Routine Screening for Depression in Patients With Coronary Heart Disease Never Mind

被引:68
作者
Ziegelstein, Roy C. [1 ]
Thombs, Brett D. [2 ,3 ]
Coyne, James C. [4 ]
de Jonge, Peter [5 ,6 ,7 ]
机构
[1] Johns Hopkins Univ, Dept Med, Sch Med, Johns Hopkins Bayview Med Ctr, Baltimore, MD 21224 USA
[2] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[3] Sir Mortimer B Davis Jewish Hosp, Montreal, PQ H3T 1E2, Canada
[4] Univ Penn, Sch Med, Dept Psychiat, Philadelphia, PA 19104 USA
[5] Univ Groningen, Interdisciplinary Ctr Psychiat Epidemiol, Dept Psychiat, Univ Med Ctr Groningen, Groningen, Netherlands
[6] Univ Groningen, Interdisciplinary Ctr Psychiat Epidemiol, Dept Internal Med, Univ Med Ctr Groningen, Groningen, Netherlands
[7] Tilburg Univ, CoRPS Ctr Res Psychol Somat Dis, Dept Med Psychol, NL-5000 LE Tilburg, Netherlands
基金
英国医学研究理事会; 加拿大健康研究院;
关键词
depression; screening; guidelines; PRIMARY-CARE; ANTIDEPRESSANT TREATMENT; PERCEIVED STIGMA; ADEQUACY; ASSOCIATION; COMORBIDITY; POPULATION; GUIDELINES; DISORDERS; PREDICTOR;
D O I
10.1016/j.jacc.2009.01.082
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A recent Science Advisory from the American Heart Association (AHA) recommended routine screening of all patients with coronary heart disease (CHD) for depression. The authors of the advisory noted that the high prevalence of depression in patients with CHD supports this strategy. A systematic review of the evidence on depression screening and treatment in CHD patients published soon after the AHA advisory found that screening tools for major depression are reasonably accurate among patients with CHD, but that the majority of patients who screen positive will not have major depression; that depression treatment in CHD patients only accounts for a small amount of variance in depression symptom change scores; and that there is no evidence that screening for depression improves CHD outcomes. We call for the AHA to reassess their recommendations in light of this systematic review and considering the potential impact of their document on clinical practice. (J Am Coll Cardiol 2009; 54:886-90) (C) 2009 by the American College of Cardiology Foundation
引用
收藏
页码:886 / 890
页数:5
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