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Type: Journal article
Title: Depression and anxiety among coronary heart disease patients: can affect dimensions and theory inform diagnostic disorder-based screening?
Author: Tully, P.
Penninx, B.
Citation: Journal of Clinical Psychology, 2012; 68(4):448-461
Publisher: John Wiley & Sons Inc
Issue Date: 2012
ISSN: 0021-9762
Statement of
Phillip J. Tully and Brenda W. Penninx
Abstract: OBJECTIVES: To examine the association between low positive affect, somatic anxiety and general distress with affective disorders, anxious misery, and visceral fear among coronary heart disease patients. PARTICIPANTS: Patients awaiting a coronary revascularization procedure (N = 158; 20.9% female; median age = 65, interquartile range 58–73) underwent structured interview with the Mini-International Neuropsychiatric Interview. Patients completed a brief version of the Mood and Anxiety Symptom Questionnaire (i.e., Anxiety Depression Distress Inventory-27) and a measure of Type D personality. RESULTS: Somatic anxiety scores yielded an area under the curve (AUC) = .784 and 75.0% sensitivity and 68.5% specificity in relation to panic disorder. Low positive affect yielded AUC = .811 and 70.4% sensitivity and 77.1% specificity for major depression. General distress yielded AUC = .795 and 75.0% sensitivity and 72.5% specificity for generalized anxiety disorder. No affective dimension was optimally associated with the anxious misery or visceral fear cluster. Trait negative affect was not a suitable screener for any disorder. Conclusions: The Anxiety Depression Distress Inventory-27 dimensions of low positive affect and somatic anxiety provided optimal detection of depression and panic disorder, respectively, as hypothesized, supporting discriminant validity.
Keywords: Depression; panic disorder; generalized anxiety disorder; coronary heart disease; receiveroperating characteristics
Rights: (c) 2012 Wiley Periodicals, Inc.
RMID: 0020117959
DOI: 10.1002/jclp.21828
Appears in Collections:Psychology publications

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