A Ten-Year Review of the Validity and Clinical Utility of Depression Screening

Schade, Charles P.; Jones, Everett; Wittlin, Byron J.

doi:10.1176/ps.49.1.55

Cited by 69 publications

(39 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are conflicting data regarding the effectiveness of routine screening for depression in primary care populations. Schade et al (52) reported that no studies "show that screening leads to measurable benefit." In addition, several studies failed to demonstrate improved outcomes as a result of screening for depression (51,52); however, Coyne et al (53) argued that screening is effective because it identifies depressed patients whose disorder may otherwise go undetected by health providers.…”

Section: Screeningmentioning

confidence: 99%

Screening, Diagnosis, and Treatment of Depression in Patients with End-Stage Renal Disease

Cohen

Norris²,

Acquaviva³

et al. 2007

Clinical Journal of the American Society of Nephrology

200

163

View full text Add to dashboard Cite

show abstract

Section: Screeningmentioning

confidence: 99%

Screening, Diagnosis, and Treatment of Depression in Patients with End-Stage Renal Disease

Cohen

Norris²,

Acquaviva³

et al. 2007

Clinical Journal of the American Society of Nephrology

200

163

View full text Add to dashboard Cite

show abstract

“…In the present study the occurrence of depression was based solely on participants' responses to a single question about feeling depressed. However, in a review, Schade et al (36) found that brief instruments perform about as well as longer questionnaires for identifying depression in the general population, and the value of single-item depression screening has previously been established (37,38). In the age-adjusted model depression was associated with incident diabetes in men, but in the multivariate models it was no longer statistically significant, reflecting a confounding effect of other variables included.…”

Section: Statisticsmentioning

confidence: 99%

High Incidence of Diabetes in Men With Sleep Complaints or Short Sleep Duration

2005

View full text Add to dashboard Cite

OBJECTIVE -The aim of this study was to investigate the possible relationship among sleep complaints, sleep duration, and the development of diabetes prospectively over a 12-year period in a middle-aged Swedish population. RESEARCH DESIGN AND METHODS-A random sample of 2,663 subjects aged 45-65 years living in mid-Sweden were sent a postal questionnaire including questions about sleep complaints, sleep duration, sociodemographic characteristics, behavioral risk factors, medical conditions, and depression (response rate 70.2%). Twelve years later, a new questionnaire with almost identical questions was sent to all the survivors (n ϭ 1,604) in 1995, and the questionnaire was answered by 1,244 subjects (77.6%).RESULTS -Men reporting new diabetes at follow-up more often reported short sleep duration (Յ5 h per night) (16.0 vs. 5.9%, P Ͻ 0.01), difficulties initiating sleep (16.0 vs. 3.1%, P Ͻ 0.001), and difficulties maintaining sleep (28.0 vs. 6.3%, P Ͻ 0.001) at baseline than men who did not develop diabetes. Women reporting new diabetes at follow-up reported long sleep duration (Ն9 h per night) more often at baseline than women not developing diabetes (7.9 vs. 2.4%, P Ͻ 0.05). In multiple logistic regression models, the relative risk (95% CI) for development of diabetes was higher in men with short sleep duration (2.8 [1.1-7.3]) or difficulties maintaining sleep (4.8 [1.9 -12.5]) after adjustment for age and other relevant risk factors. Short or long sleep duration or sleep complaints did not influence the risk of new diabetes in women.CONCLUSIONS -Difficulties maintaining sleep or short sleep duration (Յ5 h) are associated with an increased incidence of diabetes in men. Diabetes Care 28:2762-2767, 2005D iabetes is associated with increased frequency of sleep complaints (1-4), and this may be due to the disease itself as well as to physical complications of the disease (3,5). However, sleep disturbances may also play a primary role in the pathophysiology of diabetes. Data have demonstrated that individuals suffering from poor sleep have increased arousal and increased physiological activation (6 -13). Experimentally induced sleep debt has been found to be associated with increased activation in the hypothalamic-pituitary-adrenal axis as indexed by elevated evening cortisol levels and impaired glucose tolerance (14). These findings indicate that disturbance and curtailment of sleep may be risk factors for the development of insulin resistance. The insulin resistance syndrome, also known as the metabolic syndrome, is a cluster of risk factors for adult-onset diabetes, and it usually consists of obesity, dyslipidemia, hyperglycemia, and hypertension (15).In a sample of healthy middle-aged men in Sweden, Nilsson et al. (16) found that difficulties in falling asleep or regular use of hypnotic drugs was associated with development of diabetes when adjustment was made for several risk factors. A 10-year follow-up survey of women aged 30 -55 years enrolled in the Nurses Health Study in the U.S. has shown that both short ...

show abstract

“…5 Efforts to increase such screening in primary care and outpatient settings have a long history. 5,6 In contrast, little attention has been paid to the emergency department (ED), despite that EDs form a critical component of the nation's health care system with approximately 110 million ED visits occurring in 2002. 7 In 2000, the Society for Academic Emergency Medicine's Public Health and Education Task Force concluded that the evidence was not sufficient to recommend for or against depression screening in the ED and encouraged more work to be done in this area.…”

mentioning

confidence: 99%

A Prospective Study of Depression Among Adult Patients in an Urban Emergency Department

Boudreaux¹,

Cagande²,

Kilgannon³

et al. 2006

Prim. Care Companion CNS Disord.

View full text Add to dashboard Cite

Objective:To determine prevalence and predictors of depression among emergency department (ED) patients.Method: For 1 week in November 2003, consecutive adult patients presenting to an urban ED from 8:00 a.m. to midnight were screened for a DSM-IV major depressive episode using the Harvard Department of Psychiatry National Depression Screening Day Scale. Patients who were severely ill or who had altered mental status were excluded. Demographic factors, psychiatric history, and brief medical history also were assessed.Results: Of 182 patients enrolled, 57 (32%, 95% CI = 25 to 39) screened positive for depression, which was much greater than general community estimates (6.6%, p < .0001). Depression was more likely (p < .001) in patients with a psychiatric history (61% vs. 22%), substance abuse history (65% vs. 30%), or a suicide attempt (67% vs. 30%). Eleven percent (95% CI = 7 to 17) of subjects endorsed suicidal ideation at least "some of the time."Limitations: This sample underrepresented severely ill, acutely distressed, or cognitively disabled patients. The most likely effect of these exclusion criteria was to yield an underestimate of depression. Also, the ED was located in a northeastern, urban city, which may not represent the rest of the country. Finally, we used a screening instrument without established operating characteristics within the ED setting.Conclusion: Although findings suggest that depression is common, it is often ignored in the ED setting. Recent efforts to increase awareness of depression in outpatient medical settings may be warranted in EDs as well.(Prim Care Companion J Clin Psychiatry 2006;8:66-70)

show abstract

A Ten-Year Review of the Validity and Clinical Utility of Depression Screening

Cited by 69 publications

References 60 publications

Screening, Diagnosis, and Treatment of Depression in Patients with End-Stage Renal Disease

Screening, Diagnosis, and Treatment of Depression in Patients with End-Stage Renal Disease

High Incidence of Diabetes in Men With Sleep Complaints or Short Sleep Duration

A Prospective Study of Depression Among Adult Patients in an Urban Emergency Department

Contact Info

Product

Resources

About