Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/61224
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Type: Journal article
Title: Using the Short Form-36 mental summary score as an indicator of depressive symptoms in patients with coronary heart disease
Author: Tavella, R.
Air, T.
Tucker, G.
Adams, R.
Beltrame, J.
Schrader, G.
Citation: Quality of Life Research, 2010; 19(8):1105-1113
Publisher: Kluwer Academic Publ
Issue Date: 2010
ISSN: 0962-9343
1573-2649
Statement of
Responsibility: 
Rosanna Tavella, Tracy Air, Graeme Tucker, Robert Adams, John F. Beltrame and Geoffrey Schrader
Abstract: Background: Depression is common in patients with cardiac disease; however, the use of depression-specific health instruments is limited by their increased responder and analyst burden. The study aimed to define a threshold value on the Short Form-36 (SF-36) mental component summary score (MCS) that identified depressed cardiac patients as measured by the Centre for Epidemiologic Studies Depression Scale (CES-D). Methods: An optimal threshold was determined using receiver-operating characteristic (ROC) curves on SF-36 and CES-D data from a large cardiac cohort (N = 1,221). The performance of this threshold was evaluated in a further two cardiac populations. Results: In the index cohort, an SF-36 MCS score of ≤45 was revealed as an optimal threshold according to maximal Youden Index, with high sensitivity (77%, 95% CI = 74–80%) and specificity (73%, 95% CI = 69–77%). At this threshold, in a second sample of hospital cardiac patients, sensitivity was 93% (95% CI = 76–99%) and specificity was 64% (95% CI = 49–77%). In a final sample generated from a community population, specificity was 100% (95% CI = 85–100%) and sensitivity was 68% (95% CI = 61–74%) at the cut-off of 45. Conclusion: The SF-36 MCS may be a useful research tool to aid in the classification of cardiac patients according to the presence or absence of depressive symptoms.
Keywords: Coronary heart disease; Short-Form 36 mental summary score; Centre for Epidemiologic Studies Depression Scale; Depression; Optimal threshold
Rights: © Springer Science+Business Media B.V. 2010
RMID: 0020097535
DOI: 10.1007/s11136-010-9671-z
Appears in Collections:Medicine publications

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