Assessment and treatment of depression in patients with cardiovascular disease: National Heart, Lung, and Blood Institute Working Group Report.


Journal Article

OBJECTIVE: The National Heart, Lung, and Blood Institute convened an interdisciplinary working group of experts to develop recommendations for the assessment and treatment of depression in patients with coronary heart disease (CHD). METHOD: Consensus of experts. RESULTS: Our current recommendations are that the Beck Depression Inventory-I be employed for epidemiological studies of depression and CHD, that the Patient Health Questionnaire 2-item version be employed for screening for trial eligibility, that the Depression Interview and Structured Hamilton (DISH) be employed for diagnostic ascertainment for trial inclusion, and that the Hamilton rating scale, which is part of the DISH, be employed for both depression symptom reduction and the remission criterion in any trial. We further recommend that a randomized controlled trial be undertaken to determine whether selective serotonin reuptake inhibitors, psychotherapy, or combined treatment can reduce the risk of CHD events and mortality associated with depression in CHD patients. CONCLUSIONS: This report summarizes the recommendations made by the working group and discusses the rationale for each recommendation, the strengths and weaknesses of alternative approaches to assessment and treatment, and the implications for future research in this area.

Full Text

Duke Authors

Cited Authors

  • Davidson, KW; Kupfer, DJ; Bigger, JT; Califf, RM; Carney, RM; Coyne, JC; Czajkowski, SM; Frank, E; Frasure-Smith, N; Freedland, KE; Froelicher, ES; Glassman, AH; Katon, WJ; Kaufmann, PG; Kessler, RC; Kraemer, HC; Krishnan, KRR; Lespérance, F; Rieckmann, N; Sheps, DS; Suls, JM; National Heart, Lung, and Blood Institute Working Group,

Published Date

  • September 2006

Published In

Volume / Issue

  • 68 / 5

Start / End Page

  • 645 - 650

PubMed ID

  • 17012516

Pubmed Central ID

  • 17012516

Electronic International Standard Serial Number (EISSN)

  • 1534-7796

Digital Object Identifier (DOI)

  • 10.1097/01.psy.0000233233.48738.22


  • eng

Conference Location

  • United States