Screening instruments for depression in primary care: a concise review for clinicians.
Depression is prevalent across the life span worldwide. It is a common problem encountered in primary care settings. The World Health Organization recommends the integration of mental health into general health care in order to seal the existing gap between the number of patients who need mental hea...
| Publicado en: | Postgraduate Medicine Vol. 127; no. 1; pp. 99 - 107 |
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| Autores principales: | , |
| Formato: | review Journal Article |
| Publicado: |
Taylor & Francis Ltd
2015 Jan
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109693514&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109693514 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00325481 PME jtl: Postgraduate Medicine issn: 00325481 maglogo: Y pubinfo: dt: 2015 Jan vid: 127 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 109693514 109693514 NLM25526224 2012874330 10.1080/00325481.2015.992721 NLM25526224 109693514 ppf: 99 ppct: 8 formats: tig: atl: Screening instruments for depression in primary care: a concise review for clinicians. aug: au: Lakkis, Najla A. Mahmassani, Dina M. affil: Department of Family Medicine, American University of Beirut Medical Center (AUBMC), Beirut, Lebanon sug: ab: Depression is prevalent across the life span worldwide. It is a common problem encountered in primary care settings. The World Health Organization recommends the integration of mental health into general health care in order to seal the existing gap between the number of patients who need mental health care and those who actually receive it. Addressing the burden of mental health problems in primary care settings has its limitations, particularly because of the time constraints in busy primary care clinics as well as the inadequate training of staff and physicians in mental health disorders. That is why reliable, brief, and easy to administer depression screening instruments are important in helping physicians identify patients at risk. The 2-item Patient Health Questionnaire (PHQ-2) is a suitable primary screening tool for depression. If positive, other tools should be administered, such as the PHQ-9 in adults, the PHQ-9 or Geriatric Depression Scale-15 in older adults, or the Arroll's help question or the Edinburgh Postnatal Depression Scale in ante- or postpartum women. Patients with positive scores ought to be interviewed more thoroughly. Computerized depression screening instruments that are interfaced or integrated into electronic health records seem to be promising steps toward optimizing diagnosis, treatment, and follow-up. The availability of adequate management and follow-up are ethical requirements for the utilization of any screening instrument for depression. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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