Abstract
Why should depression screening be conducted in chronically ill populations? Depression is a disabling illness and is very common among patients who have chronic illnesses. Despite its high prevalence in this patient population, depression often goes unrecognized. Having a plan for a population-based screening program for depression can not only identify patients who are at risk of depression, but can also help to foster early treatment and enhanced care for these patients. This article provides an overview of commonly-used depression screening tools and presents an example of how this might be carried out in a healthcare organization.
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References
Guide to Clinical Preventive Services. 3rd ed. United States Preventive Services Task Force. Rockville, MD: Agency for Healthcare and Quality; 2002. AHRQ publication. No. 02-S002.
Nesse RE, Finlayson RE. Management of depression in patients with co-existing medical illness. Am Fam Physician 1996; 53(6): 2125–33.
Pignone M, Gaynes BN, Rushton JL, et al. Screening for depression: systematic evidence review No. 6. (Prepared by the Research Triangle Institute—University of North Carolina Evidence-based Practice Center under Contract No. 290-97-0011). Rockville, MD: Agency for Healthcare Research and Quality; 2002. AHRQ Publication. No. 02-S002.
Williams JW, Hitchcock NP, Cordes JA, et al. Rational clinical examination: is this patient clinically depressed? JAMA 2002; 287: 1160–7.
Greenberg PE, Steglin LE, Bernd ER. The economic burden of depression in 1990. J Clin Psychiatry 1993; 54(11): 405–18.
Whooley MA, Avins AL, Miranda J, et al. Case-finding instruments for depression: two questions are as good as many. J Gen Intern Med 1997; 12: 439–45.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington, DC: American Psychiatric Association, 1994.
Katon W, Schulberg H. Epidemiology of depression in primary care. Gen Hosp Psychiatry 1992; 14: 237–47.
Campbell T, Franks P, Fiscella K, et al. Do physicians who diagnose more mental health disorders generate lower health care costs? J Fam Pract 2000; 49(4): 305–10.
Simon GE, VonKorff M. Recognition, management, and outcomes of depression in primary care. Arch Fam Med 1995; 4: 99–105.
Mulrow CD, Williams JW, Chiquette E, et al. Efficacy of newer pharmacotherapies for treating depression in primary care patients. Am J Med 2000; 108: 54–64.
Pignone MP, Gaynes BN, Rushton JL, et al. Screening for depression in adults: a summary of the evidence for the US Preventive Services Task Force. Ann Intern Med 2002 May 21; 136(10): 765–76.
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All of the authors for this article are employed by LifeMasters Supported SelfCare, Inc. Neither they nor LifeMasters have received any outside financial funding for the production of this article.
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Davis, J.M., Gershtein, C.M. Screening for Depression in Patients with Chronic Illness. Dis-Manage-Health-Outcomes 11, 375–378 (2003). https://doi.org/10.2165/00115677-200311060-00003
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DOI: https://doi.org/10.2165/00115677-200311060-00003