The Center for Epidemiologic Studies Depression Scale is an adequate screening instrument for depression and anxiety disorder in adults with congential heart disease

• Published in: Health and quality of life outcomes Vol. 15; no. 1; p. 176
• Main Authors: Moon, Ju Ryoung, Huh, June, Song, Jinyoung, Kang, I-Seok, Park, Seung Woo, Chang, Sung-A, Yang, Ji-Hyuk, Jun, Tae-Gook
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 05.09.2017; BioMed Central; BMC
• Subjects: Adult; Adults; Anxiety; Anxiety Disorders - diagnosis; Cardiovascular disease; Care and treatment; Chronic Disease; Congenital diseases; Congenital heart defects; Congenital heart disease; Coronary artery disease; Criteria; Depression; Depression (Mood disorder); Depression - diagnosis; Depressive Disorder, Major - diagnosis; Diagnostic systems; Disorders; Epidemiologic Studies; Epidemiology; Female; Health aspects; Health screening; Heart Defects, Congenital - psychology; Heart diseases; Humans; Male; Mass Screening; Mental depression; Middle Aged; Patients; Psychiatric Status Rating Scales - standards; Quality of Life; Risk factors; ROC Curve; Screening; Sensitivity; Sensitivity and Specificity; Studies; Tabulation; Young adults; Screening; Depression; Anxiety; Congenital heart disease
• ISSN: 1477-7525; 1477-7525
• DOI: 10.1186/s12955-017-0747-0

The Center for Epidemiological Studies Depression Scale (CES-D) is an instrument that is commonly used to screen for depression in patients with chronic disease, but the characteristics of the CES-D in adults with congenital heart disease (CHD) have not yet been studied. The aim of this study was to investigate the criterion validities and the predictive powers of the CES-D for depression and anxiety disorders in adults with CHD. Two hundred patients were screened with the CES-D and secondarily interviewed with a diagnostic instrument, i.e., the Mini International Neuropsychiatric Instrument. The sensitivity and specificity values of the CES-D were calculated by cross-tabulation at different cutoff scores. Receiver operating characteristic (ROC) curves were used to assess the optimal cutoff point for each disorder and to assess the predictive power of the instrument. The CES-D exhibited satisfactory criterion validities for depression and for all combinations of depression and/or anxiety. With a desired sensitivity of at least 80%, the optimal cutoff scores were 18. The predictive power of the CES-D in the patients was best for major depression and dysthymia (area under the ROC curve: 0.92) followed by the score for any combination of depression and/or anxiety (0.88). The use of CES-D to simultaneously screen for both depression and anxiety disorders may be useful in adults with CHD. CESDEP 212. Registered 2 March 2014 (retrospectively registered).