U.S. Preventive Services Task Force, Agency for Healthcare Research and Quality, Rockville, Maryland, USA.
Ann Intern Med. 2009 Dec 1;151(11):784-92. doi: 10.7326/0003-4819-151-11-200912010-00006.
Update of the 2002 U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for depression in adults.
The USPSTF examined evidence on the benefits and harms of screening primary care patients for depression, including direct evidence that depression screening programs improve health outcomes. The USPSTF did not reexamine evidence for those key questions that had strong, consistent evidence in the 2002 review, including questions about the accuracy of screening instruments in identifying depressed adult patients in primary care settings, and the efficacy of treatment of depressed adults with antidepressants or psychotherapy. New areas of evidence considered for this review (and not reviewed in 2002) include efficacy of treatment of depression in older adult patients, harms of screening for depression in primary care settings, and adverse events from treatment of depression in adults.
The USPSTF recommends screening adults for depression when staff-assisted depression care supports are in place to assure accurate diagnosis, effective treatment, and follow-up. (Grade B recommendation) The USPSTF recommends against routinely screening adults for depression when staff-assisted depression care supports are not in place. There may be considerations that support screening for depression in an individual patient. (Grade C recommendation).
2002年美国预防服务工作组（USPSTF）关于成年人抑郁症筛查的推荐声明更新。
USPSTF审查了对初级保健患者进行抑郁症筛查的益处和危害的证据，包括抑郁症筛查项目改善健康结局的直接证据。USPSTF未重新审查2002年审查中有强有力且一致证据的那些关键问题的证据，包括关于筛查工具在初级保健环境中识别成年抑郁症患者的准确性以及用抗抑郁药或心理治疗对成年抑郁症患者进行治疗的疗效的问题。本次审查考虑的新证据领域（2002年未审查）包括老年成年患者抑郁症治疗的疗效、初级保健环境中抑郁症筛查的危害以及成年抑郁症治疗的不良事件。
当有工作人员协助的抑郁症护理支持措施到位以确保准确诊断、有效治疗和随访时，USPSTF建议对成年人进行抑郁症筛查。（B级推荐）当没有工作人员协助的抑郁症护理支持措施时，USPSTF建议不要对成年人进行常规抑郁症筛查。可能存在支持对个体患者进行抑郁症筛查的考虑因素。（C级推荐）
