Depression Screening Advised for All Adults
By
Elizabeth Smoots, MD
Scope of the ProblemIt's been known for a long time that depression is a big problem. According to the National Institute of Mental Health, depression is a leading cause of disability in the US. In a given year, millions of Americans will be diagnosed with a mood disorder (depression, dysthymia, or bipolar). A number of people with the disorder do not even know they have it. Other symptoms of depression such as irritability, memory or concentration problems, or trouble with relationships may be more obvious. Depression is often disguised by other problems. It can also affect the recovery of people who have a major illness, major surgery, or a chronic health condition. Although the stigma tied to mental disorders is easing, many who are affected still go undetected or untreated. Screening AdviceThe USPSTF urges primary care doctors to screen all adults for signs of depression and give them appropriate treatment and follow-up care. This is especially important in the elderly, pregnant women, and new mothers (for postpartum depression). Depression QuestionsAccording to USPSTF, the following 2 questions are a good place to start:
If your answer is “yes” to either question, contact your primary care doctor for an evaluation. Your doctor may advise completing a more in-depth questionnaire or having a thorough check-up. Are You at Risk?Research suggests depression comes from an imbalance of certain brain chemicals. The disorder is more common in people who inherit a tendency for depression or those who are exposed to certain environmental triggers. If you have symptoms of depression that interfere with your daily routine, contact your doctor. A physical exam and psychological evaluation will be done to determine the cause. Effective TreatmentDepression is treatable. Antidepressant medicine and counseling are most common steps. They may be used alone or in combination. There are many types of therapy and medicine for depression. Talk openly with your care team to help reach the best plan for you. You are encouraged to talk to your doctor if you have concerns about your mental health. If you have thoughts of death or suicide, call for emergency medical services right away. With better screening and medical care, the future looks brighter for adults with depression. RESOURCESAmerican Psychiatric Association
https://www.psychiatry.org National Institute of Mental Health
http://www.nimh.nih.gov CANADIAN RESOURCES:Canadian Mental Health Association
http://www.cmha.ca Canadian Psychiatric Association
http://www.cpa-apc.org References:Depression. EBSCO DynaMed website. Available at:
...(Click grey area to select URL) Accessed July 15, 2020.
Maurer DM, Darnall CR. Screening for depression. Am Fam Physician. 2012;85(2):139-144.
Screening for depression in adult. US Preventive Services Task Force website. Available at:
...(Click grey area to select URL) Accessed July 15, 2020. Statistics. National Institute of Mental Health website. Available at:
...(Click grey area to select URL) Accessed July 15, 2020. Sui AL, US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, et al. Screening for depression in adults: US Preventive Services Task Force recommendation statement. JAMA. 2016;315(4):380-387.
Last reviewed April 2020 by EBSCO Medical Review Board
Last Updated: 7/15/2020 | |
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