%0 Journal Article %A Doyle, Frank %A McGee, Hannah %A De La Harpe, Davida %A Shelley, Emer %A Conroy, RonĂ¡n %D 2019 %T The Hospital Anxiety and Depression Scale depression subscale, but not the Beck Depression Inventory-Fast Scale, identifies patients with acute coronary syndrome at elevated risk of 1-year mortality. %U https://repository.rcsi.com/articles/journal_contribution/The_Hospital_Anxiety_and_Depression_Scale_depression_subscale_but_not_the_Beck_Depression_Inventory-Fast_Scale_identifies_patients_with_acute_coronary_syndrome_at_elevated_risk_of_1-year_mortality_/10774103 %2 https://repository.rcsi.com/ndownloader/files/19286786 %K Acute Disease %K Adult %K Aged %K 80 and over %K Anxiety Disorders %K Coronary Disease %K Depressive Disorder %K Female %K Hospitalization %K Humans %K Male %K Middle Aged %K Questionnaires %K Reproducibility of Results %K Risk Factors %K Time Factors %K Psychology and Cognitive Sciences not elsewhere classified %X

OBJECTIVE: The objective of this study was to investigate the use of short-form depression scales in assessing 1-year mortality risk in a national sample of patients with acute coronary syndrome (ACS). METHODS: Patients with ACS (N=598) completed either the Hospital Anxiety and Depression Scale depression subscale (HADS-D) or the Beck Depression Inventory-Fast Scale (BDI-FS). Their mortality status was assessed at 1 year. RESULTS: Cox proportional hazards modeling showed that patients depressed at baseline (combining HADS-D and BDI-FS depressed cases) were more likely to die within 1 year [hazard ratio (HR)=2.8, 95% CI=1.4-5.7, P=.005], even when controlling for major medical and demographic variables (HR=4.1, 95% CI=1.6-10.3, P=.003). Scoring above the threshold on the HADS-D predicted mortality (HR=4.2, 95% CI=1.8-10.0, P=.001), but scoring above the threshold on the BDI-FS did not (HR=1.8, 95% CI=0.6-5.6, P=.291). CONCLUSION: The HADS-D predicted increased risk of 1-year mortality in patients with ACS.

%I Royal College of Surgeons in Ireland