This research was supported by an Australian Postgraduate Award and the Sir Robert Menzies Memorial Research Scholarship in the Allied Health Sciences for P.J. Tully.
Depression and Anxiety Among Coronary Heart Disease Patients: Can Affect Dimensions and Theory Inform Diagnostic Disorder-Based Screening?
Article first published online: 3 FEB 2012
© 2012 Wiley Periodicals, Inc.
Journal of Clinical Psychology
Volume 68, Issue 4, pages 448–461, April 2012
How to Cite
Tully, P. J. and Penninx, B. W. (2012), Depression and Anxiety Among Coronary Heart Disease Patients: Can Affect Dimensions and Theory Inform Diagnostic Disorder-Based Screening?. J. Clin. Psychol., 68: 448–461. doi: 10.1002/jclp.21828
- Issue published online: 27 MAR 2012
- Article first published online: 3 FEB 2012
- panic disorder;
- generalized anxiety disorder;
- coronary heart disease;
- receiver operating characteristics
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.
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.
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.
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.