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Gepubliceerd in: Quality of Life Research 8/2010

01-10-2010

Using the Short Form-36 mental summary score as an indicator of depressive symptoms in patients with coronary heart disease

Auteurs: Rosanna Tavella, Tracy Air, Graeme Tucker, Robert Adams, John F. Beltrame, Geoffrey Schrader

Gepubliceerd in: Quality of Life Research | Uitgave 8/2010

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Abstract

Background

Depression is common in patients with cardiac disease; however, the use of depression-specific health instruments is limited by their increased responder and analyst burden. The study aimed to define a threshold value on the Short Form-36 (SF-36) mental component summary score (MCS) that identified depressed cardiac patients as measured by the Centre for Epidemiologic Studies Depression Scale (CES-D).

Methods

An optimal threshold was determined using receiver-operating characteristic (ROC) curves on SF-36 and CES-D data from a large cardiac cohort (N = 1,221). The performance of this threshold was evaluated in a further two cardiac populations.

Results

In the index cohort, an SF-36 MCS score of ≤45 was revealed as an optimal threshold according to maximal Youden Index, with high sensitivity (77%, 95% CI = 74–80%) and specificity (73%, 95% CI = 69–77%). At this threshold, in a second sample of hospital cardiac patients, sensitivity was 93% (95% CI = 76–99%) and specificity was 64% (95% CI = 49–77%). In a final sample generated from a community population, specificity was 100% (95% CI = 85–100%) and sensitivity was 68% (95% CI = 61–74%) at the cut-off of 45.

Conclusion

The SF-36 MCS may be a useful research tool to aid in the classification of cardiac patients according to the presence or absence of depressive symptoms.
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Metagegevens
Titel
Using the Short Form-36 mental summary score as an indicator of depressive symptoms in patients with coronary heart disease
Auteurs
Rosanna Tavella
Tracy Air
Graeme Tucker
Robert Adams
John F. Beltrame
Geoffrey Schrader
Publicatiedatum
01-10-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 8/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9671-z