Surprisingly High Prevalence of Anxiety and Depression in Chronic Breathing Disorders

作者: Mark E Kunik , Kent Roundy , Connie Veazey , Julianne Souchek , Peter Richardson

DOI: 10.1016/S0012-3692(15)34468-8

关键词: PediatricsCross-sectional studySeverity of illnessBeck Depression InventoryVeterans AffairsMedicinePopulationAnxietyPsychiatryDepression (differential diagnoses)Beck Anxiety Inventory

摘要: Study objectives The of this study were to assess the prevalence, screening, and recognition depression anxiety in persons with chronic breathing disorders, including COPD Design Cross-sectional Setting Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) Participants A large sample 1,334 disorder diagnoses who received care at MEDVAMC Measurements prevalence was measured a diagnosis MEDVAMC, using Primary Care Evaluation Mental Disorders (PRIME-MD) screening questions. positive predictive value PRIME-MD questions then determined. depressive patients determined have measured, Structured Clinical Interview for Diagnostic Statistical Manual , Fourth Edition (SCID) Results Of screened PRIME-MD, 80% depression, anxiety, or both. phone screen either estimated be 80%. In subsample had SCID, 65% an and/or diagnosis. those patients, only 31% receiving treatment Conclusions It is troubling that mere are being treated, particularly given their high population. Practical instruments may help increase medical as suggested by excellent our

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