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A Single, One-Off Measure of Depression and Anxiety Predicts Future Symptoms, Higher Healthcare Costs, and Lower Quality of Life in Coronary Heart Disease Patients: Analysis from a Multi-Wave, Primary Care Cohort Study

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  • Jorge E Palacios
  • Mizanur Khondoker
  • Evanthia Achilla
  • Andre Tylee
  • Matthew Hotopf

Abstract

Objective: To determine whether a one-off, baseline measure of depression and anxiety in a primary care, coronary heart disease (CHD) population predicts ongoing symptoms, costs, and quality of life across a 3-year follow-up. Design: Longitudinal cohort study. Setting: 16 General Practice surgeries across South-East London Participants: 803 adults (70% male, mean age 71 years) contributing up to 7 follow-up points. Main outcome measures: Ongoing reporting of symptoms, health care costs, and quality of life. Results: At baseline, 27% of the sample screened positive for symptoms of depression and anxiety, as measured by the Hospital Anxiety and Depression Scale (HADS). The probability of scoring above the cut-off throughout the follow-up was 71.5% (p

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  • Jorge E Palacios & Mizanur Khondoker & Evanthia Achilla & Andre Tylee & Matthew Hotopf, 2016. "A Single, One-Off Measure of Depression and Anxiety Predicts Future Symptoms, Higher Healthcare Costs, and Lower Quality of Life in Coronary Heart Disease Patients: Analysis from a Multi-Wave, Primary," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0158163
    DOI: 10.1371/journal.pone.0158163
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