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dc.contributor.authorTavella, R.-
dc.contributor.authorAir, T.-
dc.contributor.authorTucker, G.-
dc.contributor.authorAdams, R.-
dc.contributor.authorBeltrame, J.-
dc.contributor.authorSchrader, G.-
dc.identifier.citationQuality of Life Research, 2010; 19(8):1105-1113-
dc.description.abstractBackground: 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.-
dc.description.statementofresponsibilityRosanna Tavella, Tracy Air, Graeme Tucker, Robert Adams, John F. Beltrame and Geoffrey Schrader-
dc.publisherKluwer Academic Publ-
dc.rights© Springer Science+Business Media B.V. 2010-
dc.subjectCoronary heart disease-
dc.subjectShort-Form 36 mental summary score-
dc.subjectCentre for Epidemiologic Studies Depression Scale-
dc.subjectOptimal threshold-
dc.titleUsing the Short Form-36 mental summary score as an indicator of depressive symptoms in patients with coronary heart disease-
dc.typeJournal article-
dc.identifier.orcidTavella, R. [0000-0002-4869-465X]-
dc.identifier.orcidAir, T. [0000-0002-4834-4238]-
dc.identifier.orcidTucker, G. [0000-0003-2621-5942]-
dc.identifier.orcidAdams, R. [0000-0002-7572-0796]-
dc.identifier.orcidBeltrame, J. [0000-0002-4294-6510]-
dc.identifier.orcidSchrader, G. [0000-0002-2504-8102]-
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