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Depression Screening Tools

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6041. The positive effect of integrated care on depressive symptoms in stroke survivors. (Abstract)

-directional information feedback loop, management of vascular risk factors, and regular screening for depressive symptoms.Patients exposed to the IC model exhibited significantly fewer depressive symptoms than controls at 12 months post stroke (as measured by the PHQ-9 screening tool; p = 0.006). At 12 months, 30/91 (33%) of the treatment group had depressive symptoms, compared to 52/95 (55%) of the control group (p = 0.003). With other variables adjusted for, the major associates of being depressed at 12 (...) The positive effect of integrated care on depressive symptoms in stroke survivors. Depressive symptoms occur in approximately one-third of stroke patients. We sought to evaluate whether an integrated model of stroke care and secondary prevention reduced depressive symptomatology in stroke survivors.The integrated care (IC) model is a multifaceted program that provides ongoing collaboration between a specialist stroke service and primary care physicians, using telephone tracking, a bi

2008 Cerebrovascular diseases (Basel, Switzerland) Controlled trial quality: uncertain

6042. Associations of depression and anxiety with gender, age, health-related quality of life and symptoms in primary care COPD patients. Full Text available with Trip Pro

and treatment for depression and anxiety should be considered for all COPD patients, not just those with more severe clinical levels of disease. The potential of the EQ-5D(VAS) as a screening tool for anxiety and depression in primary care COPD patients also merits study. (...) Associations of depression and anxiety with gender, age, health-related quality of life and symptoms in primary care COPD patients. Under-diagnosis of anxiety and depression in Chronic Obstructive Pulmonary Disease (COPD) patients may have a negative impact on patient quality of life and result in disparity between prevalence and the recognition and treatment of these symptoms.To reveal associations of depression and anxiety with demographic, health-related quality of life and clinical

2007 Family Practice

6043. Depression in terminal illness: the need for primary care-specific research. Full Text available with Trip Pro

the prevalence of depression in a primary care population with terminal cancer.A two-stage community prevalence survey conducted in primary care practices in Merseyside, UK. Adult patients with advanced metastatic cancer were invited to join the study. In phase 1, a depression screening tool (the Edinburgh Depression Scale [EDS]) was used to categorize patients as being high or low risk of depression. In phase 2, samples from each group underwent a diagnostic assessment using the revised Clinical Interview (...) Schedule. Weighted prevalence estimates were calculated.In a final sample of 70 (response rate 47.9%), the prevalence of depression was 4.1% (95% confidence interval 0-8.8%). The sensitivity and specificity of the EDS were poorer than predicted.The prevalence of depression in our sample was lower than expected given findings from previous studies. Screening tools also performed differently in this population. The limitations in our study are discussed; however, our findings raise questions about

2007 Family Practice

6044. A system-based approach to depression management in primary care using the Patient Health Questionnaire-9. Full Text available with Trip Pro

A system-based approach to depression management in primary care using the Patient Health Questionnaire-9. Primary care physicians are more likely to see patients with depression than with any other disorder except hypertension, and its management poses a challenge to busy primary care practices. The Patient Health Questionnaire-9, a simple self-administered tool of proven validity and reliability, is a commonly used screening instrument for depression in primary care practice. This review (...) article provides a system-based approach to depression management using the Patient Health Questionnaire-9 to guide clinicians in the identification and treatment of depression and its follow-up care.

2007 Mayo Clinic Proceedings

6045. Antenatal risk factors for postnatal depression: A large prospective study. (Abstract)

. Of 12,361 women who completed postnatal EPDS forms, 925 (7.5%) had an EPDS score >12. Antenatal depression together with a prior history of depression and a low level of partner support were the strongest independent antenatal predictors of a postnatal EPDS score >12.The two main limitations of the study were the use of the EPDS (a self-report screening tool) as the measure of depressive symptoms rather than a clinical diagnosis, and the rate of attrition between antenatal screening and the collection (...) and 2005.Pregnant women were screened for symptoms of postnatal depression at antenatal clinics in maternity services around Australia using the Edinburgh Postnatal Depression Scale (EPDS) and a psychosocial risk factor questionnaire that covered key demographic and psychosocial information.From a total of 40,333 participants, we collected antenatal EPDS data from 35,374 women and 3144 of these had a score >12 (8.9%). Subsequently, efforts were made to follow-up 22,968 women with a postnatal EPDS

2007 Journal of Affective Disorders

6046. Depressive symptomatology in young people with Gilles de la Tourette Syndrome-- a comparison of self-report scales. (Abstract)

by scores on the Diagnostic Confidence Index (DCI).The study was undertaken in a tertiary referral specialized clinic for TS thus limiting the generalizability of the findings, and the study did not include any control subjects.The results provide support for the need and usefulness of both BDSRS and CDI as screening tools for depressive symptoms in children and adolescents with TS. Furthermore, the findings suggest the possibility of a complex inter-relationship between TS severity, comorbid OCB (...) Depressive symptomatology in young people with Gilles de la Tourette Syndrome-- a comparison of self-report scales. Few studies have examined depressive symptomatology in children and adolescents with Tourette Syndrome (TS) using standardised measures and none have compared different self-report scales in the context of TS.Seventy-two consecutive young people attending a TS clinic were evaluated using standardised rating scales for TS and associated behaviours, severity and psychopathology. All

2006 Journal of Affective Disorders

6047. Type-D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention. Full Text available with Trip Pro

and was an independent predictor of anxiety 12 months post-PCI together with depressive symptoms and anxiety at baseline. The DS14 could be used as a screening tool in clinical practice to identify high-risk patients post-PCI. (...) Type-D personality and depressive symptoms predict anxiety 12 months post-percutaneous coronary intervention. We examined whether type-D personality exerts a stable effect on anxiety over time and the clinical relevance of type-D personality as a predictor of anxiety 12 months post-percutaneous coronary intervention (PCI).Consecutive patients (n=416) with stable or unstable angina pectoris treated with PCI completed the Type-D Scale (DS14) at baseline and the Hospital Anxiety and Depression

2007 Journal of Affective Disorders

6048. Using the CES-D in a two-phase survey for depressive disorders among nonreferred adolescents in Taipei: a stratum-specific likelihood ratio analysis. (Abstract)

who completed the CES-D and eating attitude test (EAT; response rate=98.5%), 178 were randomly selected from four subgroups defined by the 90th percentile of the two screening tools for face-to-face interview, using the Schedule for Affective Disorders and Schizophrenia for Children (K-SADS). Discriminatory validities of instruments for depressive disorders were estimated, and then a stratum-specific likelihood ratio (SSLR) analysis was conducted for instruments with sufficient validity.The (...) Using the CES-D in a two-phase survey for depressive disorders among nonreferred adolescents in Taipei: a stratum-specific likelihood ratio analysis. Efficient screening is important in two-phase surveys. We examined whether the Center for Epidemiologic Studies Depression Scale (CES-D) is an appropriate instrument for screening depressive disorders among adolescents in Taipei, an ethnic group whose depression is little known of.Among the 2440 students of a school in Taipei, aged 12 to 16 years

2004 Journal of Affective Disorders

6049. Cognitive complexity of self-administered depression measures. (Abstract)

Cognitive complexity of self-administered depression measures. Self-administered depression measures are important tools for research and practice, but their utility depends on the quality of the measurements they yield. Respondent comprehension is essential for meaningful measurement and prior studies have used readability indices to assess comprehensibility. Readability, however, is only one aspect of comprehension and empirical evidence shows that comprehension and measurement quality (...) difficult to comprehend, were the Inventory to Diagnose Depression (IDD), the Hamilton Depression Inventory (HDI, Full and Short Versions), and the Beck Depression Inventory (BDI, BDI-II, BDI-PC). The least complex measures, likely to be easiest to comprehend, were the Harvard National Depression Screening Day Scale (HANDS), the Revised Hamilton Rating Scale for Depression Self-Report Problem Inventory (RHRSD) and the Zung Self-Rated Depression Scale (SDS). This multidimensional approach to assessing

2004 Journal of Affective Disorders

6050. Validation of the Retardation Rating Scale for detecting depression in geriatric inpatients. (Abstract)

screening tool for depression and improves recognition of depression in geriatric inpatients.Copyright 2006 John Wiley & Sons, Ltd. (...) Validation of the Retardation Rating Scale for detecting depression in geriatric inpatients. Validation in the elderly of the Retardation Rating Scale (RRS), which includes items related to motor and mental retardation but not vegetative items, and may be particularly well-suited for the diagnosis of depression in the elderly.One hundred and sixty-five geriatric inpatients (105 depressed), aged 65 and over, without dementia, neuroleptic medication and increased risk of slowed mobility, were

2007 International Journal of Geriatric Psychiatry

6051. Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people. (Abstract)

and tested negative.The PHQ-2 is a valid screening tool for major depression in older people but should be followed by a more-comprehensive diagnostic process. Although its specificity differs by age, sex, and racial and ethnic groups, these differences appear to be of little clinical significance. (...) Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people. To determine the performance of the Patient Health Questionnaire 2 (PHQ-2) against the criterion standard for diagnosing major depression, the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and to examine its performance across age, sex, and racial/ethnic groups.Cross-sectional observational study.The National Epidemiologic Survey on Alcohol and Related

2007 Journal of the American Geriatrics Society

6052. Clock drawing, clock reading, clock setting, and judgment of clock faces in elderly people with dementia and depression. (Abstract)

that may prove to be a valuable tool when screening for dementia. (...) Clock drawing, clock reading, clock setting, and judgment of clock faces in elderly people with dementia and depression. To assess patient performance on different clock tasks.Group comparisons.A hospital-based memory clinic; inpatient and outpatient memory clinic.Patients with dementia (n=30), patients with depression (n=30), and healthy controls (n=30).General neuropsychological tests, clock drawing tests, and three additional clock tasks: clock reading, clock setting, and judgment of clock

2004 Journal of the American Geriatrics Society

6053. Practice Parameter: evaluation and treatment of depression, psychosis, and dementia in Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Full Text available with Trip Pro

Practice Parameter: evaluation and treatment of depression, psychosis, and dementia in Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. To make evidence-based treatment recommendations for patients with Parkinson disease (PD) with dementia, depression, and psychosis based on these questions: 1) What tools are effective to screen for depression, psychosis, and dementia in PD? 2) What are effective treatments (...) ) and rivastigmine should be considered for DLB (Level B).Screening tools are available for depression and dementia in patients with PD, but more specific validated tools are needed. There are no widely used, validated tools for psychosis screening in Parkinson disease (PD). Clozapine successfully treats psychosis in PD. Cholinesterase inhibitors are effective treatments for dementia in PD, but improvement is modest and motor side effects may occur.

2006 Neurology

6054. Identifying postpartum depression: are 3 questions as good as 10? Full Text available with Trip Pro

. The performance of the Edinburgh Postpartum Depression Scale-2 was markedly inferior, with sensitivity at 48% to 80%. Moreover, the Edinburgh Postpartum Depression Scale-2 was unreliable for mothers who had not been depressed in the past.The brevity, reliability, and operating characteristics of the Edinburgh Postpartum Depression Scale-3 make it an attractive postpartum depression screening tool for primary health care settings in which the goal is to detect depression, not to assess its severity. Validation (...) Identifying postpartum depression: are 3 questions as good as 10? Postpartum depression is the most common medical problem that new mothers face. Anxiety is a more prominent feature of postpartum depression than of depression that occurs at other times in life. Routine, universal screening significantly improves detection in primary health care settings. Thus, an ultrabrief scale that could be incorporated into a general health survey or interview would be useful.We tested the hypothesis

2008 Pediatrics

6055. Smell test predicts performance on delayed recall memory test in elderly with depression. (Abstract)

and education or less) on CVLT delayed recall trials.Forty-one patients (33 women and eight men) were assessed. Mean age was 76.8 (SD: 6.5), mean HRSD scores before treatment was 22.0 (SD: 5.1). Nine patients had impairment on CVLT delayed recall measures. The area under the ROC curve was 0.776 (95% CI = 0.617-0.936).Our results support the use of the CC-SIT as a screening tool for cognitive impairment among elderly with depression as an indicator for the need of a comprehensive neuropsychological (...) Smell test predicts performance on delayed recall memory test in elderly with depression. Elderly with depression are at increased risk for cognitive dysfunction and dementia. Smell tests are correlated with performance on cognitive tests in the elderly and therefore might serve as a screening test for cognitive impairment in depressed elderly.To assess the validity of the CC-SIT (Cross-Cultural Smell Identification Test) as a screening test for cognitive impairment in elderly

2008 International Journal of Geriatric Psychiatry

6056. Effectiveness of a training program for carers to recognize depression among older people. (Abstract)

session (for personal care attendants) or six session (for registered nurses or managers) training program. The program provided training for staff to identify and respond appropriately to signs of depression. In addition, nurses and managers were trained on the use of screening tools and referral processes. Outcomes were evaluated at post-test, and 6-month follow-up.The results demonstrated that for all groups training was effective in increasing carers' knowledge of depression and self-efficacy (...) Effectiveness of a training program for carers to recognize depression among older people. Depression is a mental disorder that is frequently not detected among older people. The current study was designed to evaluate the effectiveness of a training program to assist carers to better recognize depression among older people in both community and residential care settings.In total, 52 professional carers (26 in community care, 26 in residential care) across a range of occupations completed a four

2008 International Journal of Geriatric Psychiatry

6057. Rey verbal learning test is a useful tool for differential diagnosis in the preclinical phase of Alzheimer's disease: comparison with mild cognitive impairment and normal aging. (Abstract)

years later with probable DAT showed lower results, more frequently performed a score of zero at the delayed recall test (Trial 6) and had a percentage of forgetting (difference between Trials 5 and 6) higher than 75%. Score at delayed recall test and percentage of forgetting correlated with functional scales such as MMSE, Geriatric Depression Screening, Informant Questionnaire and Blessed's Dementia Rating.RAVLT could help to identify those patients with SMC who would progress to DAT over a few (...) Rey verbal learning test is a useful tool for differential diagnosis in the preclinical phase of Alzheimer's disease: comparison with mild cognitive impairment and normal aging. To confirm that performance in verbal learning and memory test (Rey's Auditory Verbal Learning Test-RAVLT) is a helpful early neuropsychological marker of dementia of Alzheimer's type (DAT).RAVLT was administered as part of a more extensive neuropsychological battery at baseline evaluation in 116 unselected patients

2003 International Journal of Geriatric Psychiatry

6058. Review: screening instruments had sensitivities of 67–100% and specificities of 53–98% for detecting major depression in older primary care patients Full Text available with Trip Pro

, and General Health Questionnaire) reported sensitivities of 39–70% and specificities of 72–82%. View this table: Test characteristics of 7 instruments for detecting major depression in older adults in primary care CONCLUSION Overall, screening instruments had sensitivities of 67–100% and specificities of 53–98% for detecting major depression in older patients in primary care. A modified version of this abstract appears in Evidence-Based Medicine. Commentary Many screening tools for clinical depression (...) of the disorder. Screening tools may also lack accuracy for non-major depression, and overall, general screening programmes remain controversial. Detection of depression, although necessary, is not the only requirement for effective treatment to occur. Adequate treatment of depression in primary care may be impeded by various clinician, patient, structural, and process barriers, and these raise the question of the usefulness of simply implementing screening programmes. Such barriers to adequate treatment

2005 Evidence-Based Nursing

6059. Postnatal Depression

that they will be perceived as a poor mother, the nature of the condition or problems with alcohol or substance dependence. Diagnosis [ ] At booking and at postnatal checks, all health professionals should consider mental health screening questions. First, consider asking the following two questions to screen for depression: During the past month, have you often been bothered by feeling down, depressed or hopeless? During the past month, have you often been bothered by having little interest or pleasure in doing things (...) ? Second, consider asking the following two questions about anxiety: During the past month have you been feeling nervous, anxious, or on edge? During the past month have you not been able to stop or control worrying? If the answer is "yes" to any of these questions, or if there is clinical concern, further assessment is required. This may be by the use of a formal assessment tool, such as the Patient Health Questionnaire (PHQ-9), the Edinburgh Postnatal Depression Scale or the Generalised Anxiety

2008 Mentor

6060. Managing Depression

, a history of parental depression, homelessness, refugee status and living in institutional settings [ ] . Presentation [ ] Screening This is covered by a separate article on recognition of depression: . Depression is common but is often undetected by the medical profession. However, a diagnosis of depression in primary care has a sensitivity of about 50% and specificity of 81%, with the risk of misidentification outweighing the risk of missed cases [ ] . In other words, GPs may be good at ruling out (...) of depression. Ann Fam Med. 2014 Jan-Feb12(1):57-65. doi: 10.1370/afm.1562. i asked about trazodone and very few replies. is there anybody else using it for anxiety and depression? Not sure if its working, just need information ann55375 Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker. Article Information Last Reviewed 15 March 2019 Next Review 13 March 2024 Document ID 2037 (v28) Author Peer reviewer Dr Hannah Gronow The information on this page is written and peer

2008 Mentor

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