Cardiac Depression Scale: Difference between revisions

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=  Cardiac Depression Scale   =
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'''Original Editor '''- [[User:Ammar Suhail|Ammar_Suhail]]


== Objective&nbsp;  ==
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}&nbsp;&nbsp;
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== Objective&nbsp; ==
[[File:Heart location.jpg|right|frameless]]
The Cardiac Depression Scale (CDS) was developed for the specific purpose of providing a valid and reliable instrument to measure [[depression]] in [[Cardiovascular Disease|cardiac]] patients. The CDS is the only measure for depression derived from responses of cardiac patients. It offers a more responsive and sensitive alternative to other measures that are not always suitable for cardiac patients because they have been developed and validated in non-cardiac populations.&nbsp;The CDS is a 26 item questionnaire, each item requiring a response on a Likert scale from 1 (‘Strongly disagree’) to 7 (‘Strongly agree’), the scale being tagged at each end with an explanatory phrase.
== Intended Population ==


The scale's main aim is to asess depression in cardiac patient. The CDS was developed as a depression scale primarily to asess depression in a cardica setup and in cardiac patient1. CDS is a self report 26 item, seven point likert type scale ranging from strongly disagree (1) to strongly agree(7). The score can range from a score of 26 to a maximum score of 182. The items 2,4,12,15,19,20 and 23 are reversed scored (1=7, 2=6, 3=5, 4=4, 6=2, 7=1).&nbsp;
The target population is cardiac patients with diagnosed cardiac diseases. The scale has been tested on following population


== Intended Population ==
*Adult cardiac disease &nbsp;patient examples includes: [[Coronary Artery Disease (CAD)|coronary artery disease]]; [[Heart Failure|heart failure]], post [[Myocardial Infarction|myocardial infarction]], [[Cardiac Valve Defects|cardiac valve defects]], [[Heart Arrhythmias: Assessment|arrythmias]], [[cardiomyopathies]].


The traget population is cardiac patients with diagnosed cardiac diseases. The scale has been tested on following population
= Method of Use&nbsp;  =
'''Equipment Required:''' Test paper and pencil&nbsp;


*Adult cardiac disease &nbsp;patient example includes coronary artery disease, heart failure, post myocardial infarction, valve disease, arrythmias, ischaemic heart disease etc.
'''General Instructions:''' The test requires&nbsp;no formal training and takes only 5 minutes to administer.The scale is of self report type, so patient is properly instructed to fill the scale ensuring proper scoring.


= Method of Use&nbsp; =
'''The Scale:''' The questionnaire consists of a number of statements about the way patient feel at present.<br>Next to each statement there is a rating scale from 1 to 7 for patient &nbsp;to indicate how much you agree or disagree with the statement.


== Equipment Required ==
* Strongly disagree 1 2 3 4 5 6 7 Strongly agree
* The scale has 26 questions or statements for which patient marks from 1 to 7 and the final reading is taken.


Test paper and pencil&nbsp;
'''Reliability and Validity:''' Whilst having 97% sensitivity and 85% specificity for diagnosing major depression, it also assesses the range of less severe ‘reactive’ depression. The interrater and the reliability has not been established. In a validation study done in UK for CDS, a battery of questionnaires (the Medical Outcomes Study Short-Form 36 [SF-36] Health Survey, the Beck Depression Inventory [BDI], the Hospital Anxiety and Depression Scale [HADS] and the Cardiac Depression Scale [CDS]) were used to find out the reliability of CDS.The results demonstrated high internal reliability&nbsp; (Cronbach's alpha = 0.93) and an acceptable test-retest reliability (0.79). Concurrent validation against the SF-36, BDI and HADS demonstrated strong correlations. It was used in men recovering from CABG surgery. The result of showed&nbsp;Excellent correlation with Beck Depression Inventory (r = 0.751, 0.787, 0.737, 0.819) at baseline, 6, 12, and 36 weeks respectively.


==== '''General Instructions''' ====
==== Conclusion  ====
The test reqires no formal training. And takes only 5 minutes&nbsp;
 
The Cardiac Depression Scale is under copyright. Further information can be obtained from Dr. Samia Toukhsati at [email protected] or Professor David Hare at [email protected]
 
== References<br>  ==
<references />
Kiropoulos LA, Meredith I, Tonkin A, Clarke D, Antonis P, Plunkett J. Psychometric properties of the cardiac depression scale in patients with coronary heart disease. BMC psychiatry. 2012 Dec 3;12(1):1.
 
Chantal F.SKi, David.R.Thompson, David.L.Hare, Andrew.G.Stewart, Roger W. Cardiac depression scale: Moking scale in heart failure.Health Qual Life Outcomes. 2012; 10: 141.
Published online 2012 Nov 23. doi:  10.1186/1477-7525-10-141
 
 
[[Category:Cardiopulmonary]]

Latest revision as of 01:23, 13 September 2021

Objective [edit | edit source]

Heart location.jpg

The Cardiac Depression Scale (CDS) was developed for the specific purpose of providing a valid and reliable instrument to measure depression in cardiac patients. The CDS is the only measure for depression derived from responses of cardiac patients. It offers a more responsive and sensitive alternative to other measures that are not always suitable for cardiac patients because they have been developed and validated in non-cardiac populations. The CDS is a 26 item questionnaire, each item requiring a response on a Likert scale from 1 (‘Strongly disagree’) to 7 (‘Strongly agree’), the scale being tagged at each end with an explanatory phrase.

Intended Population[edit | edit source]

The target population is cardiac patients with diagnosed cardiac diseases. The scale has been tested on following population

Method of Use [edit | edit source]

Equipment Required: Test paper and pencil 

General Instructions: The test requires no formal training and takes only 5 minutes to administer.The scale is of self report type, so patient is properly instructed to fill the scale ensuring proper scoring.

The Scale: The questionnaire consists of a number of statements about the way patient feel at present.
Next to each statement there is a rating scale from 1 to 7 for patient  to indicate how much you agree or disagree with the statement.

  • Strongly disagree 1 2 3 4 5 6 7 Strongly agree
  • The scale has 26 questions or statements for which patient marks from 1 to 7 and the final reading is taken.

Reliability and Validity: Whilst having 97% sensitivity and 85% specificity for diagnosing major depression, it also assesses the range of less severe ‘reactive’ depression. The interrater and the reliability has not been established. In a validation study done in UK for CDS, a battery of questionnaires (the Medical Outcomes Study Short-Form 36 [SF-36] Health Survey, the Beck Depression Inventory [BDI], the Hospital Anxiety and Depression Scale [HADS] and the Cardiac Depression Scale [CDS]) were used to find out the reliability of CDS.The results demonstrated high internal reliability  (Cronbach's alpha = 0.93) and an acceptable test-retest reliability (0.79). Concurrent validation against the SF-36, BDI and HADS demonstrated strong correlations. It was used in men recovering from CABG surgery. The result of showed Excellent correlation with Beck Depression Inventory (r = 0.751, 0.787, 0.737, 0.819) at baseline, 6, 12, and 36 weeks respectively.

Conclusion[edit | edit source]

The Cardiac Depression Scale is under copyright. Further information can be obtained from Dr. Samia Toukhsati at [email protected] or Professor David Hare at [email protected]

References
[edit | edit source]

Kiropoulos LA, Meredith I, Tonkin A, Clarke D, Antonis P, Plunkett J. Psychometric properties of the cardiac depression scale in patients with coronary heart disease. BMC psychiatry. 2012 Dec 3;12(1):1.

Chantal F.SKi, David.R.Thompson, David.L.Hare, Andrew.G.Stewart, Roger W. Cardiac depression scale: Moking scale in heart failure.Health Qual Life Outcomes. 2012; 10: 141. Published online 2012 Nov 23. doi: 10.1186/1477-7525-10-141