Batra Erich K, Tuan Wen-Jan, Sekhar Deepa, Merai Ritika, Shi Tesia, Fogel Benjamin N
Penn State College of Medicine, Hershey, PA, USA.
National Institute of Mental Health, Bethesda, MD, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251374583. doi: 10.1177/21501319251374583. Epub 2025 Sep 15.
The objective of our retrospective study was to evaluate differences between screening methods (oral administration versus written self-report) for adolescent depression in an outpatient settingStudy Design:We analyzed data from 4075 well-child check (WCC) visits from adolescents (ages 12-18 years) at an academic medical center from January 2022 through December 2023. We evaluated the outcomes of depression screening questions from both those asked by staff (oral administration) and those filled out on paper by the patient (written self-report). A composite score of 3 or greater (out of 6) indicates a positive screen for depression. Logistic regression was used to assess for the likelihood of discrepancy between scores.
Of the 4518 WCC visits analyzed, 3380 (75%) had completed data for both the orally administered and the written screenings. The scores were equal in 2563 (76%) visits; the written score was greater in 766 (22.6%) visits and the oral score was greater in 51 (1.5%) visits. The screen was positive for depression in 232 (6.8%) visits for the written self-report compared with 66 (2.0%) from the oral administration. Logistic regression analyses showed likelihood of score differences were higher in older age, female gender, Hispanic race/ethnicity, and those with public insurance.
This preliminary pilot study shows that there are score differences in depression screening when administered orally by staff versus self-reported in writing, and scores may be higher on the written self-report screening. Limitations of this study include slight differences in the wording of the questions and lack of rigorous protocol guidelines.
我们这项回顾性研究的目的是评估门诊环境中青少年抑郁症筛查方法（口服给药与书面自我报告）之间的差异。
我们分析了2022年1月至2023年12月期间在一家学术医疗中心对12至18岁青少年进行的4075次健康儿童检查（WCC）就诊的数据。我们评估了工作人员询问的（口服给药）和患者书面填写的（书面自我报告）抑郁症筛查问题的结果。综合评分3分或更高（满分6分）表明抑郁症筛查呈阳性。使用逻辑回归来评估分数差异的可能性。
在分析的4518次WCC就诊中，3380次（75%）完成了口服给药和书面筛查的完整数据。2563次（76%）就诊的分数相等；书面分数更高的有766次（22.6%）就诊，口服分数更高的有51次（1.5%）就诊。书面自我报告中有232次（6.8%）就诊的抑郁症筛查呈阳性，而口服给药的为66次（2.0%）。逻辑回归分析显示，年龄较大、女性、西班牙裔种族/族裔以及有公共保险的人分数差异的可能性更高。
这项初步的试点研究表明，工作人员口头给药与书面自我报告的抑郁症筛查存在分数差异，书面自我报告筛查的分数可能更高。本研究的局限性包括问题措辞略有差异以及缺乏严格的方案指南。
