干旱区生态环境知识资源中心(Arid): Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study

Arid

DOI	10.3389/fpsyg.2019.02829
	Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study
	Grech, Megan 1,2; Turnbull, Deborah A.1,2; Wittert, Gary A.2; Tully, Phillip J.2; Horowitz, John D.3; Beltrame, John F.3; Barrett, Alison 3; Harrison, Nathan 3; Bean, Christopher 3; Beltrame, Australia John F.4; Selkow, Terina 4; Markwick, Libby 5; Baune, Bernhard T.6; Baumeister, Harald 7; Sauer-Zavala, Shannon 8
通讯作者	Tully, Phillip J.
来源期刊	FRONTIERS IN PSYCHOLOGY
ISSN	1664-1078
出版年	2019
卷号	10
英文摘要	Depression and anxiety disorders are common among cardiovascular disease (CVD) populations, leading several cardiology societies to recommend routine screening to streamline psychological interventions. However, it remains poorly understood whether routine screening in CVD populations identifies the broader groups of disorders that cluster together within individuals, known as anxious-misery and fear. This study examines the screening utility of four anxiety and depression questionnaires to identify the two internalizing disorder clusters; anxious-misery and fear. Patients with a recent hospital admission for CVD (n = 85, 69.4% males) underwent a structured clinical interview with the MINI International Neuropsychiatric Interview. The participants also completed the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder (GAD-7) scale, Overall Anxiety Severity Impairment Scale (OASIS), and the stress subscale of the Depression Anxiety Stress Scale (DASS). The PHQ-9 and the GAD-7 yielded appropriate screening properties to detect three different iterations of the anxious-misery cluster (sensitivity >80.95% and specificity >82.81%). The GAD-7 was the only instrument to display favorable screening properties to detect a fear cluster omitting post-traumatic stress disorder (PTSD) but including obsessive-compulsive disorder (OCD; sensitivity 81.25%, specificity 76.81%). These findings indicate that the PHQ-9 and GAD-7 could be implemented to reliably screen for anxious-misery disorders among CVD in-patients, however, the receiver operating characteristics (ROC) to detect fear disorders were contingent on the placement of PTSD and OCD within clusters. The findings are discussed in relation to routine screening guidelines in CVD populations and contemporary understandings of the internalizing disorders.
英文关键词	depression anxiety internalizing disorders receiver operating characteristics cardiovascular disease post-traumatic stress disorder
类型	Article
语种	英语
国家	Australia ; Germany ; USA
开放获取类型	Green Published, gold
收录类别	SSCI
WOS记录号	WOS:000505015200001
WOS关键词	CORONARY-HEART-DISEASE ; NEUROPSYCHIATRIC INTERVIEW MINI ; GENERALIZED ANXIETY DISORDER ; MENTAL-DISORDERS ; DSM-IV ; HIERARCHICAL STRUCTURE ; MYOCARDIAL-INFARCTION ; EMOTIONAL DISORDERS ; LIFETIME PREVALENCE ; DISTRESS DISORDERS
WOS类目	Psychology, Multidisciplinary
WOS研究方向	Psychology
EI主题词	2019-12-17
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/311822
作者单位	1.Univ Adelaide, Sch Psychol, Adelaide, SA, Australia; 2.Univ Adelaide, Freemasons Fdn Ctr Mens Hlth, Sch Med, Adelaide, SA, Australia; 3.Univ Adelaide, Sch Med, Adelaide, SA, Australia; 4.Queen Elizabeth Hosp, Basil Hetzel Inst, Dept Cardiol, Woodville, SA, Australia; 5.Univ Adelaide, Queen Elizabeth Hosp, Basil Hetzel Inst, Discipline Psychiat, Adelaide, SA, Australia; 6.Univ Munster, Univ Hosp Psychiat & Psychotherapy, Munster, Germany; 7.Ulm Univ, Inst Psychol & Educ, Dept Clin Psychol & Psychotherapy, Ulm, Germany; 8.Boston Univ, Dept Psychol, Ctr Anxiety & Related Disorders, 64 Cummington St, Boston, MA 02215 USA
推荐引用方式 GB/T 7714	Grech, Megan,Turnbull, Deborah A.,Wittert, Gary A.,et al. Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study[J],2019,10.
APA	Grech, Megan.,Turnbull, Deborah A..,Wittert, Gary A..,Tully, Phillip J..,Horowitz, John D..,...&Sauer-Zavala, Shannon.(2019).Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study.FRONTIERS IN PSYCHOLOGY,10.
MLA	Grech, Megan,et al."Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study".FRONTIERS IN PSYCHOLOGY 10(2019).