Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-24T04:31:19.086Z Has data issue: false hasContentIssue false
  • English
  • Français

The psychiatric correlates of coronary pathology: validity of the GHQ-60 as a screening instrument

Published online by Cambridge University Press:  09 July 2009

J. L. Vázquez-Barquero ,
J. A. Padierna Acero ,
C. Peña Marti´n  and
A. Ochoteco
J. L. Vázquez-Barquero*
Affiliation:
Departments of Psychiatry and Cardiology, National Hospital Valdecilla, School of Medicine, University of Santander, Santander, Spain
J. A. Padierna Acero
Affiliation:
Departments of Psychiatry and Cardiology, National Hospital Valdecilla, School of Medicine, University of Santander, Santander, Spain
C. Peña Marti´n
Affiliation:
Departments of Psychiatry and Cardiology, National Hospital Valdecilla, School of Medicine, University of Santander, Santander, Spain
A. Ochoteco
Affiliation:
Departments of Psychiatry and Cardiology, National Hospital Valdecilla, School of Medicine, University of Santander, Santander, Spain
*
1Address for correspondence: Professor J. L. Vázquez-Barquero, Servicio de Psiquiatria, Hospital Nacional Valdecilla, Facultad de Medicina, Universidad de Santander, Santander, Spain.
Get access Rights & Permissions [Opens in a new window]

Synopsis

The 60-item General Health Questionnaire (GHQ) and the Clinical Interview Schedule (CIS) were administered to a consecutive series of 194 patients with established or presumptive coronary heart disease (CHD) attending an out-patient cardiology unit. The GHQ proved to be a valid instrument for the routine screening of this population. The presence of organic anginal pain was associated with high scores on the GHQ, but with a lower specificity and a higher percentage of false positives. This was not found in patients with atypical or non-cardiac chest pain. These findings suggest a need for an upward revision of the cut-off score on the GHQ in patients with organic anginal pain. False negatives were found predominantly among patients with personality disorders, and in those characterized by the longstanding nature of their symptomatology and by higher levels of defensiveness.

Type
Research Article
Information
Psychological Medicine , Volume 15 , Issue 3 , August 1985 , pp. 589 - 596
Copyright
Copyright © Cambridge University Press 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Ballinger, C. B. (1975). Psychiatric morbidity and the menopause: screening of a general population sample. British Medical Journal iii, 344–346.CrossRefGoogle Scholar
Ballinger, C. B. (1976). Psychiatric morbidity and the menopause: clinical features. British Medical Journal i, 1183–1185.CrossRefGoogle Scholar
Ballinger, C. B. (1977). Psychiatric morbidity and the menopause: survey of a gynaecological out-patient clinic. British Journal of Psychiatry 131, 83–89.CrossRefGoogle ScholarPubMed
Bass, C. & Wade, C. (1984). Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity. Psychological Medicine 14, 51–61.CrossRefGoogle ScholarPubMed
Blackburn, H., Taylor, H. L., Okamoto, N., Rautaharju, P., Mitchell, P. L. & Kerkhof, A. C. (1967). Standardization of the exercise electrocardiogram. A systematic comparison of the chest lead configations employed for monitoring during exercise. In Physical Activity and the Heart (ed. Karvonen, M. L. and Barry, A. L.), p. 101. Charles C. Thomas: Springfield, Ill.Google Scholar
Bruce, R. A. & Horsten, T. R. (1969). Exercise stress testing in evaluation of patients with ischaemic heart disease. Progress in Cardiovascular Disease 11, 371–376.CrossRefGoogle Scholar
Bruce, R. A., Kusumi, F. & Hosmer, D. (1973). Maximal origen intake and normographic assessment of functional aerobic impairment in cardiovascular disease. American Heart Journal 85, 546–560.CrossRefGoogle Scholar
De Paulo, J. R., Folstein, M. F. & Gordon, B. (1980). Psychiatric screening on a neurological ward. Psychological Medicine 10, 125–132.CrossRefGoogle ScholarPubMed
Ellestad, M. H. (1980). Stress Testing, Principles and Practice (2nd edn), pp. 107–108. F. A. Davis: Philadelphia.Google Scholar
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychiatry 134, 609–616.CrossRefGoogle ScholarPubMed
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Oxford University Press: London.Google Scholar
Goldberg, D. P. (1978). Manual of the General Health Questionnaire. NFER Publishing Company: Windsor.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970). Psychiatric illness in general practice. A detailed study using a new method of case identification. British Medical Journal ii, 439–443.CrossRefGoogle Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970). A standardized psychiatric interview suitable for use in community surveys. British Journal of Preventive and Social Medicine 24, 18–23.Google Scholar
Kirk, C. A. & Saunders, M. (1979). Psychiatric illness in a neurological out-patient department in North East England: use of the General Health Questionnaire in the prospective study of the neurological out-patient. Acta Psychiatrica Scandinavica 60, 427–438.CrossRefGoogle Scholar
Maguire, G. P., Julier, D. L., Hawton, K. E. & Bancroft, J. H. (1974). Psychiatric morbidity and referral on two general medical wards. British Medical Journal i, 268–270.CrossRefGoogle Scholar
Marks, I. & Lader, M. (1973). Anxiety states (anxiety neurosis): a review. Journal of Nervous and Mental Disease 156, 3–18.CrossRefGoogle ScholarPubMed
Muñoz, P. E. & Crespo, M. E. (1980). Prevalencia de trastornos psiquiátricos y su repercusión asistencial en un Servicio de Cirugia General. Actas Luso Españolas de Neurología y Psiquiatría 8, 299–310.Google Scholar
Muñoz, P. E., Vázquez-Barquero, J. L., Pastrana, E., Rodríguez Insausti, F. & Oneca, C. (1978). Study of the validity of Goldberg's 60-item GHQ in the Spanish version. Social Psychiatry 13, 99–104.CrossRefGoogle Scholar
Naughton, J. (1975). Common Protocol: The National Exercise and Heart Disease Project. A Collaborative Project (2nd edn). George Washington University Medical Center: Washington D.C.Google Scholar
Nott, P. N. & Cutts, S. (1982). Validation of the 30-item General Health Questionnaire in postpartum women. Psychological Medicine 12, 409–413.CrossRefGoogle ScholarPubMed
Rabins, P. V. & Brooks, B. R. (1981). Emotional disturbance in multiple sclerosis patients: validity of the General Health Questionnaire (GHQ). Psychological Medicine 11, 425–427.CrossRefGoogle ScholarPubMed
Tarnopolsky, A., Hand, D. J., McLean, E. K., Howard, R. & Wiggins, R. D. (1979). Validity and uses of a screening questionnaire (GHQ) in the community. British Journal of Psychiatry 134, 508–515.CrossRefGoogle ScholarPubMed
Vázquez-Barquero, J. L. (1979). Influencia de los factores socioculturales sobre la prevalencia neurótica: Un estudio de epidemiologia communitaria en el Valle del Baztan. Doctoral thesis: Universidad Autonóma de Madrid.Google Scholar
Vázquez-Barquero, J. L., Muñoz, P. E. & Madoz Jaúregui, V. (1981). The interaction between physical illness and neurotic morbidity in the community. British Journal of Psychiatry 139, 328–335.CrossRefGoogle ScholarPubMed
Vázquez-Barquero, J. L., Muñoz, P. E. & Madoz Jaúregui, V. (1982). The influence of the process of urbanization on the prevalence of neurosis. Acta Psychiatrica Scandinavica 65, 161–170.CrossRefGoogle ScholarPubMed
Vázquez-Barquero, J. L., Padierna Acero, J. A., Ochoteco, A. & Diez Manrique, J. F. (1985). Mental illness and ischaemic heart disease: analysis of the psychiatric morbidity. General Hospital Psychiatry 7, 15–20.CrossRefGoogle ScholarPubMed
Waxler, E. B., Kimbiris, D. & Dreifus, L. S. (1971). The fate of women with normal coronary arteriograms and chest pain resembling angina pectoris. American Journal of Cardiology 28, 25–32.CrossRefGoogle ScholarPubMed