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Screening for symptoms of depression and anxiety in a cardiology department

Torkil Berge, Bente Bull-Hansen, Erik Ekker Solberg

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |October 9, 2019
    PubMed

    Insights

    Screening for depression and anxiety in cardiac patients is feasible using simple tools, though implementation challenges like time constraints and follow-up uncertainty exist. Further research is needed on the benefits and optimal timing of such screenings.

    Area of Science:

    • Cardiology
    • Psychiatry
    • Healthcare Management

    Background:

    • Depression and anxiety are prevalent in cardiac patients, negatively impacting prognosis and treatment adherence.
    • Current guidelines recommend screening, but implementation in Norwegian hospitals is understudied.
    • This study aimed to implement a straightforward screening method for these conditions in cardiac patients.

    Purpose of the Study:

    • To implement and evaluate a simple screening method for depression and anxiety symptoms in patients with cardiac disease.
    • To assess the feasibility of integrating mental health screening into cardiology services.

    Main Methods:

    • Patients with valvular heart disease, tachyarrhythmia, myocardial infarction, or heart failure were screened.
    • Utilized the Patient Health Questionnaire-2 (PHQ-2), Generalized Anxiety Disorder Scale-2 (GAD-2), and PHQ-SADS for symptom assessment.
    • Screening occurred at least one month post-acute cardiac event in outpatient or ward settings.

    Main Results:

    • Out of 232 patients, 57 reported symptoms of depression or anxiety.
    • The screening method proved easy to implement.
    • Challenges included time constraints and uncertainty regarding follow-up procedures and their impact.

    Conclusions:

    • Effective screening tools for depression and anxiety in cardiac patients are available.
    • Further research is required on the benefits of screening, optimal disease stages for intervention, and the roles of primary versus specialist care.
    Abstract

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