Scafe Meredith, Kanya Meghan, Flynn Meaghan, Chettiar Ram
Clinical Assistant Professor of Pediatrics at University of Missouri-Kansas City School of Medicine, Children's Mercy Hospital, Kansas City, Missouri, USA.
Clinical Psychologist at University of Missouri-Kansas City School of Medicine, Children's Mercy Hospital, Kansas City, Missouri, USA.
Mo Med. 2025 Jul-Aug;122(4):283-290.
Following the COVID-19 pandemic, the American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry, and the Children's Hospital Association declared a national emergency in child and adolescent mental health. Rates of anxiety and depression in youth continue at unprecedented levels, contributing to rising numbers of suicide attempts and lowered school attendance. Though many medical providers are trained to assess and provide recommendations for anxiety and depression, many report feeling ill-equipped to address these concerns in a timely, feasible, and effective manner. We review the existing literature on screening for anxiety and depression in the medical setting and provide evidence-based tools for providers to support patients, with acknowledgments of special populations. Additionally, we review multi-disciplinary models of treatment, such as one used by the Depression and Anxiety in Youth (DAY) program at Children's Mercy Kansas City.
在新冠疫情之后,美国儿科学会(AAP)、美国儿童与青少年精神病学会以及儿童医院协会宣布儿童和青少年心理健康领域进入全国紧急状态。青少年的焦虑和抑郁发生率持续处于前所未有的水平,导致自杀未遂数量上升以及上学出勤率降低。尽管许多医疗服务提供者接受过评估焦虑和抑郁并提供相关建议的培训,但许多人报告称,他们觉得自己没有能力以及时、可行且有效的方式解决这些问题。我们回顾了在医疗环境中筛查焦虑和抑郁的现有文献,并为医疗服务提供者提供基于证据的工具,以支持患者,同时也考虑到特殊人群。此外,我们还回顾了多学科治疗模式,比如堪萨斯城儿童医院青少年抑郁与焦虑(DAY)项目所采用的一种模式。