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Heterogeneity of Patients With Coronary Artery Disease and Distress and the Need to Identify Relevant Subtypes—Reply
Nancy Frasure-Smith, PhD;
François Lespérance, MD
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In reply
Drs de Jonge and Ormel believe that we should have discussed the importance of first vs recurrent depression, cognitive vs somatic symptoms of depression, and the persistence of symptoms, all topics on which they have written articles. Instead, we reported the data for the primary aims of our study: to determine the relative prognostic importance of the diagnostic categories of MDD and GAD using the best available standardized clinical interview (Structured Clinical Interview for DSM-IV) and to compare the prognostic importance of self-reports of symptom levels with the diagnostic categories. In doing so, we sought to expand and attempt to replicate our previous work that suggested that elevated depression symptoms after an MI are associated with as great a prognostic risk as the diagnosis of major depression.1 Unlike most previous studies, including those cited by de Jonge and Ormel, in which . . . [Full Text of this Article]
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RELATED LETTER
Heterogeneity of Patients With Coronary Artery Disease and Distress and the Need to Identify Relevant Subtypes
Peter de Jonge and Johan Ormel
Arch Gen Psychiatry. 2008;65(7):851-852.
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