Screening and case-finding instruments for depression: a meta-analysis

Gilbody, Simon; Sheldon, Trevor; House, Allan

doi:10.1503/cmaj.070281

Cited by 375 publications

(297 citation statements)

References 47 publications

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“…However, such screening is only worthwhile if followed by a fuller clinical diagnostic assessment and an agreed management plan. 10 Observer rated screening tools (e.g. Stroke Aphasic Depression Questionnaire 11 or The Depression Intensity Scale Circles 12 ) can be used to identify mood disturbance in people with aphasia or other communication problems; however, as for other screening, clinical judgement is then needed to decide if the patient has depression and whether treatment is needed.…”

Section: Depressionmentioning

confidence: 99%

Neuropsychiatric outcomes of stroke

Hackett

Köhler

O’Brien

et al. 2014

The Lancet Neurology

261

148

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Section: Depressionmentioning

confidence: 99%

Neuropsychiatric outcomes of stroke

Hackett

Köhler

O’Brien

et al. 2014

The Lancet Neurology

261

148

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“…Several studies, emphasise that screening alone is insufficient for connecting end-users with the necessary resources for effective treatment [9,[71][72][73]. Instead, it is argued that online screening should supplement, and be integrated when necessary, with additional support and assessment which can include face-to-face or online assessments with health professionals within mental health services [9,73].…”

Section: Discussion Principal Findingsmentioning

confidence: 99%

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies (Preprint)

Ospina-Pinillos¹,

Davenport²,

Ricci³

et al. 2017

Preprint

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Background: The Mental Health eClinic (MHeC; including health promotion, assessment, screening, triage protocols, treatment via video conferencing, and self-directed mental health support) aims to deliver best practice clinical services to people experiencing mental health problems by breaking down traditional barriers to care and making healthcare more personalised, accessible, affordable and available. Objective: The aim of this study was to use participatory design (PD) methodologies with end-users (young people and youth health professionals) and our research team to develop the MHeC to improve timely access to, and beter quality, mental health care for young people across Australia. Methods: A research and development (R&D) cycle for the co-design and build of the MHeC included several iterative PD phases: PD workshops; knowledge translation of ideas generated during workshops to wireframes; rapid prototyping and one-on-one consultations with end-users, including assessing usability of the alpha build of the MHeC. Results: Four PD workshops with end users and our research team (n=37), four knowledge translation sessions, and one round of one-on-one end-user consultation sessions (n=6) were conducted. The iterative R&D cycle validated five main components of the MHeC for young people: home page and triage system; a comprehensive physical and mental health assessment; a detailed dashboard of results; a booking and video visit system; and, links to apps and etools recommended by youth health professionals. Conclusions:The MHeC presents a technologically-advanced and clinically-efficient system that can be adapted to suit a variety of settings in which there is an opportunity to connect with young people. This will enable many young people, and especially those currently not able or willing to connect to face-to-face services, to receive the right intervention from the right service at the right time.

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“…Identification of minor depressive disorder in this population is important for primary care physicians to pursue. Gilbody et al 31 in a recent review caution that depression screening cannot stand alone, but needs to be part of a comprehensive system-based approach, including careful patient follow-up and use of well-trained case managers.…”

Section: Discussionmentioning

confidence: 99%

Primary Care Evaluation of Mental Disorders (PRIME-MD) Screening for Minor Depressive Disorder in Primary Care

Tamburrino¹,

Lynch²,

Nagel³

et al. 2009

Prim. Care Companion J. Clin. Psychiatry

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Objective: Individuals visiting a primary care practice were screened to determine the prevalence of depressive disorders. The DSM-IV-TR research criteria for minor depressive disorder were used to standardize a definition for subthreshold symptoms.Method: Outpatients waiting to see their physicians at 3 community family medicine sites were invited to complete a demographic survey and the Primary Care Evaluation of Mental Disorders Patient Questionnaire (PRIME-MD PQ). Those who screened positive for depression on the PRIME-MD PQ were administered both the PRIME-MD Clinician Evaluation Guide (CEG) mood module and the Hamilton Depression Rating Scale (HDRS) by telephone. Data were collected over a 2-year period (1996)(1997)(1998).Results: 1,752 individuals completed the PRIME-MD PQ with 478 (27.3%) scoring positive for depression. Of these 478 patients, 321 received telephone follow-up using the PRIME-MD CEG mood module and the HDRS. PRIME-MD diagnoses were major depressive disorder (n = 85, 26.5%), dysthymia (n = 31, 9.6%), minor depressive disorder (n = 51, 15.9%), and no depression diagnosis (n = 154, 48.0%). The mean HDRS scores by diagnosis were major depressive disorder (20.3), dysthymia (12.9), minor depressive disorder (11.7), and no depression diagnosis (5.8). Post hoc analyses using Dunnett's C test indicated differences between each of the 4 groups at P ≤ .05, with the exception that dysthymia and minor depressive disorder were not significantly different.Conclusions: Minor depressive disorder was more prevalent than dysthymia and had similar symptom severity to dysthymia as measured by the HDRS. More research using standardized definitions and longitudinal studies is needed to clarify the natural course and treatment indications for minor depressive disorder.

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Screening and case-finding instruments for depression: a meta-analysis

Cited by 375 publications

References 47 publications

Neuropsychiatric outcomes of stroke

Neuropsychiatric outcomes of stroke

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies (Preprint)

Primary Care Evaluation of Mental Disorders (PRIME-MD) Screening for Minor Depressive Disorder in Primary Care

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