Outcomes of Depression Screening Among Adolescents Accessing School-based Pediatric Primary Care Clinic Services
Outcomes of Depression Screening Among Adolescents Accessing School-based Pediatric Primary Care Clinic Services
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DOI：
10.1016/j.pedn.2017.10.001
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发表时间：
2018-01-01
影响因子：
2.4
通讯作者：
Loika, Elizabeth
中科院分区：
文献类型：
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作者：
Bhatta, Sarmila;Champion, Jane Dimmitt;Loika, Elizabeth
目的：在12-18岁的青少年中实施常规患者健康问卷（PHQ-9）筛查，以获得校本儿科初级保健诊所服务，以确定青少年患重度抑郁症（MDD）的潜在风险。设计和方法：回顾性图表回顾（N = 256例）记录了在以学校为基础的儿童初级保健诊所服务中进行偶发性疾病和健康访问的青少年的PHQ-9抑郁症筛查结果。数据分析包括描述性统计方法。结果：图表回顾包括137例（53.5%）女性和119例（46.5%）男性。PHQ-9抑郁症筛查占56.3% (n = 144)，评分>= 10的占12.5% （n = 18）。心理健康转诊率为83.3% (n = 15)， PHQ-9评分>= 10。20.1% （n = 29）的患者报告了与心境恶劣相关的问题，其中55.2% （n = 16）接受了心理健康转诊。女性青少年报告的睡眠问题（chi(2) = 9.174, p = 0.002）和疲劳（chi(2) = 6.165, p = 0.013）多于男性。15-18岁年龄组（chi(2) = 5.443, p = 0.020）比12-14岁年龄组（chi(2) = 5.143, p = 0.023）更容易出现睡眠问题和低自尊。结论：PHQ-9抑郁症筛查方案的实施在获得儿童学校初级保健诊所服务的青少年中确定了重度抑郁症，促进了向精神卫生提供者的转诊，可能改善了青少年的发病率和死亡率。实践意义：重度抑郁症在青少年中很常见，与功能障碍和发病率和死亡率增加有关。由于其高患病率，必须通过学校诊所改善这一人群的筛查和治疗机会。(c) 2017 Elsevier Inc.版权所有。
Purpose: Implementation of routine Patient Health Questionnaires (PHQ-9) screening among adolescents aged 12-18 year, accessing school-based pediatric primary care clinic services for identification of adolescents at potential risk for Major Depressive disorder (MDD).Design and Methods: Retrospective chart review (N = 256 cases) documented PHQ-9 depression screening outcomes among adolescents accessing school-based pediatric primary care clinic services for episodic illness and wellness visits. Data analyses included descriptive statistical methods.Results: Chart review included 137 (53.5%) females and 119 (46.5%) males. PHQ-9 depression screening was identified for 56.3% (n = 144) of chartswith scores >= 10 for 12.5% (n = 18) among those screened. Mental health referrals were made for 83.3% (n = 15) with PHQ-9 scores >= 10. Dysthymia related concerns were reported among 20.1% (n = 29) of which 55.2% (n = 16) received mental health referrals. Female adolescents reported more sleep problems (chi(2) = 9.174, p = 0.002) and tiredness (chi(2) = 6.165, p = 0.013) than males. The 15-18 year age group (chi(2) = 5.443, p = 0.020) was more likely to experience sleep problem and low selfesteem than 12-14 year age group (chi(2) = 5.143, p = 0.023).Conclusion: Implementation of PHQ-9 depression screening protocol identifiedMDD among adolescent accessing pediatric school-based primary care clinic services facilitating referrals to mental health providers, potentially improving morbidity and mortality among adolescents.Practice Implications: MDD is common among adolescents and associated with functional impairments and increased morbidity and mortality. Due to its high prevalence, it is imperative to improve screening and treatment access in this population via school-based clinics. (c) 2017 Elsevier Inc. All rights reserved.