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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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建议使用查工具对成年人进行抑郁症查.

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
概括

不建议对所有成年人进行常规抑郁症查. 有证据表明,查工具对健康的影响最小,而是强调对抑郁症症状的临床警.

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科学领域:

  • 预防医学 预防医学
  • 心理健康查 心理健康查
  • 基于证据的指导方针

背景情况:

  • 抑郁症显著影响情绪,行为和功能,并与自杀念头有关.
  • 本指南更新涉及成年人基于仪器的抑郁症查.

研究的目的:

  • 为成年人基于仪器的抑郁症查提供基于证据的建议.
  • 评估使用查抑郁症工具的好处和危害.

主要方法:

  • 对2018年10月至2025年3月的文献进行了系统审查.
  • 纳入了患者价值观,专家意见和利益相关者的意见.
  • 使用了推,评估,开发和评估 (GRADE) 的分级方法.

主要成果:

  • 强烈建议不使用问卷对18岁以上成年人进行抑郁症常规查.
  • 证据表明,抑郁症查工具对健康的影响很小,甚至没有积极的影响.
  • 这一建议不包括有个人病史,当前诊断或临床怀疑抑郁症的个人.

结论:

  • 由于健康益处有限,不建议对所有成年人进行常规抑郁症查.
  • 临床警和对幸福感的直接调查对于识别抑郁症至关重要.
  • 该建议强调了全面临床评估对普遍查的重要性.