Author + information
- Received December 12, 2008
- Revision received January 20, 2009
- Accepted January 25, 2009
- Published online September 1, 2009.
- ↵⁎Reprint requests and correspondence:
Dr. Roy C. Ziegelstein, Department of Medicine, B-1-North, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, Maryland 21224-2780
A recent Science Advisory from the American Heart Association (AHA) recommended routine screening of all patients with coronary heart disease (CHD) for depression. The authors of the advisory noted that the high prevalence of depression in patients with CHD supports this strategy. A systematic review of the evidence on depression screening and treatment in CHD patients published soon after the AHA advisory found that screening tools for major depression are reasonably accurate among patients with CHD, but that the majority of patients who screen positive will not have major depression; that depression treatment in CHD patients only accounts for a small amount of variance in depression symptom change scores; and that there is no evidence that screening for depression improves CHD outcomes. We call for the AHA to reassess their recommendations in light of this systematic review and considering the potential impact of their document on clinical practice.
Dr. Ziegelstein is supported by grant R24AT004641 from the National Center for Complementary and Alternative Medicine and by the Miller Family Scholar Program. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Complementary and Alternative Medicine or the National Institutes of Health. Dr. Thombs is supported by a New Investigator Award from the Canadian Institutes of Health Research and an Établissement de Jeunes Chercheurs award from the Fonds de la Recherche en Santé Québec. Dr. de Jonge is supported by a VIDI grant from the Dutch Medical Research Council (grant 016.086.397).
- Received December 12, 2008.
- Revision received January 20, 2009.
- Accepted January 25, 2009.
- American College of Cardiology Foundation