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.
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.
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.
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