CDCare - Care for patients with coronary heart disease: a needs analysis for patients with and without depression

CDCare is a prospective cohort study that aims to demonstrate the relationships between coronary heart disease and depression. The results are intended to help estimate the resources required for a successful implementation of routine depression screening with subsequent patient-related care.

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Background:

Prolonged depressive symptoms affect the quality of life, increase the use of medical services and are associated with a poorer medical prognosis (eg myocardial infarction). However, depression in clinical practice is often underdiagnosticated and under-treated. A routine depression screening in CHD patients, as recommended by many professional organizations, may contribute to improved care, but a qualified follow-up (diagnostics and therapy) must be ensured. To date, there are no data available in Germany that make it possible to estimate the extent of this need and the resulting costs as well as possible cost savings.

Description of the project:

The CDCare study is a prospective cohort study. 1500 inpatients with coronary heart disease, who were recruited at 2 university hospitals (medical clinic with a focus on cardiology at the Charité and Department of Cardiology and Angiology, University Hospital Münster) received a depression screening and were interviewed. Over a period of 12 months after inclusion in the study the following information were collected:

  • the course of depressive symptoms,
  • data on current use of medical services (in particular hospital stays),
  • acceptance and use of depression treatment,
  • barriers to get depression treatment,
  • patient satisfaction,
  • knowledge and preferences of patients with regard to providers, treatment forms (eg pharmacotherapy and psychotherapy) and settings (eg single or group therapy) of depression therapies,
  • future hospital stays.

In addition to the quantitative survey, focus groups were carried out.
The results are intended to make it possible to estimate the resources required for a successful implementation of routine depression screening with subsequent patient-related care.

The study is currently in the evaluation phase.

Funding: Bundesministerium für Bildung und Forschung

Term: 1.3.2012 – 31.8.2015

Partners:

  • Prof. Dr. Wilhelm Haverkamp (Medizinische Klinik mit Schwerpunkt Kardiologie, Charité, Campus Virchow Kl)
  • Prof. Dr. Andreas Ströhle (Klinik für Psychiatrie und Psychotherapie, Charité, Campus Mitte)
  • Prof. Dr. Johannes Waltenberger (Department für Kardiologie und Angiologie, Universitätsklinikum Münster )
  • Prof. Dr. Volker Arolt (Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Münster)
  • Prof. Dr. Peter Martus (Institut für Klinische Epidemiologie und angewandte Biometrie, Universitätsklinikum Tübingen)

Principal Investigator:
Prof. Dr. Jacqueline Müller-Nordhorn

Project Coordinator:
PD Dr. Nina Rieckmann

Selected Publications

  • Beer, K., Rieckmann, N., Ertl, M., Sumaski, L., Zeidler, T., Arolt, V., Haverkamp, W., Waltenberger, J., Müller-Nordhorn, J., Ströhle, A. (2015). Assessment and follow-up of suicidal ideation when screening for depression in hospitalized coronary heart disease patients – development of a protocol. European Journal for Person-Centered Healthcare
  • Tschorn, M., Rieckmann, N., Arolt, V., Beer, K., Haverkamp, W., Martus, P., Waltenberger, J., Müller-Nordhorn, J., Ströhle, A. (2019). Erkennungsgüte dreier deutschsprachiger Screeninginstrumente für Depression bei hospitalisierten Patienten mit koronarer Herzerkrankung. Psychiatrische Praxis, Jan;46(1):41-48
  • Hornung, J., Kuhlmann, S.L., Radzimanowski, M., Jörgens, S. Haverkamp, W., Martus, P., Ströhle, A., Waltenberger, J., Arolt, V., Müller-Nordhorn, J., Rieckmann, N. (2019). Depressive symptoms and health care within 30 days after discharge from a cardiac hospital unit. General Hospital Psychiatry, Jan - Feb;56:19-27
  • Kuhlmann, S.L., Arolt, V., Haverkamp, W., Ströhle, A., Waltenberger, J., Müller-Nordhorn, J., Rieckmann, N. (2019). Einstellungen zu Depression und Behandlungsmöglichkeiten von Patienten mit koronarer Herzkrankheit. Nervenarzt, 2019 May 16
  • Kuhlmann, S.L., Arolt, V., Haverkamp, W., Martus, P., Ströhle, A., Waltenberger, J., Rieckmann, N., Müller-Nordhorn, J. (in press). Prevalence, 12-Month Prognosis, and Clinical Management Need of Depression in Coronary Heart Disease Patients: A Prospective Cohort Study. Psychotherapy and Psychosomatics, DOI: 10.1159/000501502