an out‐patient chronic heart failure population

Abstract: The GDS-15 and HADS are valid screening tools for detecting depression in aged CHF out-patients. However, use of the HADS requires reduced cut-points to ensure that patients with mood disorder are not missed in this population.

Cited by 45 publications

References 34 publications

Symptoms of Anxiety and Cardiac Hospitalizations at 12 Months in Patients with Heart Failure

Symptoms of Anxiety and Cardiac Hospitalizations at 12 Months in Patients with Heart Failure

Diagnostic accuracy of self-rating scales for screening of depression in coronary artery disease patients

Daily Physical Activity in Stable Heart Failure Patients

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