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Depression Screening Advised for All Adults
Scope of the Problem
- Over the past two weeks, have you ever felt down, depressed, or hopeless?
- Over the past two weeks, have you felt little interest or pleasure in doing things?
Risks for Depression
- Personal history of depression
- Having another mental disorder
- Family history of depression or spousal history of depression
- Loss of a job
- Recent loss of a loved one or miscarriage (for women)
- Chronic medical illness, such as diabetes
- Problems with sleep
- Chronic pain
- Current or past alcohol or drug abuse
- Child abuse or neglect
- Domestic violence or bullying
- Financial stress
- Persistent sad, anxious, or empty feelings*
- Loss of interest or pleasure in activities that were once enjoyable*
- Reduced appetite and weight loss, or increased appetite and weight gain
- Sleeping too little or sleeping too much
- Feelings of restlessness or irritability, or feeling slowed down
- Persistent feelings of decreased energy, tiredness, or listlessness
- Frequently feeling guilty, hopeless, helpless, or worthless
- Difficulty thinking, concentrating, remembering, or making decisions
- Thoughts of death or suicide
American Psychiatric Association http://www.psych.org/
National Institute of Mental Health http://www.nimh.nih.gov/
Canadian Mental Health Association http://www.cmha.ca/
Canadian Psychiatric Association http://www.cpa-apc.org/
Depression. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated June 28, 2012. Accessed July 23, 2012.
Diagnosis and management of depression. American Family Physician . 2000.
New recommendations for depression screening. Journal Watch website. Available at: http://general-medicine.jwatch.org/cgi/content/full/2002/604/1 . Published May 2002. Accessed July 11, 2012.
Screening for depression in adult. U.S. Preventive Services Task Force website. Available at: http://www.uspreventiveservicestaskforce.org/uspstf/uspsaddepr.htm. Published December 2009. Accessed July 23, 2012.
The numbers count: Mental disorders in America. National Institutes of Public Health website. Available at: http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml . Updated June 2008. Accessed July 11, 2012.
US Preventive Services Task Force now finds sufficient evidence to recommend screening adults for depression [press release]. Agency for Healthcare Research and Quality. May 20, 2002.
US Preventive Services Task Force. Screening for depression in adults: Summary of the evidence. Ann Int Med. 2002;136:765-776.
US Preventive Services Task Force. Screening for depression: Recommendations and rationale. Ann Int Med . 2002;136:760-764.
- Reviewer: Brian Randall, MD
- Review Date: 07/2012
- Update Date: 07/23/2012