The Screening Tool for Psychological Distress (STOP-D) single-item measures for depression and anxiety highly correlated with the Hospital Anxiety and Depression Scale in cardiac inpatients.
Cross-Sectional (n=105)
No
Does the STOP-D single-item measure accurately screen for depression and anxiety compared to the HADS in hospitalized cardiac patients?
The STOP-D provides a simple, valid, and free method for identifying psychological distress in hospitalized cardiac patients.
BACKGROUND: Depression and anxiety are common among patients with cardiovascular disease (CVD) and confer significant cardiac risk, contributing to CVD morbidity and mortality. Unfortunately, due to the lack of screening tools that address the specific needs of hospitalized patients, few cardiac inpatient programs offer routine screening for these forms of psychological distress, despite recommendations to do so. AIMS: The purpose of this study was to validate single-item measures for depression and anxiety among cardiac inpatients. METHODS: Consecutive inpatients were recruited from the cardiology and cardiac surgery step-down units at a university-affiliated, quaternary-care hospital. Subjects completed a questionnaire that included: (a) demographics, (b) single-item-measures for depression and anxiety (from the Screening Tool for Psychological Distress (STOP-D)), and (c) Hospital Anxiety and Depression Scale (HADS). RESULTS: One hundred and five participants were recruited with a wide variety of cardiac diagnoses, having a mean age of 66 years, and 28% were women. Both STOP-D items were highly correlated with their corresponding validated measures and demonstrated robust receiver-operator characteristic curves. Severity scores on both items correlated well with established severity cut-off scores on the corresponding subscales of the HADS. CONCLUSIONS: The STOP-D is a self-administered, self-report measure using two independent items that provide severity scores for depression and anxiety. The tool performs very well compared with other previously validated measures. Requiring no additional scoring and being free, STOP-D offers a simple and valid method for identifying hospitalized cardiac patients who are experiencing psychological distress. This crucial first step triggers initiation of appropriate monitoring and intervention, thus reducing the likelihood of the adverse cardiac outcomes associated with psychological distress.
Young et al. (Tue,) conducted a cross-sectional in Cardiovascular disease (n=105). Screening Tool for Psychological Distress (STOP-D) vs. Hospital Anxiety and Depression Scale (HADS) was evaluated on Correlation and receiver-operator characteristic curves of STOP-D compared to HADS. The Screening Tool for Psychological Distress (STOP-D) single-item measures for depression and anxiety highly correlated with the Hospital Anxiety and Depression Scale in cardiac inpatients.