Depression screening and treatment recall in male and female coronary artery disease inpatients: Association with symptoms one year later

Abstract Background This study examined whether cardiac inpatients recall depression screening and how it is related to depressive symptoms and treatment one year later. Methods 2635 cardiac inpatients from 11 hospitals completed a survey and were mailed a follow-up survey one year later; both surve...

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Published inHeart & lung Vol. 46; no. 3; pp. 153 - 158
Main Authors Shanmugasegaram, Shamila, PhD, Grace, Sherry L., PhD, FCCS
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.05.2017
Subjects
Aged
Antidepressive Agents - therapeutic use
Cardiovascular
Coronary artery disease
Coronary Artery Disease - complications
Critical Care
Depression
Depression - diagnosis
Depression - drug therapy
Depression - epidemiology
Depressive symptoms
Female
Follow-Up Studies
Humans
Incidence
Inpatients
Male
Mass Screening - methods
Middle Aged
Ontario - epidemiology
Prevalence
Psychiatric Status Rating Scales
Pulmonary/Respiratory
Screening
Severity of Illness Index
Time Factors
Treatment
Screening
Depression
Depressive symptoms
Treatment
Coronary artery disease
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Summary:Abstract Background This study examined whether cardiac inpatients recall depression screening and how it is related to depressive symptoms and treatment one year later. Methods 2635 cardiac inpatients from 11 hospitals completed a survey and were mailed a follow-up survey one year later; both surveys included the BDI-II. Results Of the 1809 (68.7%) retained participants, 513 (30.0%) recalled depression screening. Recall was not significantly related to depressive symptoms at either time point ( P > 0.05). Participants who were recommended antidepressants had higher BDI-II scores than those who were not, both as inpatients ( P < 0.01) and one year later ( P < 0.05). There was no significant change in depressive symptoms over time in patients who received any type of therapy. Conclusion Less than one-third of cardiac inpatients recalled being screened for depression. Recall of screening was not significantly related to depressive symptoms, and use of treatment was related to greater symptoms.
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ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2017.02.002