Screening for depression in children and adolescents in primary care or non-mental health settings: a systematic review update.

Autor: Beck A; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.; Knowledge Synthesis Group, Clinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Dryburgh N; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.; Department of Psychology, Faculty of Science, McGill University, Montreal, Canada., Bennett A; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. d.bennett@uottawa.ca., Shaver N; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Esmaeilisaraji L; Knowledge Synthesis Group, Clinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Skidmore B; Independent Information Specialist, Ottawa, Ontario, Canada., Patten S; Department of Community Health Services and Department of Psychiatry, University of Calgary, Calgary, Alberta, Canada., Bragg H; Children's Hospital of Eastern Ontario, Out-Patient Mental Health, Ottawa, Ontario, Canada., Colman I; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Goldfield GS; Department of Pediatrics, Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Ontario, Canada., Nicholls SG; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada., Pajer K; Department of Psychiatry, uOttawa Faculty of Medicine Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada., Meeder R; Department of Pediatrics, Orillia Soldiers Memorial Hospital, Orillia, Ontario, Canada., Vasa P; Department of Family and Community Medicine, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada., Shea BJ; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Brouwers M; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Little J; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada., Moher D; Knowledge Synthesis and Application Unit, School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Jazyk: angličtina
Zdroj: Systematic reviews [Syst Rev] 2024 Jan 31; Vol. 13 (1), pp. 48. Date of Electronic Publication: 2024 Jan 31.
DOI: 10.1186/s13643-023-02447-3
Abstrakt: Background: The transition from childhood to adolescence is associated with an increase in rates of some psychiatric disorders, including major depressive disorder, a debilitating mood disorder. The aim of this systematic review is to update the evidence on the benefits and harms of screening for depression in primary care and non-mental health clinic settings among children and adolescents.
Methods: This review is an update of a previous systematic review, for which the last search was conducted in 2017. We searched Ovid MEDLINE® ALL, Embase Classic+Embase, PsycINFO, Cochrane Central Register of Controlled Trials, and CINAHL on November 4, 2019, and updated on February 19, 2021. If no randomized controlled trials were found, we planned to conduct an additional search for non-randomized trials with a comparator group. For non-randomized trials, we applied a non-randomized controlled trial filter and searched the same databases except for Cochrane Central Register of Controlled Trials from January 2015 to February 2021. We also conducted a targeted search of the gray literature for unpublished documents. Title and abstract, and full-text screening were completed independently by pairs of reviewers.
Results: In this review update, we were unable to find any randomized controlled studies that satisfied our eligibility criteria and evaluated the potential benefits and harms of screening for depression in children and adolescents. Additionally, a search for non-randomized trials yielded no studies that met the inclusion criteria.
Conclusions: The findings of this review indicate a lack of available evidence regarding the potential benefits and harms of screening for depression in children and adolescents. This absence of evidence emphasizes the necessity for well-conducted clinical trials to evaluate the effectiveness of depression screening among children and adolescents in primary care and non-mental health clinic settings.
Systematic Review Registration: PROSPERO CRD42020150373 .
(© 2024. The Author(s).)
Databáze: MEDLINE
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