Older adult depression screening guidelines

The PHQ-9 is a valid, quick screening instrument for depression that also can be used as a follow-up to a positive PHQ-2 result and to monitor treatment response. General adult population, including pregnant and postpartum women. Does the example relate to a specific implementation of a specific piece of NICE guidance? Prevalence, nature, and comorbidity of depressive disorders in primary care. Of the 4 studies conducted in older adults, only 1 found improved depression outcomes in an intervention group beyond usual care; it was also the only study that expanded the role of other clinical or office staff to assist with depression care
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Depression Screening Rates in Primary Care Remain Low

Can a brief antepartum preventive group intervention help reduce postpartum depressive symptomatology? For adults who receive care in clinical practices that have staff-assisted depression care supports in place, there is at least moderate certainty that the net benefit of screening for depression is at least moderate. Bridges-Webb C, Wolk J. The USPSTF found adequate evidence that programs combining depression screening with adequate support systems in place improve clinical outcomes ie, reduction or remission of depression symptoms in adults, including pregnant and postpartum women. An Updated Systematic Review.
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Research Snapshot: Depression screening in older adults | University of Minnesota Twin Cities

Depression care attitudes and practices of newer obstetrician—gynecologists: In a successful study designed for practices without ready access to mental health specialty care, office staff recruited, screened, and enrolled participants who screened positive for depression before a clinic visit 7. It is critical to rule out bipolar disorder as a manifestation of the patient's depression. Centers for Disease Control and Prevention; The economic costs of depression. Do you feel your life is empty?
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Australian Government Department of Health and Ageing. Making sense of a complex intervention: The highest odds of nonfatal suicidal behavior were found in adults with MDD who received paroxetine OR, 6. Memory Australia Press, There is insufficient evidence to balance the benefits and harms of depression screening in children seven to 11 years of age. Although the USPSTF found little evidence that one is superior, the most practical tool for the clinical setting should be used.
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