The predictive power of depression screening procedures for veterans with coronary artery disease

Vascular Health and Risk Management, 04/18/2012

Shankman SA et al. - The low prevalence rate of depression and lack of associations with comorbid medical problems may suggest that the VA’s depression screening procedures have low sensitivity for identifying depression in coronary artery disease (CAD) patients. It is recommended that clinicians treating CAD regularly screen for depression and do not rely on archival depression screens.

Methods

  • Participants were 813 consecutive patients who received an angiogram in the cardiac catheterization laboratory at a large VA Medical Center.

Results

  • Prevalence of depression was 6.9% in the overall sample and less than 6% when the sample was restricted to CAD patients with significant stenosis.
  • Depression was significantly associated with PTSD, smoking, and alcohol problems.
  • However, depression was not associated with other medical problems such as diabetes, renal failure, peripheral vascular disease, or anemia.

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