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Screening for Depression | Anxiety and Depression

Screening for Depression | Anxiety and Depression

Screening for Depression

Depression is one of the most common mental illnesses in the world. It is estimated that there are 350 million people worldwide who have some form of depression1. In the United States, 16 million people had a depressive episode in the past year. Moreover, depression is the leading cause of disability worldwide. But how to understand that a person has depression? For this, various questionnaires are used to screen for depression and assess its severity (degree of depression). Such, for example, as PHQ-9. In general, screening and assessment tools for depression and anxiety include questions about mental health symptoms.

Screening for Depression

The Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition, has defined depression as2 5 or more of the following symptoms that are present for 2 or more weeks and cause significant emotional distress and/or impairment in functioning. Symptoms are:

  • depressed or sad mood,
  • short-tempered or easily annoyed,
  • loss of interest or enjoyment in hobbies or activities that was previously enjoyed,
  • feeling of worthlessness or guilt,
  • thoughts of death or suicide,
  • difficulty with concentrating or making decisions,
  • feeling tired or fatigue,
  • feeling restless or slow,
  • changes in appetite such as overeating or loss of appetite,
  • changes in weight such as weight loss or weight gain,
  • and changes in sleep pattern.

Having noted 5 or more factors from the list above, especially if they have been persisting for a long time, you can suspect you have depression. In addition, below 👇 you can take a depression questionnaire and even determine its severity.

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Check your own symptoms

By the link below 👇 you can assess your own level of depression and anxiety! It is important to remember that screening tools only detect symptoms of depression or anxiety. The diagnosis of depressive or anxiety disorder requires a deeper assessment.

The PHQ-9 Depression and anxiety assessment tool

Beck’s Depression Inventory

Screening for Depression

The PHQ-9 Evidence Appraisal

The PHQ-9 was initially developed by Kroenke et al (2001), as a subset of 9 questions from the full PHQ. It had previously been derived and studied in a cohort of 6,000 patients3. PHQ-9 scores ≥10 were found to be 88% sensitive and also 88% specific for detecting MDD. Criterion validity was also assessed in a sample of 580 patients. elf-administration takes 5–7 min.

Ultimately, Arroll et al (2010) confirmed that PHQ-9 is a screening target for a cohort of 2,642 primary care patients.

Beck’s Depression Inventory

Beck’s Depression Inventory Evidence Appraisal

The Beck Depression Inventory-II (BDI-II) is currently one of the most widely used measures for assessing depression4. The questionnaire was developed from clinical observations of attitudes and symptoms occurring frequently in depressed psychiatric patients and infrequently in non-depressed psychiatric patients5. The questionnaire is commonly self-administered although initially designed to be administered by trained interviewers. Self-administration takes 5–10 min.

Pros and Cons of Depression Screening

Above all, еhere is not thought to be any significant harm associated with screening for depression and anxiety. However, some people worry that screening and assessment tools may lead to incorrect diagnoses. Therefore, it is important to remember that screening tools only detect symptoms of depression or anxiety.

At the same time, screening tools can detect most, but not all, cases of possible depression and anxiety. We already talked about connection between our minds and our bodies. So, the main advantage of screening tools is that they are quick and easy. And it’s true for its use and interpreting. A limitation is that they simplify complex experiences and impose artificial symptom thresholds.

It is important to remember that screening tools only detect symptoms of depression or anxiety. Diagnosis of depressive or anxiety disorder requires deeper assessments.

FURTHER READING


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  1. World Health Organization. Depression
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th ed Arlington, VA: American Psychiatric Association; 2013.
  3. Spitzer 1999
  4. Assessment of depression in medical patients: A systematic review of the utility of the Beck Depression Inventory-II
  5. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571

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