• Psychosomatics · Jul 1999

    Depression in coronary heart disease. What is the appropriate diagnostic threshold?

    • M Sullivan, A LaCroix, J Russo, E Swords, M Sornson, and W Katon.
    • Center for Health Studies and Group Health Cooperative, Seattle, Washington, USA. sullimar@u.washington.edu
    • Psychosomatics. 1999 Jul 1;40(4):286-92.

    AbstractThe purpose of this study was to determine the threshold at which depression becomes important for the daily functioning of patients with heart disease. Data from a 1-year prospective cohort study of health maintenance organization patients undergoing coronary angiography for coronary heart disease were analyzed for differences in a standardized composite measure of functioning. Patients with major depression (N = 19) and patients with minor depression (N = 28) were significantly more functionally impaired at baseline and at 1-year follow-up than those with no depression (N = 110). The major and minor depression groups did not differ significantly. The significance of the depression group differences was reduced, but not eliminated, when controlling for differences in reported heart symptoms.

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