title: A practical screening tool for anxiety and depression in patients with chronic breathing disorders.
abstract: Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.
authors.affiliation: Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E DeBakey Veteran Affairs Medical Center (152), 2002 Holcombe, Houston, TX 77030, USA. mkunik@bcm.tmc.edu
authors.forename: Mark E
authors.initials: ME
authors.lastname: Kunik
authors.forename: Pierre N
authors.initials: PN
authors.lastname: Azzam
authors.forename: Julianne
authors.initials: J
authors.lastname: Souchek
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Cully
authors.forename: Nelda P
authors.initials: NP
authors.lastname: Wray
authors.forename: Laura L
authors.initials: LL
authors.lastname: Krishnan
authors.forename: Harlan A
authors.initials: HA
authors.lastname: Nelson
authors.forename: Melinda A
authors.initials: MA
authors.lastname: Stanley
mesh_terms: D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010555:Personality Inventory / Q000706:statistics & numerical data; D011320:Primary Health Care; D011594:Psychometrics / Q000706:statistics & numerical data; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology / Q000523:psychology*; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D013781:Texas; D014728:Veterans / Q000523:psychology*