Depression Screening in Pediatric Inflammatory Bowel Disease Clinics: Recommendations and a Toolkit for Implementation
Depression Screening in Pediatric Inflammatory Bowel Disease Clinics: Recommendations and a Toolkit for Implementation
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DOI：
10.1097/mpg.0000000000002499
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发表时间：
2020-01-01
影响因子：
2.9
通讯作者：
Reed, Bonney
中科院分区：
文献类型：
--
作者：
Mackner, Laura M.;Whitaker, Brandi N.;Reed, Bonney
目的：青少年抑郁症的发病率正在上升，大约75%的青少年抑郁症患者未被发现。对儿童IBD的研究表明，抑郁风险增加，发生率高达25%，并且与抑郁症状相关的依从性和治疗结果更差。循证心理干预措施改善了这些患者的身心健康，突出了发现和治疗的重要性。社会心理筛查已被证明可以提高对社会心理问题的准确识别，并促进及时的社会心理干预。本文的目的是建立诊断为IBD的青少年抑郁症筛查的临床指南，并为实施提供资源。方法：由improecarenow （ICN）学习卫生系统的心理学家和社会工作者组成的社会心理筛查工作组审查了其他领域的研究和临床指南，并咨询了医生、护士、其他社会心理专业人员、IBD患者和ICN IBD患儿的父母。结果/结论：建议12岁及以上的青少年IBD患者每年进行抑郁筛查。额外的实用建议的实施，分流，并在儿科胃肠病学诊所治疗也提供。
Objective: Rates of youth depression are increasing, and approximately 75% of adolescents with depression go unrecognized. Research in pediatric IBD documents increased depression risk, with rates up to 25%, as well as worse adherence and treatment outcomes associated with depressive symptoms. Evidence-based psychological interventions improve the physical and emotional health of these patients, highlighting the importance of detection and treatment. Psychosocial screening has been shown to increase the accurate identification of psychosocial problems and facilitate timely psychosocial intervention. The objective of this article is to establish clinical guidelines for depression screening in youth diagnosed with IBD and to provide resources for implementation. Methods: The psychosocial screening task force group constituted of psychologists and social workers in the ImproveCareNow (ICN) learning health system reviewed research and clinical guidelines in other fields, and consulted with physicians, nurses, other psychosocial professionals, patients with IBD, and parents of children with IBD in ICN. Results/Conclusions: It is recommended that adolescents with IBD ages 12 and older be screened for depression annually. Additional practical recommendations for implementation, triage, and treatment within the pediatric gastroenterology clinic are also provided.