Screening in High Schools to Identify, Evaluate, and Lower Depression Among Adolescents

Screening in High Schools to Identify, Evaluate, and Lower Depression Among Adolescents
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在高中进行筛查以识别、评估和降低青少年抑郁症

DOI:
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发表时间:
2021
期刊:
影响因子:
13.8
通讯作者:
J. Kraschnewski
J. Kraschnewski
中科院分区:
医学1区
文献类型:
--
作者:
Deepa L. Sekhar;E. Schaefer;James G. Waxmonsky;Leslie Walker;Krista L Pattison;Alissa M. Molinari;Perri I. Rosen;J. Kraschnewski

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与基于可观察到的关注行为的有针对性的学生转诊相比,在学校环境中进行的青少年重度抑郁症(MDD)普遍筛查是否能改善MDD的识别和治疗启动?在一项随机临床试验中,包括来自14所宾夕法尼亚州公立高中的12909名学生,随机接受普遍筛查的青少年与通常的目标学生转诊过程相比,被识别为重度抑郁症症状的几率(高出5.9倍)和开始重度抑郁症治疗的几率(高出2.1倍)都明显更高。意义在这项试验中,普遍的以学校为基础的重度抑郁症筛查成功地增加了确诊学生的治疗启动率。
Key Points Question Can universal adolescent major depressive disorder (MDD) screening conducted in the school setting improve MDD identification and treatment initiation compared with targeted student referral based on observable behaviors of concern? Findings In a randomized clinical trial including 12 909 students attending 14 Pennsylvania public high schools, adolescents randomized to universal screening vs the usual process of targeted student referral had significantly higher odds both of being identified with MDD symptoms (5.9 times higher) and of initiating MDD treatment (2.1 times higher). Meaning In this trial, universal school-based MDD screening successfully increased treatment initiation among identified students.
美国青少年抑郁症筛查:一项针对流动办公室实践的全国性研究。
DOI: 10.1016/j.acap.2013.11.006
发表时间: 2014
影响因子: 3.1
作者:
Zenlea,IanS;Milliren,CarlyE;Mednick,Lauren;Rhodes,ErinnT
通讯作者: Rhodes,ErinnT