ICD-10 or DSM-IV? Anhedonia, fatigue and depressed mood as screening symptoms for diagnosing a current depressive episode in physically ill patients in general hospital

Sibitz, Ingrid; Berger, Peter; Freidl, Marion; Topitz, A.; Krautgartner, Monika; Katschnig, H.

doi:10.1016/j.jad.2010.03.023

Cited by 28 publications

(34 citation statements)

References 43 publications

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“…Compared to those without depression, medical inpatients suffering from depression have longer hospital stays and higher readmission rates. Both factors underline the burden of this affective disorder among CVD patients, including the financial burden[12,40]. Moreover, each hospital admission can represent an acute stressor for those who experience it, raising negative feelings about an individual’s current health state and prognosis, augmenting depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…During hospitalization, depression decreases inpatients’ treatment adherence, increases functional disability and extends hospital length of stay[11,12]. Inpatients with CVD presenting positive screening for depression at discharge have a 2.5 fold increase in relative risk of experiencing a CVD-related hospitalization, even after adjustment for traditional cardiovascular risk factors and measures of disease severity[13].…”

Section: Introductionmentioning

confidence: 99%

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Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

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AIMTo identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD).METHODSThis is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical wards of the University Hospital of the Federal University of Minas Gerais from November 2013 to October 2015. Sociodemographic and clinical data were obtained through a structured interview and medical record review. Depression was assessed by the depression subscale of the Hospital Anxiety and Depression Scale, with scores ≥ 8 considered as positive screening for depression. We used the Fageström Test for Nicotine Dependence to characterize nicotine dependence. For assessing resilience and early-life trauma, we used the raw scores of the Wagnild and Young Resilience Scale and Childhood Trauma Questionnaire, respectively.RESULTSAt endpoint, we included 137 subjects. Thirty-eight (27.7%) subjects presented depressive symptoms and nine (23.7%) of those were receiving antidepressant treatment during hospitalization. The female sex; a lower mean educational level; a greater prevalence of previous suicide attempts; a higher level of pain; a higher prevalence of family antecedents of mental disorders; a lower resilience score; and higher childhood trauma score were the factors significantly associated with screening positive for major depression (P < 0.05). Multivariate analysis demonstrated that the factors independently associated with the depressive symptoms were a higher childhood trauma severity (OR = 1.06; P = 0.004); moderate to severe nicotine dependence (OR = 8.58; P = 0.008); and the number of previous hospital admissions (OR = 1.11; P = 0.034). The obtained logistic model was considered valid, indicating that the three factors together distinguished between having or not depressive symptoms, and correctly classified 74.6% of individuals in the sample.CONCLUSIONOur results demonstrate that inpatients presenting both CVD and a positive screening for depression are more prone to have antecedents of childhood trauma, nicotine dependence and a higher number of previous hospitalizations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

View full text Add to dashboard Cite

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“…Postpartum depression requires the presence of either depressed mood or anhedonia (APA 2013; Sibitz et al 2010). Depressed mood is thought to reflect high negative affect whereas anhedonia reflects low positive affect with evidence that affective states vary by culture and race/ethnicity (Kanazawa et al 2007).…”

Section: Introductionmentioning

confidence: 99%

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Chiu

Sheffield

Hsu

et al. 2017

Arch Womens Ment Health

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The 10-item Edinburgh Postpartum Depression Scale (EPDS) is the most widely used self-report measure of postpartum depression. Although originally described as a one-dimensional measure, the recognition that depressive symptoms may be differentially experienced across cultural and racial/ethnic groups has led to studies examining structural equivalence of the EPDS in different populations. Variation of the factor structure remains understudied across racial/ethnic groups of U.S. women. We examined the factor structure of the EPDS assessed 6 months postpartum in 515 women (29% Black, 53% Hispanic, 18% White) enrolled in an urban Boston longitudinal birth cohort. Exploratory factor analysis (EFA) identified that a three-factor model, including depression, anxiety, and anhedonia subscales, was the most optimal fit in our sample as a whole and across race/ethnicity. Confirmatory factor analysis (CFA) was used to examine the fit of both the two- and three-factor models reported in prior research. CFA confirmed the best fit for a three-factor model, with minimal differences across race/ethnicity. “Things get on top of me” loaded on the anxiety factor among Hispanics, but loaded on the depression factor in Whites and African Americans. These findings suggest that EPDS factor structure may need to be adjusted for diverse samples and warrants further study.

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“…One study has indicated that depressed mood is not reported by a substantial proportion of currently depressed patients with co-morbid physical illness [6]. This raises the possibility that the absence of depressed mood might identify the distinctive clinical features of MDD.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and clinical characteristics of major depressive disorder (MDD) without depressed mood in Koreans with MDD: results from the CRESCEND study

Park

Kim

et al. 2017

Psychiatry and Clinical Psychopharmacology

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Objective: We examined the prevalence and clinical characteristics of patients with major depressive disorder (MDD) without depressed mood, using data from the Clinical Research Center for Depression (CRESCEND) study in South Korea. Methods: Using analysis of covariance for continuous variables and binary logistic regression analysis for discrete variables, the clinical characteristics of MDD patients with and without depressed mood were compared after controlling for the potential effects of gender. To represent the extent of group differences, we computed Cohen's d statistics. Results: Of 1009 MDD patients, only 2.2% were without depressed mood. Compared with those with depressed mood, these patients were characterized by a significantly lower rate of current suicidal ideation (adjust odds ratio = 5.

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ICD-10 or DSM-IV? Anhedonia, fatigue and depressed mood as screening symptoms for diagnosing a current depressive episode in physically ill patients in general hospital

Cited by 28 publications

References 43 publications

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the U.S.

Prevalence and clinical characteristics of major depressive disorder (MDD) without depressed mood in Koreans with MDD: results from the CRESCEND study

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