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 journalArticle

48 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 languageEnglish (US)
Pages (from-to)16-21
Number of pages6
JournalPsychosomatics
Volume48
Issue number1
DOIs
StatePublished - 2007

ASJC Scopus subject areas

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

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