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Screening for Depression in Pediatric Primary Care.

Valerie L Forman-Hoffman1, Meera Viswanathan2

  • 1RTI, International, 3040 W Cornwallis Rd., Research Triangle Park, NC, 27709, USA. vhoffman@rti.org.

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Pediatric primary care guidelines recommend depression screening, but evidence is indirect. More research is needed on direct benefits and implementation for effective childhood depression screening.

Keywords:
AdolescentsChildrenDepressionPreventative carePrimary careScreening

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Area of Science:

  • Pediatrics
  • Mental Health
  • Public Health

Background:

  • Depression screening in pediatric primary care is recommended by various organizations.
  • Current guidelines rely on indirect evidence regarding the efficacy of screening tools and treatments.
  • Evidence for treatment efficacy is more established for adolescents than for younger children.

Purpose of the Study:

  • To review existing clinical practice guidelines for depression screening in pediatric primary care.
  • To identify current knowledge gaps in the field.
  • To assess the applicability of existing evidence to younger children.

Main Methods:

  • Systematic review of clinical practice guidelines.
  • Analysis of evidence supporting screening tools and treatments.
  • Identification of research gaps related to direct net benefits and implementation factors.

Main Results:

  • Multiple organizations recommend depression screening in pediatric primary care, with age-specific variations.
  • Guidelines are based on indirect evidence, highlighting the need for direct efficacy data.
  • Existing screening tools and treatments show some evidence of efficacy, particularly for adolescents.

Conclusions:

  • Indirect evidence supports the benefits of depression screening in pediatric primary care.
  • Further research is crucial to establish direct net benefits and effective implementation strategies for all age groups.
  • Addressing knowledge gaps will enhance the effectiveness of childhood depression screening programs.