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

Screening of depression in cardiac patients: Is the HADS an effective tool?

“…Results of our study suggest that 5 is the best cut-off value for the screening of depression in chronic CAD patients during the hospitalization period, confirming the results found by Bunevicius and colleagues in CAD patients [6]. However, as the authors suggested in their study [6], it seems that this cut-off value cannot be generalized to other CVDs.…”

“…However, as the authors suggested in their study [6], it seems that this cut-off value cannot be generalized to other CVDs. Going further with previous studies, our data showed that the cut-off with the best psychometric properties for ACS inpatients is 6.…”

“…sleep disorders, loss of appetite), which can be related not only to depression, but also to the medical illness itself and that could unjustifiably increase the score, leading to an overestimation of depression. To date, no definitive conclusions have been drawn regarding the best cut-off value for the depressive subscales of the HADS (HADS-D) [6], [7] and [8]. Recently, Bunevicius and colleagues suggested that "5" was the best cut-off for screening for Major Depressive Episodes (MDE) in Coronary Artery Disease (CAD) patients who are undergoing cardiac rehabilitation [6].…”

“…To date, no definitive conclusions have been drawn regarding the best cut-off value for the depressive subscales of the HADS (HADS-D) [6], [7] and [8]. Recently, Bunevicius and colleagues suggested that "5" was the best cut-off for screening for Major Depressive Episodes (MDE) in Coronary Artery Disease (CAD) patients who are undergoing cardiac rehabilitation [6]. In the same study, the fact that was emphasised was that this cut-off value could not be generalized to other cardiac pathologies, such as ACS, given the different clinical features.…”

Diagnostic Accuracy of Screening and Treatment of Post–Acute Coronary Syndrome Depression: A Systematic Review

“…For KQ 1, we identified seven articles [56][57][58][59][60][61][62] representing six studies that examined the accuracy of depression screening instruments or screening strategies in post-ACS patients. One study, Huffman, 2006 was described in two publications: the primary report 58 and a companion paper.…”