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Depression Screening Tools

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6061. Depression in Pregnancy

of depression, particularly in the first trimester. Thus, the psychological symptoms (eg, anhedonia, hopelessness, guilt) may be more reliable during pregnancy. The 2016 edition of the International Classification of Diseases 10th edition (ICD-10) system classifies depression in pregnancy under the code O99.340 (other mental disorders complicating pregnancy, unspecified trimester). There are sub-codes according to the trimester in which the condition presents. Screening Identifying antenatal depression (...) is potentially difficult - women are reluctant to acknowledge 'difficult' emotions rather than the 'bloom' expected in pregnancy and many of the biological symptoms of depression can also be attributed to the pregnancy itself. National Institute for Health and Care Excellence (NICE) guidelines suggest that health professionals (whether midwives, GPs, health visitors or obstetricians) should screen pregnant women at first contact and at booking with two questions: [ ] During the past month, have you often

2008 Mentor

6062. Depression in Children and Adolescents

, educational and family difficulties. Risk factors [ ] Family discord. Bullying. Physical, sexual or emotional abuse. History of parental depression. Ethnic and cultural factors. Homelessness. Refugee status. Living in institutional settings. Presentation The diagnosis is often missed and there is limited evidence that primary screening tools may accurately identify depressed adolescents [ ] . Often with somatic symptoms and may also have features of anxiety. Sometimes only presents as poor functioning (...) Thanks for your feedback. if you would like to report a specific issue with this page, please visit our . Thank you, we just sent a survey email to confirm your preferences. Further reading and references ; NICE Clinical Guideline (2004) ; NICE Clinical Guideline (March 2015) ; NICE CKS, March 2016 (UK access only) ; Screening for child and adolescent depression in primary care settings: a systematic evidence review for the US Preventive Services Task Force. Pediatrics. 2009 Apr123(4):e716-35

2008 Mentor

6063. 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

6064. Edinburgh Postnatal Depression Score Calculator

be taken into care, concern 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 (...) and antipsychotic medication. Prevention [ ] NICE recommends that women be proactively screened for mental health problems and high-risk patients identified. It is advised that when women present for booking and at the postnatal check, health professionals (including midwives, obstetricians, health visitors and GPs) should ask questions to screen for depression and anxiety (as in the 'Diagnosis' section, above). At the first contact they should also ask about: Past or present severe mental illness including

2008 Mentor

6065. Bipolar Disorder and Manic Depression

or depression. Any suicidal or homicidal thoughts. Any self-neglect. Family history. Substance misuse, smoking and alcohol intake. General physical health. Self-rating scales are available - eg, Mood Disorder Questionnaire. These have been found to be useful in screening purposes although their cost-effectiveness in routine clinical practice has been questioned. [ ] These questionnaires have not been validated for use in children and young people. Differential diagnosis [ ] or . . . . Other psychiatric (...) . doi: 10.1016/j.jad.2017.08.068. ; World Health Organization ; Rapid-cycling bipolar disorder: cross-national community study. Br J Psychiatry. 2010 Mar196(3):217-25. ; Screening for bipolar disorder with the Mood Disorders Questionnaire: a review. Harv Rev Psychiatry. 2011 Sep-Oct19(5):219-28. ; Mental Health- Consent, the law and depression- management in emergency settings. Emerg Med J. 2005 Apr22(4):279-85. ; NICE Guideline (May 2015) ; Evidence-based psychosocial treatments for child

2008 Mentor

6066. Hospital Anxiety and Depression (HAD) Scale

including drug and alcohol use, 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 (...) . doi: 10.3310/hta16280. ; Self-rated health and long-term prognosis 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

2008 Mentor

6067. The seven minute screen: a neurocognitive screening test highly sensitive to various types of dementia. Full Text available with Trip Pro

). The mean (SD) duration of administration of the 7MS was 12.4 (4.6) minutes, range 8 to 22, depending on dementia severity.The 7MS is a useful screening tool for discriminating patients with dementia from cognitively intact patients. This not only applies to Alzheimer's disease but also to other types of dementia. Specificity with respect to depression was lower for the 7MS than for the MMSE. (...) The seven minute screen: a neurocognitive screening test highly sensitive to various types of dementia. The seven minute screen (7MS) is a compilation of the temporal orientation test, enhanced cued recall, clock drawing, and verbal fluency. It has been shown to be useful for detecting Alzheimer's disease in a population of patients with memory complaints.To assess the predictive validity of the 7MS for various types of dementia, and the influence of depression and other psychiatric conditions

2004 Neurosurgery and Psychiatry

6068. Antenatal screening for postnatal depression: a systematic review Full Text available with Trip Pro

with caution in view of the methodological weaknesses of the review. Authors' objectives To appraise the evidence on the availability of a precise and validated screening test by identifying and summarising the screening properties of tools applied during pregnancy to predict a woman's risk of developing postnatal depression. Searching The authors searched MEDLINE, EMBASE, PsycLIT, CINAHL, HealthSTAR, the Cochrane Library and the UK National Research Register from 1980 (or their inception if earlier (...) be considered when developing such tools. Funding Not stated. Bibliographic details Austin M P, Lumley J. Antenatal screening for postnatal depression: a systematic review. Acta Psychiatrica Scandinavica 2003; 107(1): 10-17 PubMedID Additional Data URL Other publications of related interest Austin MP, Priest SR, Sullivan EA. Antenatal psychosocial assessment for reducing perinatal mental health morbidity. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD005124. DOI: 10.1002/14651858

2003 DARE.

6069. Unacceptability of routine screening for postnatal depression was related to the screening process, the intrusiveness of questions, and the stigma of disease Full Text available with Trip Pro

. Unacceptability was explained by the inadequacy of the screening process, the intrusiveness of the questions, and the stigma of postnatal depression. Women preferred talking about how they felt rather than completing a questionnaire, and many admitted to giving unreliable responses. Commentary Screening for postnatal depression has become established practice in the UK, and the EPDS is a commonly used screening tool. The study by Shakespeare et al is the first direct exploration of women’s experiences (...) Unacceptability of routine screening for postnatal depression was related to the screening process, the intrusiveness of questions, and the stigma of disease Unacceptability of routine screening for postnatal depression was related to the screening process, the intrusiveness of questions, and the stigma of disease | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time

2005 Evidence-Based Nursing

6070. Test characteristics of the 15-item geriatric depression scale and Hamilton depression rating scale in Parkinson disease. Full Text available with Trip Pro

: 0.92 and 0.91, respectively), with greatest dichotomization for the GDS-15 at a cutoff of 4/5 (87% accuracy, 88% sensitivity, 85% specificity) and the HDRS at a cutoff of 9/10 (83% accuracy, 88% sensitivity, 78% specificity).The GDS-15 performs well as a screening instrument and in distinguishing depressed from nondepressed patients in PD. Its test characteristics are comparable to the HDRS. Because it is a brief instrument and can be self-administered, it is an excellent depression screening tool (...) Test characteristics of the 15-item geriatric depression scale and Hamilton depression rating scale in Parkinson disease. The objective of this study was to compare the sensitivity, specificity, and diagnostic accuracy of the 15-item Geriatric Depression Scale (GDS-15) and the Hamilton Depression Rating Scale (HDRS) in patients with Parkinson disease (PD).A convenience sample of 148 outpatients with idiopathic PD receiving specialty care completed the GDS-15 and were administered the HDRS

2006 The American Journal of Geriatric Psychiatry

6071. The FIP study: a randomised, controlled trial of screening and recognition of psychiatric disorders. Full Text available with Trip Pro

The FIP study: a randomised, controlled trial of screening and recognition of psychiatric disorders. Research on questionnaires as screening tools for psychiatric disorders has yielded conflicting results.To examine the effect of a routinely administered questionnaire on recognition of common psychiatric disorders in general practice.Randomised controlled trial.Twenty-eight general practices in Aarhus County, Denmark.Thirty-eight general practitioners (GPs) and 1785 consecutive patients, aged (...) 18-65 years old, presenting with a new health problem, participated. Before consultation, patients were screened using a brief screening questionnaire (SQ) including somatisation, anxiety, depression, and alcohol abuse scales. Patients were randomised to one of two groups: 900 questionnaires were disclosed and scored by the GPs, 885 were blinded. A stratified subsample of 701 patients was interviewed after the consultation using a standardised psychiatric research interview (SCAN).Overall the GPs

2003 British Journal of General Practice Controlled trial quality: uncertain

6072. Screening for bipolar disorders using the Hypomanic Personality Scale. (Abstract)

scoring high on the Hyp scale reported significantly more manic or hypomanic episodes but not episodes of major depression. Correspondingly, the risk group exceeded the control group only on the rate of bipolar affective disorders (20.8% vs. 1.3%) but not unipolar depression, anxiety disorders, or other psychiatric conditions.It seems that the Hyp scale assesses a similar concept in American and German samples, and that it might be a useful tool to study more closely the processes associated (...) Screening for bipolar disorders using the Hypomanic Personality Scale. The Hypomanic Personality Scale (Hyp; Eckblad and Chapman, 1986) might be an indicator for the risk for bipolar affective disorders. We investigated whether the results with American samples can be replicated in a different sample.The participants (N=224) completed a questionnaire package including the Hyp Scale and were independently interviewed with a psychiatric interview schedule.Compared to the control group, persons

2003 Journal of Affective Disorders

6073. Screening for Alzheimer's disease with the short cognitive evaluation battery. (Abstract)

Screening for Alzheimer's disease with the short cognitive evaluation battery. Because Alzheimer's disease (AD) tends to be underdiagnosed, there is an increasing need for accurate neuropsychological screening tools that are easy to administer by general practitioners or specialists. The aim of the present study was to validate, in French, a sensitive and specific screening battery designed to improve the discrimination between patients with AD, patients with depression and healthy elderly (...) ). Multivariate analysis showed that, compared with controls, patients with mild AD were significantly impaired for all four tests. Response operating characteristics analysis of the SCEB showed: 93.8% sensitivity and 85% specificity for discriminating AD from control patients, and 63% sensitivity and 96% specificity for discriminating AD from depressive patients. In summary, the SCEB appears to be a highly sensitive and specific tool for discriminating between patients with mild AD and healthy elderly

2003 Dementia and Geriatric Cognitive Disorders

6074. Brief psychosocial screening at health supervision and acute care visits. (Abstract)

Brief psychosocial screening at health supervision and acute care visits. To identify factors associated with positive scores on a brief psychosocial screening tool with subscales for internalizing, externalizing, and attention problems.Parents of 2028 children between the ages of 7 and 15 years seen in a sample of 8 primary care practices in the Minneapolis-St Paul metropolitan area completed a brief questionnaire that included the 17-item Pediatric Symptom Checklist (PSC), demographic (...) on the depression subscale. Children not living with both biological parents and those with a household member receiving public assistance were significantly more likely to show psychosocial dysfunction. Controlling for demographic characteristics, patients presenting for an illness-related or injury visit were more likely to score positive on the screen than those presenting for a routine well-child visit (odds ratio: 1.46; 95% confidence interval: 1.07-1.98).Clinicians will miss opportunities to identify

2003 Pediatrics

6075. A psychometric analysis of a short device for assessing depression in elderly people. (Abstract)

. These data were available for test-retest analyses. The self-rating SGDS was found to be a reliable and valid measure of depression and is recommended for use as a screening tool for depression in elderly people in residential homes. (...) A psychometric analysis of a short device for assessing depression in elderly people. The Schwab-Gilleard Depression Scale is a short self-report index for assessing depression in elderly people. The aim of this study is to investigate the psychometric properties of this device with particular reference to its reliability, criterion validity and ability to discriminate depression from dementia. The total sample comprised 166 elderly people living in Part III residential homes in south-west

1996 The British journal of clinical psychology / the British Psychological Society Controlled trial quality: uncertain

6076. Practice Guidelines and Late-Life Depression Assessment in Long-Term Care Full Text available with Trip Pro

) and treatment skills (OR 6.72; 95% CI 1. 91, 23.64). Screening tool use predicted greater self-assessed detection (OR 1.89; 95% CI 0.92, 3.87) and treatment competency (OR 2.00; 95% CI 1.14, 3.50). Practice guideline awareness was associated with greater self-reported treatment competency (OR 2.47; 95% CI 1.56, 3.91). (...) Practice Guidelines and Late-Life Depression Assessment in Long-Term Care To determine how well nursing home physicians believe they can detect and treat depression, we conducted a national survey, eliciting a 63% response rate. More than 75% of respondents believed they detected and treated depression well. Excellent depression training (vs "good," "fair," "poor/none") was associated with better self-reported recognition (odds ratio [OR] 14.25; 95% confidence interval [CI] 1.81, 111.93

1999 Journal of General Internal Medicine

6077. Postnatal depression in the community. Full Text available with Trip Pro

health care team as a whole reflects this.To determine whether the use of the Edinburgh Postnatal Depression Scale (EPNDS) at postnatal examination would detect women not recognized as depressed by the PHCT. To determine whether the number of contacts with the PHCT could be used as a screening tool for postnatal depression.The EPNDS was administered at postnatal examination to 176 women delivering their babies between 1 April 1995 and 31 October 1995. Contacts with PHCT members were recorded up (...) as a whole identifying more depressed women than any individual group, more than half were not identified by professionals. Tools such as the EPNDS should be used routinely in primary care; there is an urgent need to validate the EPNDS for non-Caucasian women.

1998 The British Journal of General Practice

6078. The Kutcher Adolescent Depression Scale: assessment of its evaluative properties over the course of an 8-week pediatric pharmacotherapy trial. (Abstract)

showed greatest sensitivity to change. Subsequent analyses then compared the evaluative properties of three versions of the KADS: the full-length KADS, a six-item subscale previously established as a screening tool, and an 11-item subscale optimized for sensitivity to change.Within-subject correlations among subjects' KADS scores and their clinician-rated scale scores showed that clinician-rated changes in severity were significantly better corroborated by the 11-item KADS (mean correlations (...) The Kutcher Adolescent Depression Scale: assessment of its evaluative properties over the course of an 8-week pediatric pharmacotherapy trial. Self-report instruments commonly used to assess depression in adolescents have limited or unknown psychometric properties in this age group. We report the evaluative properties of the Kutcher Adolescent Depression Scale (KADS), a self-report scale designed specifically for identifying depressed adolescents and for monitoring symptom severity over

2003 Journal of Child and Adolescent Psychopharmacology Controlled trial quality: uncertain

6079. Development and inter-rater reliability of a standardized verbal instruction manual for the Chinese Geriatric Depression Scale-short form. (Abstract)

Development and inter-rater reliability of a standardized verbal instruction manual for the Chinese Geriatric Depression Scale-short form. The Geriatric Depression Scale (GDS) is a common screening tool for elderly depression in Hong Kong. This study aimed at (1) developing a standardized manual for the verbal administration and scoring of the GDS-SF, and (2) comparing the inter-rater reliability between the standardized and non-standardized verbal administration of GDS-SF. Two studies were

2002 International Journal of Geriatric Psychiatry Controlled trial quality: uncertain

6080. Predicting postnatal depression. (Abstract)

Predicting postnatal depression. The contribution that recently identified risk factors for Postnatal Depression (PND) made to an existing prenatal screening tool ('Predictive Index' of PND; Cooper et al., 1996) was assessed in an attempt to improve the performance of this measure.The Predictive Index and measures of appraisal and coping were administered during the final trimester of pregnancy (n=306). The Edinburgh Postnatal Depression Scale (EPDS) and Childcare Stress Inventory were (...) that women's prenatal appraisal and coping processes made to improving the predictive index was not assessed on a second independent sample.The inclusion of prenatal appraisal, coping and maternal reports of childcare stress in a screening tool for PND substantially increased predictive performance, resulting in 64% of PND cases being identified. These findings highlight the importance of negative prenatal appraisal and coping processes in the development of PND and have important implications

2003 Journal of Affective Disorders

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