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Diagnostic Tools for Anxiety and Depression

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Depression and Anxiety in Patients with Chronic Respiratory Diseases

Abstract

The purpose of screening tools for anxiety and depression in patients with chronic obstructive pulmonary disease is to identify those patients with clinically relevant symptoms who are in need of further diagnostic psychiatric assessment. Identifying high numbers of false positives is costly, both financially, and in terms of wasted time for the clinician and the patient. A scale that can efficiently screen patients for anxiety and depression is characterised by a high sensitivity, specificity, which ensures that all individuals with anxiety and depression disorders are identified with the symptom. This section of the book examined the available screening tools for anxiety and depression and their suitability and psychometric properties for patients with COPD. It is clear that although all of the scales reviewed have promising reliability and validity in general medical populations or in the populations they were designed. However, few, with the exception of the Anxiety Inventory for Respiratory disease (AIR), Brief Assessment Schedule for Depression, Beck Anxiety and Depression Inventory, Generalised Anxiety Inventory and Hospital Anxiety and Depression Scale have been partially validated in patients with COPD. The AIR is the only scale that is specifically designed and validated to measure anxiety in patients with COPD. It is responsive to pulmonary rehabilitation. These screening anxiety and depression scales have been widely used in patients with COPD including with other chronic respiratory diseases. However, the efficacy of these scales in terms of their responsiveness to intervention requires further testing.

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Authors and Affiliations

  1. Department of Health Professions, Manchester Metropolitan University, Birley Campus, 53 Bonsall Street, Brooks Building, Manchester, Greater Manchester, M15 6GX, UK

    Abebaw Mengistu Yohannes PhD, MSc & Thomas George Willgoss PhD, MSc

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  1. Abebaw Mengistu Yohannes PhD, MSc
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  2. Thomas George Willgoss PhD, MSc
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Correspondence to Abebaw Mengistu Yohannes PhD, MSc .

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Editors and Affiliations

  1. Professor of Medicine, Department of Medicine, Baylor College of Medicine, Staff Physician, Michael E. DeBakey VA Medical Center, Houston, Texas, USA

    Amir Sharafkhaneh

  2. Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom

    Abebaw Mengistu Yohannes

  3. Baylor College of Medicine, Houston, Texas, USA

    Nicola A. Hanania

  4. Baylor College of Medicine, Houston, Texas, USA

    Mark E. Kunik

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Yohannes, A.M., Willgoss, T.G. (2017). Diagnostic Tools for Anxiety and Depression. In: Sharafkhaneh, A., Yohannes, A., Hanania, N., Kunik, M. (eds) Depression and Anxiety in Patients with Chronic Respiratory Diseases. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-7009-4_3

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