Clinical depression screening: Difference between revisions

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==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==
==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.
There are also two Patient Health Questionnaires available that are also self-administered questionnaires. The PHQ-2 has only two questions that asks about the frequency of depressed mood and a loss of interest in doing things, with a positive to either question indicating the need for further testing.<ref name="pmid10568646">Spitzer RL, Kroenke K, Williams JB. 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. 1999;282:1737-44. PMID 10568646</ref>
**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 PHQ-9 is a slightly more detailed nine question survey covering some of the major symptoms of depression and the frequency a person has experienced them. It is based directly on the diagnostic criteria listed in the DSM-IV and often used as a follow up to a positive PHQ-2 test.<ref>[http://www.depression-primarycare.org/clinicians/toolkits/materials/forms/phq9/ The MacArthur Initiative on Depression Primary Care - Resources for Clinicians: Patient Health Questionnaire]</ref>
*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]] can be used.
Other screening  measures include:
*In older adults, instruments such as [[PHQ-2]], [[PHQ-9]], [[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.
* [[Geriatric Depression Scale]]
* [[Hamilton Depression Rating Scale]]


==References==
==References==
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Latest revision as of 17:38, 24 April 2021

Clinical Depression Microchapters

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Major Depressive Disorder (Patient Information)

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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 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.
  • In older adults, instruments such as PHQ-2, PHQ-9, 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

Template:WikiDoc Sources