Comparing Patient and Nurse Specialist Reports of Causative Factors of Depression Related to Heart Failure

• Published in: Perspectives in psychiatric care Vol. 47; no. 2; pp. 98 - 104
• Main Authors: Bowden, Kasey, Fitzgerald, Sharon A., Piamjariyakul, Ubolrat, Werkowitch, Marilyn, Thompson, Noreen C., Keighley, John, Smith, Carol E.
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01-04-2011; Hindawi Limited
• Subjects: Adult; Aged; Aged, 80 and over; Causative factor; Comparative analysis; content analysis; depression; Depression - diagnosis; Depression - etiology; Depression - psychology; Female; Heart failure; Heart Failure - psychology; Humans; Male; Medical diagnosis; Medical treatment; Mental depression; Middle Aged; Nursing; Patients - psychology; psychiatric nurse specialist assessment; Psychiatric Nursing; Psychiatric Status Rating Scales; Psychiatric-mental health nursing; Reproducibility of Results; Self Report; Specialists; Young Adult; United States > US
• ISSN: 0031-5990; 1744-6163
• DOI: 10.1111/j.1744-6163.2010.00279.x

PURPOSE:  The purpose of this study was to compare participants' and a psychiatric nurse specialist's reports on factors precipitating depression and to validate a depression screening instrument.
DESIGN AND METHODS:  Participants were screened for and asked to self‐report causative factors of their depression. Participants with moderately severe and severe depressive symptoms received a psychiatric nurse specialist assessment.
FINDINGS:  Participants self‐reported several causative factors of depression. The psychiatric nurse specialist discovered these plus additional factors. The screening instrument was found to be reliable and valid for the measurement of depressive symptoms.
PRACTICE IMPLICATIONS:  Participant self‐report identifies many causative factors of depression. The psychiatric nurse specialist identifies additional factors, allowing individualized diagnoses and treatments.