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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.
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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

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