大人のうつ病のスクリーニング:米国の予防サービスタスクフォースの勧告声明
Albert L Siu1, , Kirsten Bibbins-Domingo2
1Mount Sinai School of Medicine, New York2James J. Peters Veterans Affairs Medical Center, Bronx, New York.
JAMA
|January 28, 2016
まとめ
米国予防サービスタスクフォース (USPSTF) は,妊婦や産後女性を含むすべての成人のうつ病のスクリーニングを推奨しています. 効果的な診断・治療・フォローアップシステムは 実施の成功に不可欠です
科学分野:
- 予防医学
- 精神衛生スクリーニング
- 臨床的勧告
背景:
- 米国予防サービスタスクフォース (USPSTF) は以前,2009年にうつ病のスクリーニングに関する勧告を出した.
- 鬱病は成人の大きな部分に 影響を及ぼしているので ガイドラインを更新することが必要です
研究 の 目的:
- 大人のうつ病のスクリーニングに関する最新の勧告を提示する.
- 鬱病のスクリーニングと治療の利点と害に関する最新の証拠をレビューする.
主な方法:
- 鬱病スクリーニングの精度に関する証拠の体系的なレビュー
- 成人集団におけるスクリーニングと治療の利益と害の評価
- 高齢者,妊婦,出産後の女性を含む
主要な成果:
- 一般的な成人では,うつ病のスクリーニングが推奨されます.
- 適切な診断と治療システムがある場合,スクリーニングの利点が証明されています.
- この勧告は18歳以上の成人に適用されます.
結論:
- USPSTFは,成人におけるうつ病のスクリーニングについて"B"の勧告を発行しています.
- 実施には,正確な診断,効果的な治療,適切なフォローアップケアのための堅固なシステムが必要です.
- この更新されたガイドラインは,成人の健康状態を改善することを目的としています.
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