成年人抑郁症和自杀风险查:美国预防服务工作组建议声明
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|June 20, 2023
概括
包括孕妇和产后患者在内的成年人进行重大抑郁症 (MDD) 查具有中等效益. 没有足够的证据来评估成人自杀风险查的益处和危害.
科学领域:
- 公共卫生和预防医学
- 心理健康服务研究
- 临床预防服务
背景情况:
- 大型抑郁症 (MDD) 是美国普遍存在的心理健康状况,对个体的功能和健康结果产生重大影响.
- 没有治疗的MDD与不良健康事件有关,包括心血管风险,并发症恶化和死亡率增加.
- 主要护理环境对于识别和管理MDD等精神疾病至关重要.
研究的目的:
- 系统地审查MDD和无症状成年人的自杀风险查的益处和危害.
- 评估MDD和自杀风险查工具的准确性.
- 在初级保健环境中评估治疗MDD和自杀风险的益处和危害.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 该审查集中在19岁及以上的无症状成年人,包括孕妇/产后患者和老年人 (65岁及以上).
- 评估了MDD和自杀风险查的查准确性,益处和危害的证据.
主要成果:
- 在成年人中对MDD的查显示中度净益处具有中度确定性.
- 本建议适用于一般成年人群,包括孕妇/产后人群和老年人群.
- 没有足够的证据来确定成人自杀风险查的益处和危害.
结论:
- USPSTF建议对所有成年人进行抑郁症查,包括孕妇/产后患者和老年人.
- 一个"B"的建议意味着从这个查中获得适度的好处.
- 一个"I"声明表明没有足够的证据来推或反对成人自杀风险查.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.7K
04:33Author Spotlight: Unveiling the Connection Between Sleep Disorders and Cognitive Symptoms in Depression
Published on: April 26, 2024
742
相关概念视频
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
Diagnostic and Statistical Manual of Mental Disorders (DSM)
99
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...
99
Depression: Overview
288
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,...
288
Acute Coronary Syndrome IV: Interprofessional Care
13
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
13
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Depressive Disorders: MDD and Dysthymia
177
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...
177
