Methods of Screening for Depression in Outpatients with Heart Failure
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Cardiovascular Sciences (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472018000400414 |
Resumo: | Abstract Background: Depression is a syndromic clinical condition underdiagnosed in patients with heart failure. Several instruments are currently applied to screen for depression. Objective: To determine the prevalence of depression and the agreement among screening methods for depression in patients with heart failure. Methods: Cross-sectional study conducted between March 2015 and January 2017 including 76 outpatients following up at a clinic specialized in heart failure. Depression was screened with the Hamilton Depression Rating Scale (HAM-D), Beck Depression Inventory-II (BDI-II), and Patient Health Questionnaire-9 (PHQ-9). The agreement among the three instruments was analyzed with Fleiss’ kappa coefficient (kF), Krippendorff’s alpha coefficient (Ck) and Cronbach’s alpha coefficient. The accuracy, sensitivity, and specificity, as well as false-positive and false-negative results of the HAM-D and PHQ-9 were calculated considering the BDI-II as the gold-standard instrument in the diagnosis of depression. Results: The prevalence rates of depression were 72.4% (n = 55) with the HAM-D, 67.1% (n = 51) with the BDI-II, and 40.8% (n = 31) with the PHQ-9 scales. The prevalence of depression simultaneously identified by all three instruments was 28.9% (n = 22) and the diagnostic agreement (presence or absence of depression) was 47.4% (n = 36). The analysis revealed a superficial agreement (kF = Ck = 0.27) and moderate consistency ((↓C = 0.602, significantly not null, p = 0.000). Sociodemographic and clinical variables were not risk factors for depression in the evaluated sample. Conclusion: The screening methods analyzed showed agreement and were useful in detecting depression among outpatients with heart failure. |
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International Journal of Cardiovascular Sciences (Online) |
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Methods of Screening for Depression in Outpatients with Heart FailureHeart FailureDepression / diagnosisDepression / prevalenceMedical RecordsSurveys and QuestionnairesCross-Sectional StudiesAbstract Background: Depression is a syndromic clinical condition underdiagnosed in patients with heart failure. Several instruments are currently applied to screen for depression. Objective: To determine the prevalence of depression and the agreement among screening methods for depression in patients with heart failure. Methods: Cross-sectional study conducted between March 2015 and January 2017 including 76 outpatients following up at a clinic specialized in heart failure. Depression was screened with the Hamilton Depression Rating Scale (HAM-D), Beck Depression Inventory-II (BDI-II), and Patient Health Questionnaire-9 (PHQ-9). The agreement among the three instruments was analyzed with Fleiss’ kappa coefficient (kF), Krippendorff’s alpha coefficient (Ck) and Cronbach’s alpha coefficient. The accuracy, sensitivity, and specificity, as well as false-positive and false-negative results of the HAM-D and PHQ-9 were calculated considering the BDI-II as the gold-standard instrument in the diagnosis of depression. Results: The prevalence rates of depression were 72.4% (n = 55) with the HAM-D, 67.1% (n = 51) with the BDI-II, and 40.8% (n = 31) with the PHQ-9 scales. The prevalence of depression simultaneously identified by all three instruments was 28.9% (n = 22) and the diagnostic agreement (presence or absence of depression) was 47.4% (n = 36). The analysis revealed a superficial agreement (kF = Ck = 0.27) and moderate consistency ((↓C = 0.602, significantly not null, p = 0.000). Sociodemographic and clinical variables were not risk factors for depression in the evaluated sample. Conclusion: The screening methods analyzed showed agreement and were useful in detecting depression among outpatients with heart failure.Sociedade Brasileira de Cardiologia2018-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472018000400414International Journal of Cardiovascular Sciences v.31 n.4 2018reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/2359-4802.20180037info:eu-repo/semantics/openAccessGuerra,Thaís de Rezende BessaVenancio,Isabella Cristina DinizPinheiro,Daniel Mählmann de MouraMendlowicz,Mauro VitorCavalcanti,Ana Carla DantasMesquita,Evandro Tinocoeng2018-07-12T00:00:00Zoai:scielo:S2359-56472018000400414Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2018-07-12T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Methods of Screening for Depression in Outpatients with Heart Failure |
title |
Methods of Screening for Depression in Outpatients with Heart Failure |
spellingShingle |
Methods of Screening for Depression in Outpatients with Heart Failure Guerra,Thaís de Rezende Bessa Heart Failure Depression / diagnosis Depression / prevalence Medical Records Surveys and Questionnaires Cross-Sectional Studies |
title_short |
Methods of Screening for Depression in Outpatients with Heart Failure |
title_full |
Methods of Screening for Depression in Outpatients with Heart Failure |
title_fullStr |
Methods of Screening for Depression in Outpatients with Heart Failure |
title_full_unstemmed |
Methods of Screening for Depression in Outpatients with Heart Failure |
title_sort |
Methods of Screening for Depression in Outpatients with Heart Failure |
author |
Guerra,Thaís de Rezende Bessa |
author_facet |
Guerra,Thaís de Rezende Bessa Venancio,Isabella Cristina Diniz Pinheiro,Daniel Mählmann de Moura Mendlowicz,Mauro Vitor Cavalcanti,Ana Carla Dantas Mesquita,Evandro Tinoco |
author_role |
author |
author2 |
Venancio,Isabella Cristina Diniz Pinheiro,Daniel Mählmann de Moura Mendlowicz,Mauro Vitor Cavalcanti,Ana Carla Dantas Mesquita,Evandro Tinoco |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Guerra,Thaís de Rezende Bessa Venancio,Isabella Cristina Diniz Pinheiro,Daniel Mählmann de Moura Mendlowicz,Mauro Vitor Cavalcanti,Ana Carla Dantas Mesquita,Evandro Tinoco |
dc.subject.por.fl_str_mv |
Heart Failure Depression / diagnosis Depression / prevalence Medical Records Surveys and Questionnaires Cross-Sectional Studies |
topic |
Heart Failure Depression / diagnosis Depression / prevalence Medical Records Surveys and Questionnaires Cross-Sectional Studies |
description |
Abstract Background: Depression is a syndromic clinical condition underdiagnosed in patients with heart failure. Several instruments are currently applied to screen for depression. Objective: To determine the prevalence of depression and the agreement among screening methods for depression in patients with heart failure. Methods: Cross-sectional study conducted between March 2015 and January 2017 including 76 outpatients following up at a clinic specialized in heart failure. Depression was screened with the Hamilton Depression Rating Scale (HAM-D), Beck Depression Inventory-II (BDI-II), and Patient Health Questionnaire-9 (PHQ-9). The agreement among the three instruments was analyzed with Fleiss’ kappa coefficient (kF), Krippendorff’s alpha coefficient (Ck) and Cronbach’s alpha coefficient. The accuracy, sensitivity, and specificity, as well as false-positive and false-negative results of the HAM-D and PHQ-9 were calculated considering the BDI-II as the gold-standard instrument in the diagnosis of depression. Results: The prevalence rates of depression were 72.4% (n = 55) with the HAM-D, 67.1% (n = 51) with the BDI-II, and 40.8% (n = 31) with the PHQ-9 scales. The prevalence of depression simultaneously identified by all three instruments was 28.9% (n = 22) and the diagnostic agreement (presence or absence of depression) was 47.4% (n = 36). The analysis revealed a superficial agreement (kF = Ck = 0.27) and moderate consistency ((↓C = 0.602, significantly not null, p = 0.000). Sociodemographic and clinical variables were not risk factors for depression in the evaluated sample. Conclusion: The screening methods analyzed showed agreement and were useful in detecting depression among outpatients with heart failure. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472018000400414 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472018000400414 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/2359-4802.20180037 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
dc.source.none.fl_str_mv |
International Journal of Cardiovascular Sciences v.31 n.4 2018 reponame:International Journal of Cardiovascular Sciences (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
International Journal of Cardiovascular Sciences (Online) |
collection |
International Journal of Cardiovascular Sciences (Online) |
repository.name.fl_str_mv |
International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
tailanerodrigues@cardiol.br||revistaijcs@cardiol.br |
_version_ |
1754732625288757248 |