Depression Screening and Health Outcomes in Children and Adolescents: A Systematic Review

Roseman, Michelle; Saadat, Nazanin; Riehm, Kira E.; ., .; Boruff, Jill; Ickowicz, Abel; Baltzer, Franziska; Katz, Laurence Y.; Patten, Scott B.; Rousseau, Cécile; Thombs, Brett D.

doi:10.1177/0706743717727243

Cited by 21 publications

(20 citation statements)

References 25 publications

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“…However according to a systematic review by Roseman et al ., there is no major benefit of screening for depression among adolescents, which will have to be undertaken after weighing the benefits and harm specific to a particular population and geo-cultural situation. [15]…”

Section: Discussionmentioning

confidence: 99%

Depression and anxiety disorders among schoolgoing adolescents in an urban area of South India

Krishnamurthy

Mithra

Nair

et al. 2018

Indian J Community Med

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Context:Adolescence is a period of turmoil, leading to several mental health challenges including anxiety and/or depression.Aims:To study the prevalence of depression and anxiety among higher school going adolescents and their sociodemographic correlates.Settings and Design:This cross-sectional study included 201 schoolgoing adolescents.Subjects and Methods:Depression and anxiety were measured using Beck Depression Inventory and Screen for Child Anxiety Related Disorders.Statistical Analysis Used:Chi-square test and binary logistic Regression with Hosmer–Lemeshow goodness-of-fit model.Results:Overall, 82 (40.8%) showed depression (from mild mood disturbance to severe and extreme depression). Among females, it was 49.3% (vs. 35.9% among males, odds ratio [OR] 2.00; 95% confidence interval [CI]: 1.02–03.97, P = 0.046). Overall, 110 (54.7%) participants had one or the other type of anxiety. Depression among the participants having one or other type of anxiety was 60% (vs. 17.6% without anxiety, OR 7.34; 95% CI: 3.68–14.64, P < 0.0001).Conclusions:Depression and anxiety were high among the study participants. Co-existing anxiety and female gender are significantly associated with depression among them. Increasing age, socioeconomic factors, and parental education are other factors influencing depression and anxiety but were statistically not significant.

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Section: Discussionmentioning

confidence: 99%

Depression and anxiety disorders among schoolgoing adolescents in an urban area of South India

Krishnamurthy

Mithra

Nair

et al. 2018

Indian J Community Med

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“…However, screening for depression is only useful when it improves outcomes beyond those of standard care (14)(15)(16). For example, a 2017 systematic review of the clinical trial evidence for depression screening among children and adolescents (17) found no direct randomized control trials (RCTs) evidence to support it. The researchers noted there would be unintended harm from screening and recommended that there should be careful consideration "of potential harms, as well as the use of scarce health resources, that would occur with the implementation of screening programs" [(17), p. 813].…”

Section: Depression Screening In Adolescents: Is There Evidence Of Bementioning

confidence: 99%

“…Additionally, an examination of recommendations from three national guideline organizations (17) revealed a lack of evidence to support questionnaire-based screening. The recommendations for screening for alcohol misuse, depression, developmental or speech and language delays, domestic violence, and suicide risk from the United States Preventive Services Taskforce (USPSTF), the Canadian Task Force on Preventative Health Care (CTFPHC), and the United Kingdom National Screening Committee (UKNSC) were reviewed.…”

Section: Depression Screening In Adolescents: Is There Evidence Of Bementioning

confidence: 99%

Drivers of and Solutions for the Overuse of Antidepressant Medication in Pediatric Populations

et al. 2020

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Children in the United States and internationally are increasingly being diagnosed with depression and related psychiatric conditions and a recent study found that antidepressant (ADM) use in children and adolescents rose substantially in youth cohorts in five Western countries from 2005 to 2012. However, there has been ongoing controversy over the effectiveness and safety of ADM use in children, including concerns about ADM increasing suicidality and self-harm. In addition to the increase in the diagnosis of depression, commercially driven off-label prescriptions have been cited as a significant reason for high rates of pediatric ADM prescribing. In this commentary, we discuss two drivers of the overuse of ADM, both of which are products of an increasingly medicalized approach to mental health: 1) the demand for mental health and depression screening in youth, despite the lack of evidence to support it, and 2) the renewed momentum of the Global Mental Health Movement and concomitant calls to "scale up" the diagnosis and treatment of mental illness. Using the lens of institutional corruption, we identify the ways in which both guild and financial conflicts of interest create obstacles to rational prescribing practices in pediatric populations and offer suggestions for reform.

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“…Usually, depression screening uses a preset threshold to identify the severity of state status [ 19 ]. Previous articles reported several self-rated measures to identify the depressive symptoms with full confidence [ 19 , 25 , 30 , 31 ] but no clinical interviews being referred to support the diagnosis, the rate of misjudgment was quite high [ 32 , 33 ]. On the base of the Kutcher Adolescent Depression Scale, Beck Depression Inventory (BDI), and Hamilton rating scale for depression [ 3 , 34 , 35 , 36 ], we established a self-rate measure to assess the adolescent depressive prodrome [ 36 , 37 ], which evolves 16 depressive symptoms defined by DSM-5 with a 4-point scale and ranged total manifestation scores from 16–64 [ 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

Secondary Prevention of Depressive Prodrome in Adolescents: Before and after Attending a Jogging Program on Campus

Yen

Cherng

2020

IJERPH

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The adolescent depressive prodrome has been conceptualized as an early integrated sign of depressive symptoms, which may develop to a first episode of depression or return to normal for the adolescents. In this study, depressive prodrome presented the early self-rated depressive symptoms for the sample participants. By referring to the Kutcher Adolescent Depression Scale and the psychometric characteristics of the Adolescent Depression Scale (ADR), we proposed a self-rated questionnaire to assess the severity of the depressive symptoms in adolescents before and after attending the jogging program on a high school campus in Taiwan. With the parental co-signature and self-signed informed consent form, 284 high school students under the average age of 15 years, participated in this study in March 2019. Through the software of IBMSPSS 25, we used a binary logistic model, principal component analysis (PCA), multiple-dimensional analysis, and receiver operating characteristic curve (ROC) to analyze the severity of the depressive prodrome via the threshold severity score (SC) and false positive rate (FPR). Findings revealed that attending the 15-week jogging program (3 times a week, 45 min each) on campus can change the severity status and reduce the prevalence of moderate-severe depressive prodrome by 26%. The two-dimensional approach identified three symptoms, which were the crying spell, loss of pleasure doing daily activities, and feeling the decline in memory. They kept being invariant symptoms during the course of depressive prodrome assessment for sample participants. In this study, the campus jogging program appeared to be able to affect the FPR of the measure of depressive prodrome. Compared with the subthreshold depression, the depressive prodrome emphasized the assessment from the view of the secondary prevention by representing the change from a person’s premorbid functioning up until the first onset of depression or returning to normal. However, the subthreshold depression is a form of minor depression according to DSM-5 criteria varying on the number of symptoms and duration required, highly prevalent in the concern of primary care.

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Depression Screening and Health Outcomes in Children and Adolescents: A Systematic Review

Cited by 21 publications

References 25 publications

Depression and anxiety disorders among schoolgoing adolescents in an urban area of South India

Depression and anxiety disorders among schoolgoing adolescents in an urban area of South India

Drivers of and Solutions for the Overuse of Antidepressant Medication in Pediatric Populations

Secondary Prevention of Depressive Prodrome in Adolescents: Before and after Attending a Jogging Program on Campus

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