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Related Concept Videos

Depression: Overview01:18

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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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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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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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Related Experiment Video

Updated: Jan 14, 2026

Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
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Recommendation on screening adults for depression using a screening tool.

Eddy Lang1, Casey Gray1, John C LeBlanc1

  • 1Department of Emergency Medicine (Lang), University of Calgary; Alberta Health Services (Lang), Calgary, Alta.; Public Health Agency of Canada (Gray, Traversy) Ottawa, Ont.; Department of Pediatrics (LeBlanc), Dalhousie University, Halifax, NS; Department of Occupational Science and Occupational Therapy (Colquhoun), University of Toronto, Toronto, Ont.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|October 20, 2025
PubMed
Summary

Routine depression screening for all adults is not recommended. Evidence suggests screening tools have minimal health impact, emphasizing clinical vigilance for depression symptoms instead.

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Area of Science:

  • Preventive medicine
  • Mental health screening
  • Evidence-based guidelines

Background:

  • Depression significantly impacts mood, behavior, and functioning, and is linked to suicidal thoughts.
  • This guideline update addresses instrument-based depression screening in adults.

Purpose of the Study:

  • To provide an evidence-based recommendation on instrument-based depression screening for adults.
  • To evaluate the benefits and harms of using screening tools for depression.

Main Methods:

  • A systematic review of literature from October 2018 to March 2025 was conducted.
  • Patient values, expert opinions, and stakeholder input were incorporated.
  • The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used.

Main Results:

  • A strong recommendation against routine screening for depression in adults aged 18+ using questionnaires was made.
  • The evidence indicates minimal to no positive health effect from depression screening tools.
  • This recommendation excludes individuals with a personal history, current diagnosis, or clinical suspicion of depression.

Conclusions:

  • Routine depression screening for all adults is not advised due to limited health benefits.
  • Clinical vigilance and direct inquiry about well-being are crucial for identifying depression.
  • The recommendation emphasizes the importance of comprehensive clinical assessment over universal screening.