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Heart Fail Rev. 2009 Mar;14(1):1-5. Epub 2007 Aug 1.

Screening, diagnosis & monitoring of depression/distress in CHF patients.

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Henry Ford Hospital/CFP6, 2799 West Grand Boulevard, Detroit, MI 48202, USA.


Objective and validated measures of depression/distress (anxiety and anger) are available and readily usable at the bedside or in clinic. Foremost among these is the Patient's Health Questionnaire--an adaptation of DSM IV criteria for Major Depressive Disorder that permits administration and scoring by nursing or physician personnel, and quantification of the intensity of depression. A score of 10 or greater indicates a need for evaluation/treatment. Because of patient denial/minimization/alexithymia, PHQ negatives should undergo further screening by having a spouse or friend complete a depression/distress rating scale. The only standardized, normed, and validated spouse/friend scale presently available is the Ketterer Stress Symptom Frequency Checklist, which is available by internet.

[Indexed for MEDLINE]

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