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Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
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Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
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Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
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Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
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Depression Screening in an Academic Family Practice.

Jeffrey D Tiemstra1, Kexin Fang

  • 1Aurora Health Care, Elkhorn, WI and University of Illinois at Chicago College of Medicine.

Family Medicine
|February 7, 2017
PubMed
Summary

Depression screening in primary care is feasible, but patient engagement remains a challenge. Addressing positive screens significantly increases follow-up rates, especially for severe depression.

Area of Science:

  • Primary Care Medicine
  • Mental Health Services
  • Health Systems Research

Background:

  • Depression screening in primary care is effective but faces challenges in care availability and patient engagement.
  • Provider initiation is often crucial for patient follow-up in depression treatment.
  • This study evaluated a depression screening program within an academic family practice setting.

Purpose of the Study:

  • To assess the effectiveness of a depression screening program in an academic family practice.
  • To identify factors influencing patient engagement and follow-up after positive depression screens.

Main Methods:

  • A depression screening program was implemented in an academic family practice.
  • Data collected included screening rates, positive screen rates, and whether results were addressed.

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  • Patient follow-up rates were compared based on whether their screening results were addressed and depression severity.

    • Main Results:

    • Depression screening was conducted in 98.4% of adult encounters (n=3,341).
    • 7.3% of patients screened positive for depression without presenting for mood issues.
    • Only 33.7% of positive screens were addressed, but these patients were twice as likely to follow up (34.1% vs. 17.4%).
    • Patients with severe depression showed higher follow-up rates (53%) than those with mild depression (15%).

    Conclusions:

    • Depression screening can be integrated efficiently into primary care.
    • Engaging both providers and patients in diagnosis and treatment presents ongoing challenges.
    • A systems-based approach with immediate treatment access is recommended for effective depression screening implementation.