Should You Screen for and Manage Depression in Patients With a Recent Acute Coronary Syndrome?
Authors: Karina W. Davidson, Lauren T. Wasson, Ian M. Kronish
Journal: Annals of Internal Medicine (2017)

Editorials21 November 2017Should You Screen for and Manage Depression in Patients With a Recent Acute Coronary Syndrome?Karina W. Davidson, PhD, MASc, Lauren T. Wasson, MD, MPH, and Ian M. Kronish, MD, MPHKarina W. Davidson, PhD, MAScColumbia University Irving Medical Center and New York Presbyterian Hospital, New York, New York (K.W.D., L.T.W.)Search for more papers by this author, Lauren T. Wasson, MD, MPHColumbia University Irving Medical Center and New York Presbyterian Hospital, New York, New York (K.W.D., L.T.W.)Search for more papers by this author, and Ian M. Kronish, MD, MPHColumbia University Irving Medical Center New York, New York (I.M.K.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-2831 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Primary care clinicians increasingly are managing patients with several chronic diseases, some of which are psychiatric in nature. Whether a patient has reached adulthood after surgery for complex congenital heart disease, has survived lung cancer, or has recently had a myocardial infarction, primary care clinicians all too frequently must manage his or her initial disease in addition to other, obscuring comorbid conditions. One these comorbid diseases, which is highly prevalent, is depression.Major depressive disorder is a persistent and usually recurrent condition characterized by the cardinal symptoms of depressed mood and loss of interests, with additional related symptoms, such as ...References1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders 5th ed. DSM-5. Arlington, VA: American Psychiatric Association; 2013. Google Scholar2. Nieuwsma JA, Williams JW, Namdari N, Washam JB, Raitz G, Blumenthal JA, et al. Diagnostic accuracy of screening tests and treatment for post–acute coronary syndrome depression. A systematic review. Ann Intern Med. 2017;167:725-35. doi:10.7326/M17-1811 LinkGoogle Scholar3. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory II. San Antonio, TX: Psychological Corporation; 1996. Google Scholar4. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999;282:1737-44. [PMID: 10568646] CrossrefMedlineGoogle Scholar5. National Committee for Quality Assurance. HEDIS 2018. Accessed at www.ncqa.org/hedis-quality-measurement/hedis-measures/hedis-2018 on 20 October 2017. Google Scholar6. McGuire AW, Eastwood JA, Macabasco-O'Connell A, Hays RD, Doering LV. Depression screening: utility of the patient health questionnaire in patients with acute coronary syndrome. Am J Crit Care. 2013;22:12-9. [PMID: 23283084] doi:10.4037/ajcc2013899 CrossrefMedlineGoogle Scholar7. Davidson KW. Waiting for Godot: engaging in discussions about depression care in patients with acute myocardial infarction while waiting for a definitive trial that never appears [Editorial]. Circulation. 2017;135:1690-2. [PMID: 28461413] doi:10.1161/CIRCULATIONAHA.117.027610 CrossrefMedlineGoogle Scholar8. Wasson LT, Davidson KW, Emeruwa IO. Depression, anxiety, and stress: the nemeses of the practicing cardiologist. In: DeLemos J, Omland T, eds. Chronic Coronary Artery Disease: A Companion to Braunwald's Heart Disease. Philadelphia: Elsevier; 2017:520. Google Scholar9. Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Doering LV, Frasure-Smith N, et al; American Heart Association Statistics Committee of the Council on Epidemiology and Prevention and the Council on Cardiovascular and Stroke Nursing. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014;129:1350-69. [PMID: 24566200] doi:10.1161/CIR.0000000000000019 CrossrefMedlineGoogle Scholar10. Post-Myocardial Infarction Depression Clinical Practice Guideline Panel. AAFP guideline for the detection and management of post-myocardial infarction depression. Ann Fam Med. 2009;7:71-9. [PMID: 19139452] doi:10.1370/afm.918 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Columbia University Irving Medical Center and New York Presbyterian Hospital, New York, New York (K.W.D., L.T.W.)Columbia University Irving Medical Center New York, New York (I.M.K.)Disclaimer: Dr. Davidson is a member of the U.S. Preventive Services Task Force (USPSTF). This article does not represent the views and policies of the USPSTF.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-2831.Corresponding Author: Karina W. Davidson, PhD, MASc, 622 West 168th Street, PH9-314, New York, NY 10032; e-mail, [email protected]columbia.edu.Current Author Addresses: Drs. Davidson, Wasson, and Kronish: 622 West 168th Street, PH9-314, New York, NY 10032.This article was published at Annals.org on 14 November 2017. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnostic Accuracy of Screening Tests and Treatment for Post–Acute Coronary Syndrome Depression Jason A. Nieuwsma , John W. Williams Jr. , Natasha Namdari , Jeffrey B. Washam , Giselle Raitz , James A. Blumenthal , Wei Jiang , Roshini Yapa , Amanda J. McBroom , Kathryn Lallinger , Robyn Schmidt , Andrzej S. Kosinski , and Gillian D. Sanders Metrics 21 November 2017Volume 167, Issue 10Page: 750-751KeywordsAcute coronary syndromeClinical trialsDepressionHealth information technologyHeart diseasesMyocardial infarctionQuality of lifeQuestionnairesSleepSystematic reviews ePublished: 14 November 2017 Issue Published: 21 November 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...