Psychometric properties of the cardiac depression scale in patients with coronary heart disease

Tai Chi is an effective exercise option for individuals with coronary heart disease or its associated risk factors. An accurate and systematic assessment of a Mandarin-speaking adults’ self-efficacy in maintaining Tai Chi exercise is lacking. Mandarin Chinese has the most speakers worldwide. This study aimed to translate the Tai Chi Exercise Self-Efficacy scale and examine its psychometric properties. The 14-item Tai Chi Exercise Self-Efficacy scale was translated from English into Mandarin Chinese using a forward-translation, back-translation, committee approach, and pre-test procedure. Participants with coronary heart disease or risk factors (n = 140) enrolled in a cross-sectional study for scale validation. Confirmatory factor analysis indicated a good fit of the two-factor structure (Tai Chi exercise self-efficacy barriers and performance) to this sample. The translated scale demonstrated high internal consistency, with a Cronbach’s α value of 0.97, and good test-retest reliability, with an intra-class correlation coefficient of 0.86 (p < 0.01). Participants with prior Tai Chi experience reported significantly higher scores than those without (p < 0.001), supporting known-group validity. A significant correlation was observed between the translated scale and total exercise per week (r = 0.37, p < 0.01), providing evidence of concurrent validity. The Mandarin Chinese version of the Tai Chi Exercise Self-Efficacy scale is a valid and reliable scale for Chinese adults with coronary heart disease or risk factors.

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Association of FKBP5 genotype with depressive symptoms in patients with coronary heart disease: a prospective study

Journal of Neural Transmission ◽

10.1007/s00702-020-02243-6 ◽

2020 ◽

Vol 127 (12) ◽

pp. 1651-1662

Author(s):

Julia Brandt ◽

Katharina Warnke ◽

Silke Jörgens ◽

Volker Arolt ◽

Katja Beer ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Depressive Symptoms ◽

Coronary Revascularization ◽

Central Element ◽

Depression Scale ◽

Stress System ◽

Linear Regression Models ◽

A Prospective Study

AbstractDepression and coronary heart disease (CHD) are prevalent and often co-occurring disorders. Both have been associated with a dysregulated stress system. As a central element of the stress system, the FKBP5 gene has been shown to be associated with depression. In a prospective design, this study aims to investigate the association of FKBP5 with depressive symptoms in CHD patients. N = 268 hospitalized CHD patients were included. Depressive symptoms were measured using the Hospital Anxiety and Depression Scale (HADS-D) at four time points (baseline, and after 1 month, 6 months, and 12 months). The functional FKBP5 single-nucleotide polymorphism (SNP) rs1360780 was selected for genotyping. Linear regression models showed that a higher number of FKBP5 C alleles was associated with more depressive symptoms in CHD patients both at baseline (p = 0.015) and at 12-months follow-up (p = 0.025) after adjustment for confounders. Further analyses revealed that this effect was driven by an interaction of FKBP5 genotype with patients’ prior CHD course. Specifically, only in patients with a prior myocardial infarction or coronary revascularization, more depressive symptoms were associated with a higher number of C alleles (baseline: p = 0.046; 1-month: p = 0.026; 6-months: p = 0.028). Moreover, a higher number of C alleles was significantly related to a greater risk for dyslipidemia (p = .016). Our results point to a relevance of FKBP5 in the association of the two stress-related diseases depression and CHD.

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1300: A Validation Study of the Cardiac Depression Scale in a UK Population

European Journal of Cardiovascular Nursing ◽

10.1017/147451510400300102 ◽

2004 ◽

Vol 3 (1) ◽

pp. 77-77

Author(s):

D.R. Thompson

Keyword(s):

Validation Study ◽

Depression Scale ◽

Cardiac Depression ◽

Cardiac Depression Scale

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Measurement Characteristics and Clinical Utility of the Cardiac Depression Scale Among Adults With Cardiac Disease

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2015.01.015 ◽

2015 ◽

Vol 96 (5) ◽

pp. 971-972 ◽

Cited By ~ 1

Author(s):

Kristine Flais ◽

Stephanie A. Combs-Miller

Keyword(s):

Cardiac Disease ◽

Clinical Utility ◽

Depression Scale ◽

Cardiac Depression ◽

Cardiac Depression Scale

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Assessment and follow-up of suicidal ideation when screening for depression in hospitalized coronary heart disease patients – development of a protocol

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v3i4.1030 ◽

2015 ◽

Vol 3 (4) ◽

pp. 523 ◽

Cited By ~ 1

Author(s):

Katja Beer ◽

Nina Rieckmann ◽

Mira Ertl ◽

Laura Grosse ◽

Thorsten Zeidler ◽

...

Keyword(s):

Coronary Heart Disease ◽

Heart Disease ◽

Suicidal Ideation ◽

Information Transfer ◽

Depression Scale ◽

Depression Screening ◽

Care Hospital ◽

Screening Instruments ◽

Post Traumatic Stress

Rationale, aims and objectives: Depression is common in coronary heart disease (CHD) patients and routine depression screening is often performed in research settings and recommended for clinical practice. Many depression screening instruments contain an item assessing suicidal ideation. A positive answer for suicidal ideation requires timely follow-up evaluation by trained clinicians; however, the process of transferal of this information is not without its problems. We aimed to develop and implement a step-by-step action protocol for the timely follow-up evaluation of positive screenings for suicidal ideation in hospitalized CHD patients who complete a depression screening in a research study.Method: The protocol was developed by a team of psychiatrists and psychologists as part of a two-site prospective cohort study which includes 1265 hospitalized CHD patients with and without co-morbid depression. Patients were presented with two depression screening instruments as part of the baseline assessment, the Patient Health Questionnaire (PHQ-9) and the Hospital Anxiety and Depression Scale (HADS). All participants underwent a standardized computer based evaluation for clinical depression, anxiety and post-traumatic stress disorder using the Composite International Diagnostic Interview (CIDI). The protocol was adapted continuously with the aims to optimize information transfer between study team and clinic staff and to initiate potentially required care.Results: The protocol was adapted to site-specific exigencies, resulting in a stepped approach of handling suicidal ideation, starting with suicidality assessment in a depression screening questionnaire. In case of positive screening, a detailed procedure for following-up on suicidal ideation was developed, including guidelines for various eventualities. In case of insufficient or doubtful distance from suicidal intent as assessed by clinical psychologists in training, psychiatric consultation was initiated. Conclusions:Implementation of a protocol to follow-up on a positive suicidality screening in a research setting at two coronary care hospital sites was a logistical challenge, but proved feasible and acceptable to patients and staff.

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Changes in Depression in the Immediate Postdischarge Phase in a Cardiac Rehabilitation Population Assessed by the Cardiac Depression Scale

Journal of Cardiopulmonary Rehabilitation and Prevention ◽

10.1097/01.hcr.0000336141.94439.b8 ◽

2008 ◽

Vol 28 (5) ◽

pp. 312-315 ◽

Cited By ~ 4

Author(s):

Patricia M. Davidson ◽

Yenna Salamonson ◽

Julie Webster ◽

Sharon Andrew ◽

Michelle DiGiacomo ◽

...

Keyword(s):

Cardiac Rehabilitation ◽

Depression Scale ◽

Cardiac Depression ◽

Cardiac Depression Scale

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Cross-cultural validation of the Cardiac Depression Scale in Iran

British Journal of Clinical Psychology ◽

10.1348/014466509x478709 ◽

2010 ◽

Vol 49 (4) ◽

pp. 517-528 ◽

Cited By ~ 8

Author(s):

Leila. Gholizadeh ◽

Yenna. Salamonson ◽

Patricia M. Davidson ◽

Kobra. Parvan ◽

Steven A. Frost ◽

...

Keyword(s):

Depression Scale ◽

Cross Cultural ◽

Cardiac Depression ◽

Cardiac Depression Scale ◽

Cultural Validation

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The use of psychometric methods for the diagnosis of anxiety and depressive disorders in patients with a general somatic profile

Kazan medical journal ◽

10.17816/kmj2019-565 ◽

2019 ◽

Vol 100 (4) ◽

pp. 565-570

Author(s):

I V Dubatova ◽

V G Voyakina ◽

S V Lepyavka ◽

A V Safronenko ◽

I A Demidov

Keyword(s):

Coronary Artery Disease ◽

Coronary Heart Disease ◽

Heart Disease ◽

Coronary Artery ◽

Arterial Hypertension ◽

Cardiovascular System ◽

Depressive Disorders ◽

Depression Scale ◽

Anxiety And Depression ◽

Artery Disease

Aim. To identify and compare the level of anxiety and depression in therapeutic patients with somatic pathology, establish the structure of the gender distribution of anxiety and depressive disorders. Methods. The study involved 126 people: 74 (58.73%) women and 52 (41.27%) men aged 21–59 years. 59 patients had diseases of the respiratory system (chronic bronchitis in the acute stage with an asthmatic component), 67 patients with cardiovascular diseases (40 subjects with coronary heart disease, 27 subjects with arterial hypertension). In 11 patients with coronary artery disease and 13 patients with hypertension, type I thyrotoxicosis was diagnosed. Clinical psychopathological, psychometric, psychological and statistical methods were used in the study. Psychometric tests were used: the Depression Scale of the Center for Epidemiological Research; Hospital Anxiety and Depression Scale and Taylor Anxiety Disorder Scale adapted by T.A. Nemchinova and V.G. Norakidze, adapted standardized multivariate questionnaire for personality research. Results. According to the severity of anxiety and depressive disorders, patients were divided into the groups: group 1 with severe level, group 2 with a moderate (subclinical) level, and group 3 with mild (not exceeding the norm) anxiety and depressive disorders. Severe and moderate disorders are most characteristic for the pathology of cardiovascular system. In coronary artery disease and arterial hypertension, abnormal (severe and moderate) anxiety and depressive disorders were observed in 24/29 (82.76%) and 20/22 (90.9%) patients, respectively. In patients with abnormal anxiety and depressive disorders, the number of women prevailed over men in the subgroup with hypertension (80% versus 20%, p=0.025) as well as in combination of hypertension with type 1 thyrotoxicosis (85.7% versus 14.3%, р=0.029). Conclusion. In patients, severe and moderate anxiety and depressive disorders are associated with the development of the pathology of cardiovascular system: coronary heart disease and arterial hypertension.

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