Open AccessNew possibilities of screening for mental disorders in cardiology practice
Author(s) -
S. F. Zadvorev,
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Мария Дорофейкова,
Н Н Петрова,
Artyom Yakovlev,
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Publication year - 2021
Publication title -
vestnik sankt-peterburgskogo universiteta. medicina/vestnik sankt-peterburgskogo universiteta. seriâ 11, medicina
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.113
H-Index - 2
eISSN - 2587-5876
pISSN - 1818-2909
DOI - 10.21638/spbu11.2021.304
Subject(s) - comorbidity , medicine , anxiety , depression (economics) , acute coronary syndrome , cohort , charlson comorbidity index , mental health , medical prescription , psychiatry , myocardial infarction , macroeconomics , economics , pharmacology
Aim of the study: validation of novel algorithm for screening of mental comorbidity in general medical practice. Based on retrospectively formed registry of patients, we assessed an effectiveness of the previously proposed Psycho-cardiac comorbidity Index. An external validation was provided, with subgroup analysis on cohort of patients who presented with suspected “Non-ST-elevation acute coronary syndrome” (N = 577), with assessment of psychopharmacotherapy prescription rate and prevalence of anxiety and depression. Another validation was carried out via comparison with patients with verified mental disorders (N = 235). A positive association was found between magnitude of Psycho-cardiac comorbidity index and Hospital anxiety and depression subscales (r = 0.26, p < 0.001 for anxiety subscale, r = 0.17, p = 0.026 for depression subscale), over-diagnosis of acute coronary syndrome at pre-hospital stage (r = –0.27, p < 0.0001), as well as with neurotic, affective and somatoform mental disorders (average Index 8.59 vs. 7.52 points, U = 6040.5, p = 0.041). The found pattern may be useful for clinicians for screening for patients who require a multidisciplinary approach to diagnosis and treatment.