Title: | Depression screening after cardiac surgery: A six month longitudinal follow up for cardiac events, hospital readmissions, quality of life and mental health |
Contributor(s): | Tully, Phillip J (author) ; Baumeister, Harald (author); Bennetts, Jayme S (author); Rice, Greg D (author); Baker, Robert A (author) |
Publication Date: | 2016-03-01 |
Early Online Version: | 2016-01-07 |
DOI: | 10.1016/j.ijcard.2016.01.015 |
Handle Link: | https://hdl.handle.net/1959.11/51844 |
Abstract: | | Objectives
To report the 6-month longitudinal outcomes of routine depression screening in cardiac patients.
Methods
Routine depression screening consisted of the Patient Health Questionnaire (PHQ) administered 30-days after cardiac surgery at the Flinders Medical Centre, South Australia. Complete data was obtained on 481 patients who were subdivided into three groups; depressed-cardiac control determined by current anti-depressant use or history of depression in medical records (n = 90), depression screen-positives (PHQ ≥ 10, n = 46) and depression screen-negatives (PHQ ≤ 9, n = 345). These groups were re-assessed at 6 month follow-up for major adverse cardiac events (MACE), hospital readmission, quality of life (SF-12), symptomatic depression, and use of antidepressants, anxiolytics and psychotherapy.
Results
By six-month follow-up the depression screen-positive group was at a higher risk of MACE (adjusted odds ratio [OR] 2.16; 95% confidence interval [CI] .98-4.74). The depression screen-positive group was also at a higher risk of depressed mood (PHQ scores ≥10: adjusted OR 6.54; 95% CI 3.16-13.53). The depression screen-positive group also reported significantly poorer QOL in five domains (all p < .001 with Bonferroni correction). The depression screen-positive group was more likely to be initiated on antidepressant and anxiolytic (ORs 5.89 and 4.74 respectively) at follow-up. The number needed to screen to achieve one additional depression remission case was 9 in the screen-positive group (versus the depression-control group).
Conclusion
Depression screening was associated with an increase in psychotropic medication use however depression, morbidity and quality of life remained poor at six months.
Publication Type: | Journal Article |
Grant Details: | NHMRC/#1053578 |
Source of Publication: | International Journal of Cardiology, v.206, p. 44-50 |
Publisher: | Elsevier Ireland Ltd |
Place of Publication: | Ireland |
ISSN: | 1874-1754 0167-5273 |
Fields of Research (FoR) 2020: | 520304 Health psychology 520302 Clinical psychology |
Socio-Economic Objective (SEO) 2020: | 200502 Health related to ageing 200409 Mental health |
Peer Reviewed: | Yes |
HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
Appears in Collections: | Journal Article School of Psychology
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