Recognizing Adolescent Depression with Parent- and Youth-Report Screens in Pediatric Primary Care
| Autor: | Barbara V. Howard, Alexa Riobueno-Naylor, Michael S. Jellinek, Anamika Dutta, Raymond A. Sturner, Haregnesh Haile, J. Michael Murphy, Juliana M. Holcomb, Paul Bergmann |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Parents Pediatrics medicine.medical_specialty Adolescent endocrine system diseases MEDLINE Primary care digestive system 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Humans Mass Screening Medicine 030212 general & internal medicine Child Depression (differential diagnoses) Depressive symptoms Retrospective Studies Primary Health Care Depression business.industry Incidence digestive oral and skin physiology Depression screening United States digestive system diseases Pediatric Symptom Checklist Pediatrics Perinatology and Child Health Female Self Report business Follow-Up Studies |
| Zdroj: | The Journal of Pediatrics. 233:220-226.e1 |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2021.01.069 |
| Popis: | Objectives To compare the use of the parent-report Pediatric Symptom Checklist (PSC-17P) and youth-report Patient Health Questionnaire-9 Modified for Teens (PHQ-9M) in compliance with recent quality standards for adolescent depression screening. Study design Parents of 5411 pediatric outpatients (11.0-17.9 years old) completed the PSC-17P, which contains scales that assign categorical risk for overall (PSC-17P-OVR), internalizing (PSC-17P-INT), externalizing (PSC-17P-EXT), and attention (PSC-17P-ATT) problems. Adolescents completed the PHQ-9M, which assesses depressive symptoms. Both forms were completed online within 24 hours of each other before pediatric well-child visits. Results A total of 9.9% of patients (n = 535) were at risk on the PSC-17P-OVR, 14.3% (n = 775) were at risk on the PSC-17P-INT, and 17.0% (n = 992) were at risk on either or both scales (PSC-17P-OVR and/or PSC-17P-INT). Using the PHQ-9M cut-off score of 10 (moderate-very severe depression), an additional 2.4% (n = 131) were classified as at risk, with 66.8% (n = 263) of all PHQ-9M positives (n = 394) also coded as at risk by the PSC-17P-OVR and/or PSC-17P-INT scales. Using a PHQ-9M cut-off score of 15 (severe-very severe depression), only 29 patients (21.8% of the PHQ-9M positives) not identified by the PSC-17P-OVR and/or PSC-17P-INT were classified as being at risk. Conclusions The combined PSC-17P-OVR and/or PSC-17P-INT scales identified 17% of adolescents as at risk for depression, including about two-thirds to three-quarters of adolescents classified as at risk on the PHQ-9M. These findings support using the PSC-17P to meet quality standards for depression as well as overall screening in pediatrics. Primary care clinicians can add the PHQ-9M to identify additional adolescents who may self-report depressive symptoms. |
| Databáze: | OpenAIRE |
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