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Validity of a multidimensional comprehensive psychosocial screening instrument based on the ESC cardiovascular prevention guidelines: Evidence from the general and cardiovascular patient population
van den Houdt,S. Albus,Chr. Herrmann-Lingen,C. Widdershoven,J.W.C.M. Kupper,H.M.
van den Houdt,S.
Albus,Chr.
Herrmann-Lingen,C.
Widdershoven,J.W.C.M.
Kupper,H.M.
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. Method 678 participants (Mage = 48.2, SD = 16.8; 46% male) of the Dutch general population and 312 cardiac patients (Mage = 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). 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. 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.
Description
Funding Information: This study is funded by the NWO Aspasia grant (Dutch Research Council) granted to dr. N. Kupper (grant number: 015008055 ) and by the Gender and Prevention grant awarded by The Netherlands Organisation for Health Research and Development (grant number: 555003012 ) to dr. N. Kupper.
Date
2022
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Research Projects
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Keywords
ANXIETY DISORDERS, CARDIAC EVENTS, Coronary heart disease, D PERSONALITY, DEPRESSION, DISEASE, EUROPEAN-SOCIETY, General population, NEGATIVE AFFECTIVITY, POSTTRAUMATIC-STRESS-DISORDER, Prevention, Psychosocial risk factors, RISK-FACTORS, SOCIAL INHIBITION, Screening, SDG 3 - Good Health and Well-being
Citation
van den Houdt, S, Albus, C, Herrmann-Lingen, C, Widdershoven, J W C M & Kupper, H M 2022, 'Validity of a multidimensional comprehensive psychosocial screening instrument based on the ESC cardiovascular prevention guidelines : Evidence from the general and cardiovascular patient population', Journal of Psychosomatic Research, vol. 157, 110791. https://doi.org/10.1016/j.jpsychores.2022.110791