A practical screening tool for anxiety and depression in patients with chronic breathing disorders

Mark E. Kunik; Pierre N. Azzam; Julianne Souchek; Jeffrey A. Cully; Nelda P. Wray; Laura L. Krishnan; Harlan A. Nelson; Melinda A. Stanley

doi:10.1176/appi.psy.48.1.16

A practical screening tool for anxiety and depression in patients with chronic breathing disorders

Mark E. Kunik, Pierre N. Azzam, Julianne Souchek, Jeffrey A. Cully, Nelda P. Wray, Laura L. Krishnan, Harlan A. Nelson, Melinda A. Stanley

Research output: Contribution to journal › Article › peer-review

49 Scopus citations

Abstract

Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.

Original language	English (US)
Pages (from-to)	16-21
Number of pages	6
Journal	Psychosomatics
Volume	48
Issue number	1
DOIs	https://doi.org/10.1176/appi.psy.48.1.16
State	Published - 2007

ASJC Scopus subject areas

Arts and Humanities (miscellaneous)
Applied Psychology
Psychiatry and Mental health

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abstract = "Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.",

author = "Kunik, {Mark E.} and Azzam, {Pierre N.} and Julianne Souchek and Cully, {Jeffrey A.} and Wray, {Nelda P.} and Krishnan, {Laura L.} and Nelson, {Harlan A.} and Stanley, {Melinda A.}",

note = "Funding Information: This material is based on work supported by a grant from the VA, Veterans Health Administration, Health Services Research and Development Service (IIR 00-097) and in part by the Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Office of Research and Development, and the South Central MIRECC, Dept. of Veterans Affairs. The study sponsors had no role in the design, conduct, analysis, interpretation, writing, or decision to publish this study. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.",

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AU - Nelson, Harlan A.

AU - Stanley, Melinda A.

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N2 - Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.

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A practical screening tool for anxiety and depression in patients with chronic breathing disorders

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