Dr. Bhattacharjee, Dr. Vadiei, and Dr. Lee are with the Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson. Dr. Goldstone is with the University of Southern California School of Pharmacy, Los Angeles. Dr. Burke is with the University of Arizona College of Medicine and the Banner Alzheimer's Institute, both in Phoenix.
Psychiatr Serv. 2018 Oct 1;69(10):1098-1100. doi: 10.1176/appi.ps.201700439. Epub 2018 Jul 9.
This study examined national patterns, predictors, and trends in depression screening among adults without a diagnosis of depression in the United States.
A cross-sectional design utilizing pooled data from the National Ambulatory Medical Care Survey (2005-2015) was used. The study sample consisted of ambulatory care visits to nonpsychiatrists among adults (≥18 years) without a depression diagnosis. Depression screening was the dependent variable. Descriptive statistics, logistic regression, and piecewise regression analyses were conducted to achieve the study objectives.
The national-level depression screening rate was 1.4% of all adult ambulatory care visits. Year, gender, physician specialty, geographic region, and time spent with physician were significantly associated with depression screening. Piecewise regression analysis revealed a statistically significant (p<.001) interaction between year and change in depression screening rate, where screening rates increased significantly after 2009.
Although screening rates have increased significantly after 2009, screening remains low among adults without a depression diagnosis.
本研究考察了美国未被诊断为抑郁症的成年人中抑郁症筛查的全国模式、预测因素和趋势。
采用横断面设计，利用国家门诊医疗调查（2005-2015 年）的数据进行汇总。研究样本包括非精神科医生门诊就诊的成年人（≥18 岁），且无抑郁症诊断。抑郁症筛查是因变量。为了实现研究目标，进行了描述性统计、逻辑回归和分段回归分析。
全国范围内，所有成年门诊就诊中，抑郁症筛查率为 1.4%。年份、性别、医生专业、地理位置和与医生的相处时间与抑郁症筛查显著相关。分段回归分析显示，年份和抑郁症筛查率变化之间存在统计学显著（p<.001）的交互作用，筛查率在 2009 年后显著增加。
尽管 2009 年后筛查率显著增加，但在未被诊断为抑郁症的成年人中，筛查率仍然较低。
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