Abstract:
OBJECTIVES:To assess the prevalence and persistence of depression in patients with acute myocardial infarction (AMI) and the relationship between assessment modality and prevalence. DATA SOURCES:MEDLINE, Cochrane, CINAHL, PsycINFO, and EMBASE. REVIEW METHODS:A comprehensive search was conducted in March 2004 to identify original research studies published since 1980 that used a standardized interview or validated questionnaire to assess depression. The search was augmented by hand searching of selected journals from October 2003 through April 2004 and references of identified articles and reviews. Studies were excluded if only an abstract was provided, if not in English, or if depression was not measured by a validated method. RESULTS:Major depression was identified in 19.8% (95% confidence interval [CI] 19.1% to 20.6%) of patients using structured interviews (N=10,785, 8 studies). The prevalence of significant depressive symptoms based on a Beck Depression Inventory score > or =10 was 31.1% (CI 29.2% to 33.0%; N=2,273, 6 studies), using a Hospital Anxiety and Depression Scale (HADS) score > or =8%, 15.5% (CI 13.2% to 18.0%; N=863, 4 studies), and with a HADS score > or =11%, 7.3% (CI 5.5% to 9.3%; N=830, 4 studies). Although a significant proportion of patients continued to be depressed in the year after discharge, the limited number of studies and variable follow-up times precluded specification of prevalence rates at given time points. CONCLUSIONS:Depression is common and persistent in AMI survivors. Prevalence varies depending on assessment method, likely reflecting treatment of somatic symptoms.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Thombs BD,Bass EB,Ford DE,Stewart KJ,Tsilidis KK,Patel U,Fauerbach JA,Bush DE,Ziegelstein RCdoi
10.1111/j.1525-1497.2005.00269.xsubject
Has Abstractpub_date
2006-01-01 00:00:00pages
30-8issue
1eissn
0884-8734issn
1525-1497pii
JGI269journal_volume
21pub_type
杂志文章,评审abstract:BACKGROUND:Use of electronic health records (EHRs) is associated with physician stress and burnout. While emergency departments and subspecialists have used scribes to address this issue, little is known about the impact of scribes in academic primary care. OBJECTIVE:Assess the impact of a scribe on physician and pati...
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journal_title:Journal of general internal medicine
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journal_title:Journal of general internal medicine
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更新日期:2002-06-01 00:00:00
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更新日期:2011-01-01 00:00:00
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journal_title:Journal of general internal medicine
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