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Performance Characteristics of Depression Screening Instruments in Survivors of Acute Myocardial Infarction: Review of the Evidence

Received July 12, 2006; revised October 23, 2006; accepted October 26, 2006. From the Johns Hopkins University Evidence-Based Practice Center, the Dept. of Psychiatry and Behavioral Sciences, and the Dept. of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; the Dept. of Epidemiology and the Dept. of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Send correspondence and reprint requests to Brett D. Thombs, Ph.D., Institute of Community and Family Psychiatry, SMBD-Jewish Gen. Hosp., 4333 Cote Ste. Catherine Rd., Montreal, Quebec, H3T 1E4. e-mail: brett.thombs{at}mcgill.ca
© 2007 The Academy of Psychosomatic Medicine

Authors conducted a systematic review to assess performance characteristics of depression screening instruments after acute myocardial infarction (AMI). Among the seven studies identified, the Beck Depression Inventory (BDI) and the depression subscale of the Hospital Anxiety and Depression Scale (HADS–D) were used most frequently. Studies were generally of low quality, and no screening instrument performed notably better than others. Future research should compare the BDI and the HADS–D with instruments such as the Patient Health Questionnaire (PHQ–9 and PHQ–2) in post-AMI patients, should attend to important elements of the screening process, including when, where, and how often to screen patients, and should evaluate serial screening.

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