Watson Sara E, Spurling Sarah E, Fieldhouse Abigail M, Montgomery Vicki L, Wintergerst Kupper A
University of Louisville, Louisville, KY, USA.
Norton Children's Hospital, Louisville, KY, USA.
Clin Pediatr (Phila). 2020 May;59(4-5):445-449. doi: 10.1177/0009922820905861. Epub 2020 Feb 17.
Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and/or anxiety who would benefit from further evaluation by a behavioral health provider.
患有糖尿病的青少年患抑郁症和焦虑症的风险增加，若不加以治疗，会对糖尿病控制产生负面影响。在6个月的时间里，使用了抑郁和焦虑患者健康问卷（PHQ - 4）筛查工具。筛查呈阳性的患者随后完成了青少年患者健康问卷（PHQ - A）和广泛性焦虑症7项量表（GAD - 7）。在本文中，我们报告了PHQ - 4与PHQ - A和GAD - 7之间的结果相关性及其在确定对标准与急性行为健康护理需求方面的临床效用。在6个月的时间里，77名10至18岁的患者在PHQ - 4筛查中呈阳性。32名患者在PHQ - A和/或GAD - 7筛查中呈阳性。13名（40%）患者报告有自我伤害的想法，其中1名有当前/活跃症状。PHQ - 4作为一种筛查工具能够识别出有抑郁和/或焦虑症状的青少年，这些青少年将从行为健康提供者的进一步评估中受益。
