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我们应该筛查抑郁症吗？

Should we screen for depression?

作者信息

Gilbody Simon, Sheldon Trevor, Wessely Simon

机构信息

Department of Health Sciences, University of York, York YO10 5DD.

出版信息

BMJ. 2006 Apr 29;332(7548):1027-30. doi: 10.1136/bmj.332.7548.1027.

DOI:10.1136/bmj.332.7548.1027
PMID:16644833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1450055/
Abstract

The quality and outcomes framework will soon reward primary care doctors who screen for depression in England and Wales. This article scrutinises the rationale and evidence to support such screening

摘要

质量与结果框架很快将对在英格兰和威尔士筛查抑郁症的基层医疗医生给予奖励。本文仔细审查了支持此类筛查的基本原理和证据。

相似文献

1
Should we screen for depression?我们应该筛查抑郁症吗？
BMJ. 2006 Apr 29;332(7548):1027-30. doi: 10.1136/bmj.332.7548.1027.
2
[Screening and case finding instruments for depression--results from a Cochrane review].[抑郁症的筛查与病例发现工具——Cochrane系统评价结果]
Ugeskr Laeger. 2006 Oct 2;168(40):3412-5.
3
Depression screening.抑郁症筛查
J Fam Pract. 2003 Jun;52(6):466; author reply 467.
4
Is screening for depression worthwhile?抑郁症筛查是否值得？
Aust Fam Physician. 2001 May;30(5):417-8.
5
Implementing maternal depression screening.实施孕产妇抑郁筛查。
Pediatrics. 2007 Aug;120(2):448-9; author reply 449-50. doi: 10.1542/peds.2007-1098.
6
Depression screening is not enough.抑郁症筛查是不够的。
Ann Intern Med. 2001 Mar 6;134(5):418-20. doi: 10.7326/0003-4819-134-5-200103060-00014.
7
Should primary care physicians screen for depression?
Cleve Clin J Med. 2003 Jun;70(6):488-90. doi: 10.3949/ccjm.70.6.488.
8
The cost-utility of screening for depression in primary care.基层医疗中抑郁症筛查的成本效益
Ann Intern Med. 2001 Mar 6;134(5):345-60. doi: 10.7326/0003-4819-134-5-200103060-00007.
9
US Preventive Services Task Force Recommendation Statement on Screening for Depression in Adults: Not Good Enough.美国预防服务工作组关于成人抑郁症筛查的建议声明：还不够好。
JAMA Psychiatry. 2016 Mar;73(3):189-90. doi: 10.1001/jamapsychiatry.2015.3281.
10
The diagnosis is depression.诊断结果是抑郁症。
Tecnologica. 1995 Oct:1, 3-6.

引用本文的文献

1
Case-finding for depression in primary care (CAIRO): a multicentre, cross-sectional study in England.初级保健中抑郁症病例发现研究（开罗研究）：英国一项多中心横断面研究
BMJ Open. 2025 Jun 19;15(6):e095040. doi: 10.1136/bmjopen-2024-095040.
2
Attention-Enabled Ensemble Deep Learning Models and Their Validation for Depression Detection: A Domain Adoption Paradigm.基于注意力机制的集成深度学习模型及其在抑郁症检测中的验证：一种领域应用范式
Diagnostics (Basel). 2023 Jun 16;13(12):2092. doi: 10.3390/diagnostics13122092.
3
Workplace mental health screening: a systematic review and meta-analysis.工作场所心理健康筛查：系统评价和荟萃分析。
Occup Environ Med. 2023 Aug;80(8):469-484. doi: 10.1136/oemed-2022-108608. Epub 2023 Jun 15.
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Depression Symptoms among Family Members of Nyaope Users in the City of Tshwane, South Africa.南非茨瓦内市吸食 Nyāpē 使用者家属的抑郁症状。
Int J Environ Res Public Health. 2022 Mar 30;19(7):4097. doi: 10.3390/ijerph19074097.
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Accuracy of the Patient Health Questionnaire-9 for screening to detect major depression: updated systematic review and individual participant data meta-analysis.患者健康问卷-9 用于筛查主要抑郁症的准确性：更新的系统评价和个体参与者数据荟萃分析。
BMJ. 2021 Oct 5;375:n2183. doi: 10.1136/bmj.n2183.
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Accuracy of the Hospital Anxiety and Depression Scale Depression subscale (HADS-D) to screen for major depression: systematic review and individual participant data meta-analysis.医院焦虑和抑郁量表抑郁分量表（HADS-D）筛查重度抑郁症的准确性：系统评价和个体参与者数据荟萃分析。
BMJ. 2021 May 10;373:n972. doi: 10.1136/bmj.n972.
7
Resource allocation for depression management in general practice: A simple data-based filter model.基层医疗中抑郁管理的资源配置：一个简单基于数据的筛选模型。
PLoS One. 2021 Feb 19;16(2):e0246728. doi: 10.1371/journal.pone.0246728. eCollection 2021.
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Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: A systematic rapid review.新冠疫情大流行前新发病毒性疾病爆发期间的自杀行为和意念：系统快速综述。
Prev Med. 2020 Dec;141:106264. doi: 10.1016/j.ypmed.2020.106264. Epub 2020 Oct 2.
9
Barriers to integrating routine depression screening into community low vision rehabilitation services: a mixed methods study.将常规抑郁症筛查纳入社区低视力康复服务的障碍：一项混合方法研究。
BMC Psychiatry. 2020 Aug 26;20(1):419. doi: 10.1186/s12888-020-02805-8.
10
Using the GHQ-12 to screen for mental health problems among primary care patients: psychometrics and practical considerations.使用一般健康问卷-12（GHQ-12）对初级保健患者的心理健康问题进行筛查：心理测量学及实际考量
Int J Ment Health Syst. 2020 Aug 10;14:62. doi: 10.1186/s13033-020-00397-0. eCollection 2020.

本文引用的文献

1
Screening and case finding instruments for depression.抑郁症的筛查与病例发现工具
Cochrane Database Syst Rev. 2005 Oct 19;2005(4):CD002792. doi: 10.1002/14651858.CD002792.pub2.
2
Effect of the addition of a "help" question to two screening questions on specificity for diagnosis of depression in general practice: diagnostic validity study.在一般实践中，在两个筛查问题基础上增加一个“辅助”问题对抑郁症诊断特异性的影响：诊断效度研究
BMJ. 2005 Oct 15;331(7521):884. doi: 10.1136/bmj.38607.464537.7C. Epub 2005 Sep 15.
3
The Pathways Study: a randomized trial of collaborative care in patients with diabetes and depression.路径研究：糖尿病合并抑郁症患者协作护理的随机试验。
Arch Gen Psychiatry. 2004 Oct;61(10):1042-9. doi: 10.1001/archpsyc.61.10.1042.
4
Educational and organizational interventions to improve the management of depression in primary care: a systematic review.改善初级保健中抑郁症管理的教育与组织干预措施：一项系统综述
JAMA. 2003 Jun 18;289(23):3145-51. doi: 10.1001/jama.289.23.3145.
5
Detection of depression and anxiety in primary care: follow up study.初级保健中抑郁和焦虑的检测：随访研究
BMJ. 2002 Nov 2;325(7371):1016-7. doi: 10.1136/bmj.325.7371.1016.
6
Impact of major depression on chronic medical illness.重度抑郁症对慢性疾病的影响。
J Psychosom Res. 2002 Oct;53(4):859-63. doi: 10.1016/s0022-3999(02)00313-6.
7
Identifying depression in primary care: a literature synthesis of case-finding instruments.在初级保健中识别抑郁症：病例发现工具的文献综述
Gen Hosp Psychiatry. 2002 Jul-Aug;24(4):225-37. doi: 10.1016/s0163-8343(02)00195-0.
8
Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force.成人抑郁症筛查：美国预防服务工作组的证据总结
Ann Intern Med. 2002 May 21;136(10):765-76. doi: 10.7326/0003-4819-136-10-200205210-00013.
9
The cost-utility of screening for depression in primary care.基层医疗中抑郁症筛查的成本效益
Ann Intern Med. 2001 Mar 6;134(5):345-60. doi: 10.7326/0003-4819-134-5-200103060-00007.
10
Impact of disseminating quality improvement programs for depression in managed primary care: a randomized controlled trial.在管理式初级医疗中传播抑郁症质量改进项目的影响：一项随机对照试验。
JAMA. 2000 Jan 12;283(2):212-20. doi: 10.1001/jama.283.2.212.