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Depression Screening Tools

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6221. Screening older people with musculoskeletal pain for depressive symptoms in primary care. Full Text available with Trip Pro

Screening older people with musculoskeletal pain for depressive symptoms in primary care. Older patients presenting to GPs with musculoskeletal pain are at high risk of having concurrent depression.To investigate the performance of ultra-short (1-4 items tools) screening questions used during the consultation, and through a patient questionnaire to detect depressive symptoms among older adults presenting with musculoskeletal pain to general practice.Cross-sectional survey, linked GP (...) consultation data.General practices in central Cheshire, UK.Consecutive patients aged > or =50 years presenting with non-inflammatory musculoskeletal pain were eligible to participate. GPs screened all patients in the consultation for the presence of depressive symptoms using two questions. All patients were sent a postal questionnaire within 1 week of consultation containing the Hospital Anxiety and Depression Scale and the written version of the depression screening questions.The total number of patients

2008 British Journal of General Practice

6222. An evidence-based project to improve depression and alcohol use screening. (Abstract)

An evidence-based project to improve depression and alcohol use screening. Using research to improve practice is a high priority. Research shows that routine screening helps identify adults who are at risk for various disorders. Depression and alcohol use screening tools can improve evaluation and treatment. Nurses aimed to improve the screening rates for depression and alcohol use from the existing 50%-80% to 100% with a 1-hour educational program on depression screening and alcohol use (...) disorders screening for 2 clinic areas: primary care and home-based care. Post program evaluation revealed that depression screening and alcohol use disorders screening rates increased to 100%.

2006 Journal of Nursing Care Quality

6223. The use of a brief depression screen in older emergency department patients. (Abstract)

The use of a brief depression screen in older emergency department patients. To determine the sensitivity and specificity of a brief two-question depression screen for the detection of depression in older emergency department (ED) patients, and to determine the prevalence of depression in this population.This was a prospective, observational study. Participants included a convenience sampling of ED patients 70 years and older presenting to an urban teaching hospital over a 17-month period (...) . Exclusions were refusal to participate, inability to communicate, and critical illness. Subjects were screened for depression with the previously validated Short Form Geriatric Depression Scale (SFGDS). Standardized scores on the SFGDS were used to determine the prevalence of depression. Patients were then given a previously published two-question depression screen, and results were compared with the SFGDS as the criterion standard. Sensitivity, specificity, and prevalence data are reported

2005 Academic Emergency Medicine

6224. Identification of depression in an inner-city population using a simple screen. Full Text available with Trip Pro

Identification of depression in an inner-city population using a simple screen. The purpose of this study was to compare a brief screening tool with physicians' usual practice in detecting depressive symptoms in patients presenting with somatic complaints to an inner-city emergency department. Depression is a major cause of morbidity and mortality in the United States. Underprivileged patients who rely on emergency departments for primary care remain at risk for undetected depression.This (...) prospective observational study included all patients older than 18 years presenting to an urgent care clinic staffed by emergency physicians in an urban public hospital during an eight-week period. Clinically unstable patients and those with a chief complaint of depression were excluded. After consenting, patients completed a previously validated two-question screening tool for depression. Patients identified as having depressive symptoms were referred to social workers for evaluation for possible

2005 Academic Emergency Medicine

6225. Screening for bipolar disorder in a Spanish sample of outpatients with current major depressive episode. (Abstract)

positive for bipolar disorder.The MDQ showed a positive screen rate for bipolar disorder in 24% of patients with a previous diagnosis of unipolar disorder and a current major depressive episode. Screening tools like MDQ could contribute to increase detection of bipolar disorder in patients with depression. Early diagnosis of bipolar disorder may have important clinical and therapeutic implications in order to improve the illness course and the long-term functional outcome. (...) Screening for bipolar disorder in a Spanish sample of outpatients with current major depressive episode. Bipolar spectrum disorders often go unrecognised and undiagnosed or misdiagnosed. One of the underlying reasons is the poor recognition of bipolar disorder among patients presenting depressive episodes. The specific aim of this study was to estimate the Mood Disorder Questionnaire (MDQ) rate of positive screens for bipolar disorder in a Spanish sample of outpatients with a current major

2008 Journal of Affective Disorders

6226. Validation of a Chichewa version of the Self-Reporting Questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa. (Abstract)

Validation of a Chichewa version of the Self-Reporting Questionnaire (SRQ) as a brief screening measure for maternal depressive disorder in Malawi, Africa. Depressive disorder affecting women during the perinatal period is common in low-income countries. The detection and study of maternal depression in a resource-poor setting requires a brief screening tool that is both accurate and practical to administer.A Chichewa version of the Self Reporting Questionnaire (SRQ) was developed through (...) possible SRQ cut-off were calculated and Receiver Operator Characteristic (ROC) curves derived. Area under the ROC curve (AUROC) for detection of current major depressive disorder was 0.856 (95% CI 0.813 to 0.900), and for current major or minor depressive disorder was 0.826 (95% CI 0.783 to 0.869). Internal consistency of the SRQ was high (Cronbach's alpha 0.85).Inter-rater reliability testing was not conducted.This Chichewa version of the SRQ shows utility as a brief screening measure for detection

2008 Journal of Affective Disorders

6227. Screening for depression in pregnant women with HIV infection. (Abstract)

Screening for depression in pregnant women with HIV infection. To determine the utility of screening for depression in pregnant women with human immunodeficiency virus (HIV) infection.Women with HIV infection who received prenatal care at an inner-city institution between March 2004 and March 2006 were offered the Beck Depression Inventory (BDI), a screening tool to detect depressive symptomatology. Scores >9 were considered positive.Of 51 subjects who participated, 53% had positive screening (...) scores for depression. Of those whose scores were positive, 33% had no prior history of psychiatric illness. Those in whom HIV was diagnosed during pregnancy had higher mean and median BDI scores than those with HIV diagnosed before pregnancy (21.2 vs. 13.3 and 21 vs. 9.5, respectively; p = 0.049). Two factors were associated with positive screenings: history of psychiatric disease (p = 0.001) and history of substance abuse (p = 0.042). Patients with positive screenings first presented for prenatal

2008 Journal of Reproductive Medicine

6228. Screening for depressive symptoms in patients with chronic spinal pain using the SF-36 Health Survey. (Abstract)

on their MCS (MCS > 30) were considered less likely to have depressive symptoms and were randomly chosen to complete the CES-D. There were 420 patients who completed both surveys of which there were 99 MCS < or = 30 patients and 321 MCS > 30 patients.Receiver operating characteristic (ROC) curves were used to assess the sensitivity and specificity of the SF-36 as a screening tool for detecting depressive symptoms.An MCS score of 35 has a sensitivity of 80% (76-83; 95% confidence interval), a specificity (...) of 90% (87-93), an ROC area of 0.8517 (0.81-0.89), and correctly identified 87% of the sample.The SF-36 provides the benefits of a general functional health status measure and additionally appears to provide a screening tool for depressive symptoms. A cutoff score of 35 or less on the MCS scale has a high degree of sensitivity and specificity and is able to identify depressive symptoms in patients with back pain, which can help identify patients who will benefit from mental health treatments.

2006 The Spine Journal

6229. Antenatal screening for the prediction of postnatal depression: validation of a psychosocial Pregnancy Risk Questionnaire. (Abstract)

Antenatal screening for the prediction of postnatal depression: validation of a psychosocial Pregnancy Risk Questionnaire. To assess the predictive value of an antenatal index of risk for postnatal depression (PND).Participants returned the Pregnancy Risk Questionnaire (PRQ; 18 antenatal items) and the Edinburgh Depression Scale (EDS) at a mean of 32 weeks gestation; the EDS was then mailed out at 2 and 4 months postpartum to ascertain those women who were screened positive (score>2), i.e (...) . probable cases of depression. Only those returning the EDS at 2 and/or 4 months were included in the study (n=1296). Women who screened positive (n=322; 24.8%) were contacted and of these, 245 completed the Auto-Composite International Diagnostic Interview (CIDI) and form the basis of our primary analyses.A CIDI diagnosis of major depression was found in 5.3% women at either 2 or 4 months. In this population, the optimal PRQ cut-off was >or=46 at which point sensitivity was 44% and specificity 92

2005 Acta Psychiatrica Scandinavica

6230. The Depression Intensity Scale Circles (DISCs): a first evaluation of a simple assessment tool for depression in the context of brain injury. Full Text available with Trip Pro

The Depression Intensity Scale Circles (DISCs): a first evaluation of a simple assessment tool for depression in the context of brain injury. To assess the validity, responsiveness, and test-retest reliability of DISCs (Depression Intensity Scale Circles) as a simple screening tool for depression in patients with cognitive or communicative deficits following acquired brain injury.Cohort analysis of consecutive patients entered into an integrated care pathway for screening and management (...) showed a significant change in response to treatment (Wilcoxon; p<0.001).DISCs had acceptable convergent validity, reliability, and responsiveness as a simple graded tool for screening and assessment of depression in patients with complex disabilities following acquired brain injury. It warrants further investigation in patients with more profound language and cognitive deficits for which it is primarily intended.

2005 Neurosurgery and Psychiatry

6231. Screening for Depression in Primary Care

of false positives) and a very high sensitivity (very low rate of false negatives), although this is difficult to assess when evaluating a screening tool for depression. The screening test must be relatively cheap or else the cost per case detected is prohibitively expensive. It must be safe, easy to use and acceptable to the patient. Who should be screened? In one sense the General Medical Services (GMS) contract has simplified the situation in identifying patients with coronary heart disease (...) . . [ ] Stressful home environments. The elderly. . Unexplained symptoms. Depression may be more difficult to detect in patients with physical illness because both conditions can have similar symptoms. Screening and assessment tools A number of screening and assessment tools have been validated and are generally available. Initial screening in patients who may have depression [ ] NICE recommends that any patient who may have depression (especially those with a past history of depression or who suffer from

2008 Mentor

6232. The development of the Brief Edinburgh Depression Scale (BEDS) to screen for depression in patients with advanced cancer. (Abstract)

The development of the Brief Edinburgh Depression Scale (BEDS) to screen for depression in patients with advanced cancer. The development of a brief valid tool to screen for depression in patients with advanced cancer is important. This paper reports data on the psychometric properties of the Brief Edinburgh Depression Scale.Two hundred and forty six patients who fulfilled the inclusion criteria completed the 10-item EDS and Present State Examination.Factor extraction revealed 6 items from (...) the ten item EDS. The most valid cut off for defining a case, using the PSE diagnosis as the "gold-standard", was a score of 6 out of 18 on the Brief Edinburgh Depression Scale which gave a sensitivity of 72% and specificity of 83% with a PPV of 65.1% and NPV of 87.1%.The six item EDS is a brief and sensitive method of screening for depression in advanced cancer patients--this novel use of the Edinburgh depression scale may have a significant impact on the assessment and thus management

2007 Journal of Affective Disorders

6233. Rapid screening for major depression in post-myocardial infarction patients: an investigation using Beck Depression Inventory II items. Full Text available with Trip Pro

).One to two questions regarding sadness and loss of interest serve as simple and effective screening tools for post-MI depression. (...) Rapid screening for major depression in post-myocardial infarction patients: an investigation using Beck Depression Inventory II items. To determine the ability of three questions from the Beck Depression Inventory II (BDI-II) to detect major depressive disorder (MDD) in a cohort of patients hospitalised for acute myocardial infarction (MI).Prospective observational study.Coronary care unit and cardiac step-down unit of an urban academic medical centre.131 post-MI patients within 72 h

2006 Heart

6234. Routine PHQ-9 Depression Screening in Home Health Care: Depression Prevalence, Clinical and Treatment Characteristics and Screening Implementation Full Text available with Trip Pro

targeted nurse training in identifying depression among the elderly using a standard diagnostic screen. Data are drawn from routine screening of 9,178 patients (a 77% screening compliance rate). Of all patients screened, 782 (8.5%) met criteria for probable major depression and 148 (1.6%) for mild depression. Concordance between nurse identified depression via PHQ-9 and OASIS depression assessment improved over that reported in previous studies. Findings suggest that the use of a routine screening tool (...) Routine PHQ-9 Depression Screening in Home Health Care: Depression Prevalence, Clinical and Treatment Characteristics and Screening Implementation This study aimed to examine: the prevalence and correlates of depression among adults age 65 and over on admission to diverse home health care programs; nurse compliance with routine screening using the PHQ-9; and concordance between the number of depressed individuals identified by the PHQ-9 and Medicare-mandated nursing assessment following

2005 Home Health Care Services Quarterly

6235. Screening for antenatal and postnatal depressive symptoms in general practice using a microcomputer-delivered questionnaire Full Text available with Trip Pro

Screening for antenatal and postnatal depressive symptoms in general practice using a microcomputer-delivered questionnaire One-hundred and eight women participated in a study which screened for depressive symptoms in the antenatal period. Of these women, 92 completed at least two further screenings during the postnatal year. The screening tool was the Hamilton Depression Rating Scale, adapted for self-rating, and administered by a microcomputer. It was found that mean scores and the prevalence (...) of depressive symptoms rose throughout pregnancy, with a sharp peak in the third trimester. Following delivery there was an abrupt fall in the prevalence of depressive symptoms, followed by another rise, with a postnatal peak at six months.There were significant associations, at all levels of severity, between raised scores antenatally, and those developing postnatally in women completing the study. These were more marked in multiparae than primiparae. There was also a significant association between a past

1986 The Journal of the Royal College of General Practitioners

6236. Screening for postpartum depression in an inner-city population. (Abstract)

patients had a positive screen for postpartum depression. Eight patients (6.6%) reported experiencing suicidal ideation within the previous week. Without use of the screening tool, providers identified 16 (13%) patients who they thought were at risk for postpartum depression. Of those 16 patients, 14 had positive screens on the EPDS. Eight patients eventually had clinical depression diagnosed. There was a significant relationship between women with elevated scores on the EPDS and a personal history (...) Screening for postpartum depression in an inner-city population. This study was undertaken to determine the prevalence of positive screens for postpartum depression by using the Edinburgh Postnatal Depression Scale (EPDS) in an inner-city population.At their postpartum visits, women who were seen in two inner-city practices between February 20 and April 30, 2002, self-administered the EPDS. A threshold of 10 or more points was selected as a positive screen for postpartum depression

2003 American Journal of Obstetrics and Gynecology

6237. Development of a brief screening interview for adjustment disorders and major depression in patients with cancer. (Abstract)

Development of a brief screening interview for adjustment disorders and major depression in patients with cancer. Adjustment disorders and major depression are common psychiatric disorders in patients with cancer and have a serious impact on quality of life. The problem in clinical oncology settings is underrecognition of these disorders; as a result, screening is recommended to detect them. The goal of the current study was to develop a new, brief screening tool for adjustment disorders (...) and major depression and to compare its performance with that of existing screening methods.Patients with cancer completed the newly developed One-Question Interview (a 1-item, structured interview); the Distress Thermometer (a 1-item, self-report questionnaire), which previously was developed as a brief screening tool; and the Hospital Anxiety and Depression Scale (HADS; a 14-item, self-report questionnaire). Psychiatric diagnoses of adjustment disorders and major depression were made by psychiatrists

2003 Cancer

6238. Short screening tools for depression Full Text available with Trip Pro

Short screening tools for depression 17504599 2007 08 30 2018 11 13 0960-1643 57 538 2007 May The British journal of general practice : the journal of the Royal College of General Practitioners Br J Gen Pract Short screening tools for depression. 412-3 Goodyear-Smith Felicity F Arroll Bruce B eng Comment Letter England Br J Gen Pract 9005323 0960-1643 IM Br J Gen Pract. 2007 Feb;57(535):144-51 17263931 Depressive Disorder diagnosis Family Practice Humans Psychiatric Status Rating Scales

2007 The British Journal of General Practice

6239. A practical screening tool for anxiety and depression in patients with chronic breathing disorders. (Abstract)

A practical screening tool for anxiety and depression in patients with chronic breathing disorders. Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center (...) in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.

2007 Psychosomatics Controlled trial quality: uncertain

6240. Performance of the PHQ-9 as a screening tool for depression after stroke. Full Text available with Trip Pro

Performance of the PHQ-9 as a screening tool for depression after stroke. The purpose of this study was to examine the performance of the Patient Health Questionnaire (PHQ)-9, a 9-item depression scale, as a screening and diagnostic instrument for assessing depression in stroke survivors.As part of a randomized treatment trial for poststroke depression (PSD), subjects with and without PSD completed the PHQ-9, a 9-item summed scale, with scores ranging from 0 (no depressive symptoms) to 27 (all (...) symptoms occurring daily). Subjects endorsing 2 or more symptoms of depression were administered the criterion standard Structured Clinical Interview for Depression (SCID). Receiver operating characteristic analysis was used to examine the sensitivity and specificity of the PHQ-9Of 316 subjects enrolled, 145 met SCID criteria for major depression or other depressive disorder, and 171 were not depressed. PHQ-9 scores discriminated well between subjects with any versus no depressive disorder

2005 Stroke Controlled trial quality: uncertain

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