Universität zu Köln

van den Houdt, Sophie, Albus, Christian, Herrmann-Lingen, Christoph, Widdershoven, Jos and Kupper, Nina (2022). Validity of a multidimensional comprehensive psychosocial screening instrument based on the ESC cardiovascular prevention guidelines-Evidence from the general and cardiovascular patient population. J. Psychosomat. Res., 157. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1879-1360

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Abstract

Aim: To evaluate the psychometric properties and validity of the updated version of the Dutch multidimensional Comprehensive Psychosocial Screening Instrument in patients with coronary heart disease and the general population, based upon guideline recommendations from the European Society for Cardiology.& nbsp;Method: 678 participants (M-age = 48.2, SD = 16.8; 46% male) of the Dutch general population and 312 cardiac patients (M-age = 65.9, SD = 9.9; 77% male) who recently received percutaneous coronary intervention completed the Comprehensive Psychosocial Screening Instrument and validated questionnaires for depression (PHQ-9), anxiety (GAD-7), Type D personality (DS14), hostility (CMHS), anger (STAS-T), trauma (SRIP), and chronic work and family stress (ERI, MMQ-6).& nbsp;Results: Confirmatory factor analysis (CFA) confirmed that the eight screened risk factors were best measured as separate entities, rather than broader indications of distress. Inter-instrument agreement, assessed with the intraclass coefficient (ICC) and the screening accuracy indicators (receiving operator characteristic [ROC] curves, sensitivity, specificity, and the positive and negative predictive values [PPV; NPV]) were good for most screened risk factors. PPV was low in low prevalence risk factors like anxiety, trauma, and depression.& nbsp;Conclusion: Overall, the current version of the Comprehensive Psychosocial Screening Instrument has an acceptable performance in both populations, with a fair to excellent level of agreement with established full questionnaires. Besides a few suggestions for further refinement, the screener may be implemented in primary care and cardiological practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code van den Houdt, Sophie UNSPECIFIED UNSPECIFIED UNSPECIFIED Albus, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Herrmann-Lingen, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Widdershoven, Jos UNSPECIFIED UNSPECIFIED UNSPECIFIED Kupper, Nina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-683601
DOI:	10.1016/j.jpsychores.2022.110791
Journal or Publication Title:	J. Psychosomat. Res.
Volume:	157
Date:	2022
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1879-1360
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTTRAUMATIC-STRESS-DISORDER; NEGATIVE AFFECTIVITY; ANXIETY DISORDERS; SOCIAL INHIBITION; CARDIAC EVENTS; D PERSONALITY; RISK-FACTORS; DEPRESSION; DISEASE; HEART Multiple languages Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68360