Clinical depression screening: Difference between revisions
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*The USPSTF, American Academy of Family Physicians, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists recommend screening all postpartum women for depression. | *The USPSTF, American Academy of Family Physicians, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists recommend screening all postpartum women for depression. | ||
*The USPSTF recommends that all pregnant women should be screened for depression at least once during the perinatal period. It recommends screening at least once during pregnancy and again 4-8 weeks after delivery. | *The USPSTF recommends that all pregnant women should be screened for depression at least once during the perinatal period. It recommends screening at least once during pregnancy and again 4-8 weeks after delivery. | ||
**A validated screening instrument such as the [[Edinburgh Postnatal Depression Scale]] or the [[PHQ-9]] can be used. | **A validated screening instrument such as the [[Edinburgh Postnatal Depression Scale]] or the [[PHQ-9]]<ref name="pmid10568646">{{cite journal| author=Spitzer RL, Kroenke K, Williams JB| title=Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. | journal=JAMA | year= 1999 | volume= 282 | issue= 18 | pages= 1737-44 | pmid=10568646 | doi=10.1001/jama.282.18.1737 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10568646 }} </ref> can be used. | ||
*In older adults, instruments such as [[PHQ-2]], [[PHQ-9]], [[Cornell Scale for Depression in Dementia]], or [[Geriatric Depression Scale]] are appropriate screening tools. | *In older adults, instruments such as [[PHQ-2]], [[PHQ-9]]<ref name="pmid10568646">{{cite journal| author=Spitzer RL, Kroenke K, Williams JB| title=Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. | journal=JAMA | year= 1999 | volume= 282 | issue= 18 | pages= 1737-44 | pmid=10568646 | doi=10.1001/jama.282.18.1737 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10568646 }} </ref>, [[Cornell Scale for Depression in Dementia]], or [[Geriatric Depression Scale]] are appropriate screening tools. | ||
*When any of the screening instruments is positive for possible depression, the diagnosis needs to be confirmed according to the criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. | *When any of the screening instruments is positive for possible depression, the diagnosis needs to be confirmed according to the criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. | ||
Latest revision as of 02:43, 8 July 2024
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Clinical Depression Microchapters |
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Clinical depression screening On the Web |
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Risk calculators and risk factors for Clinical depression screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
According to the U.S. Preventive Services Task Force (USPSTF), screening for major depressive disorder is recommended in children and adolescents 12 to 18 years of age, in older adults, and in pregnant women (at least once during pregnancy and again 4-8 weeks after delivery).
Screening
- The U.S. Preventive Services Task Force (USPSTF) does not recommend routine screening for major depressive disorder ([MDD]) in children 7 to 11 years of age.
- The USPSTF recommends screening for MDD in children and adolescents 12 to 18 years of age.
- The Patient Health Questionnaire for Adolescents ([PHQ-A]) and the Beck Depression Inventory for Primary Care ([BDI-PC]) can be used.
- The U.S. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for MDD in the general adult population.
- The USPSTF, American Academy of Family Physicians, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists recommend screening all postpartum women for depression.
- The USPSTF recommends that all pregnant women should be screened for depression at least once during the perinatal period. It recommends screening at least once during pregnancy and again 4-8 weeks after delivery.
- A validated screening instrument such as the Edinburgh Postnatal Depression Scale or the PHQ-9[1] can be used.
- In older adults, instruments such as PHQ-2, PHQ-9[1], Cornell Scale for Depression in Dementia, or Geriatric Depression Scale are appropriate screening tools.
- When any of the screening instruments is positive for possible depression, the diagnosis needs to be confirmed according to the criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th ed.
References
- ↑ 1.0 1.1 Spitzer RL, Kroenke K, Williams JB (1999). "Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire". JAMA. 282 (18): 1737–44. doi:10.1001/jama.282.18.1737. PMID 10568646.