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Related Experiment Videos

Screening and case-finding instruments for depression: a meta-analysis.

Simon Gilbody1, Trevor Sheldon, Allan House

  • 1Department of Health Sciences and Hull-York Medical School, University of York, United Kingdom. sg519@york.ac.uk

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|April 9, 2008
PubMed
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Screening for depression modestly improves clinician recognition but does not significantly impact treatment or patient outcomes when used alone. Organizational enhancements are needed for effective depression case-finding.

Area of Science:

  • Clinical Medicine
  • Public Health
  • Psychiatry

Background:

  • Screening and case-finding are proposed as accessible methods to enhance depression care quality.
  • This study evaluates the effectiveness of depression screening in improving diagnosis, management, and patient outcomes.

Purpose of the Study:

  • To assess the impact of screening and case-finding tools on depression recognition.
  • To determine the effect of screening on the management and clinical outcomes of depression.
  • To evaluate the effectiveness of depression screening in non-mental health settings.

Main Methods:

  • A Cochrane systematic review of randomized controlled trials (RCTs) in non-mental health settings.
  • Meta-analysis and meta-regression were employed to analyze data from 16 studies involving 7576 patients.

Related Experiment Videos

  • Inclusion criteria focused on studies utilizing depression screening or case-finding instruments.

    • Main Results:

    • Screening modestly increased depression recognition by clinicians (RR 1.27, 95% CI 1.02 to 1.59).
    • Screening showed a trend towards increasing intervention use (RR 1.30, 95% CI 0.97 to 1.76) but no significant effect on antidepressant prescription.
    • No evidence of improved depression outcomes was found (SMD -0.02, 95% CI -0.25 to 0.20).

    Conclusions:

    • Depression screening and case-finding alone have minimal impact on clinician detection and management.
    • Implementing screening strategies without concurrent organizational improvements is not supported by current evidence.
    • Further research should explore integrated approaches for effective depression screening and care.