A practical screening tool for anxiety and depression in patients with chronic breathing disorders.
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.
Kunik
Mark E
ME
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
Azzam
Pierre N
PN
Souchek
Julianne
J
Cully
Jeffrey A
JA
Wray
Nelda P
NP
Krishnan
Laura L
LL
Nelson
Harlan A
HA
Stanley
Melinda A
MA
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*