Depression Screening
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Cureus ◽  
2021 ◽  
Abdulrhman Alabdulgader ◽  
Ali O Mobarki ◽  
Ahmed AlDuwayrij ◽  
Abdullah Albadran ◽  
Mohammed I Almulhim ◽  

2021 ◽  
Abha Choudhary ◽  
Soumya Adhikari ◽  
Perrin White

Abstract Background. The coronavirus disease-2019 (COVID-19) pandemic had widespread impacts on the lives of parents and children. We determined how the pandemic affected Type 1 diabetes patients at a large urban pediatric teaching hospital.Methods. We compared patient characteristics, glycemic control, PHQ9 depression screen, in person and virtual outpatient encounters, hospitalizations and continuous glucose monitor (CGM) utilization in approximately 1600 patients in one -year periods preceding and following the local imposition of COVID-related restrictions on 3/15/2020 (“2019” and “2020” groups, respectively) Results. In a generalized linear model, increasing age, non-commercial insurance, Black and Hispanic race/ethnicity, and non-utilization of CGMs were all associated with higher hemoglobin A1c (HbA1c), but there was no difference between the 2019 and 2020 groups. The time in range in CGM users was lower with non-commercial insurance and in Black and Hispanic patients; it improved slightly from 2019 to 2020. CGM utilization by patients with non-commercial insurance increased markedly. In 2020, patients with commercial insurance had fewer office visits, but insurance status did not influence utilization of the virtual visit platform. There was no change in hospitalization rates from 2019 to 2020 in either commercially or non-commercially insured patients, but patients with non-commercial insurance were hospitalized at markedly higher rates in both years. PHQ9 scores were unchanged.Conclusions. Hospitalization rates, glycemic control and depression screening were unchanged in our large urban pediatric teaching hospital during the COVID pandemic. Increased utilization of CGM and rapid adoption of telemedicine may have ameliorated the impact of the pandemic on disease management.

Anh Trung Nguyen ◽  
Trang Huyen Thi Nguyen ◽  
Thu Thi Hoai Nguyen ◽  
Huong Thi Thu Nguyen ◽  
Thanh Xuan Nguyen ◽  

The interaction of chronic pain and depression among older people has been studied for many years. This study aimed to investigate the frequency of chronic pain and depression among older patients and correlated factors. A cross-sectional study was conducted in 921 older patients at the National Geriatric Hospital from November 2019 to March 2020. We used the Charlson Comorbidity Index (CCI) to assess the comorbid condition, a numerical rating scale (NRS) to examine pain severity, and Geriatric Depression Scale—15 items (GDS-15) to measure depression among participants. A chi-square test and Tobit regression were used to analyze the relationships. A total of 921 older patients participated in the study. The proportion of depression accounted for 55.8%. The mean Charlson score and number of diseases were 1.2 and 4.7, respectively. A positive correlation was found between comorbidity and chronic pain and depression. Moreover, socio-demographic variables such as occupation, education, and income were associated with pain and depressive symptoms. This study highlights the issue of mental health in older people with chronic pain. The results indicate the necessity of frequent depression screening, pain management, and social activity programs for older people to enhance their health.

2021 ◽  
Vol 19 (1) ◽  
Evan Mulvihill ◽  
Rebecca Furru ◽  
Alana Goldstein-Leever ◽  
Kyla Driest ◽  
Stephanie Lemle ◽  

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Hedayat Jafari ◽  
Dariush Ghasemi-Semeskandeh ◽  
Amir Hossein Goudarzian ◽  
Tahereh Heidari ◽  
Azar Jafari-Koulaee

Depression can lead to increased medical costs, impaired individual and social functioning, nonadherence to therapeutic proceeding, and even suicide and ultimately affect quality of life. It is important to know the extent of its prevalence for successful planning in this regard. This study was conducted to determine the prevalence of depression in the Iranian elderly. This systematic review and meta-analysis study was done through Medline via PubMed, SCOPUS, Web of Science, ProQuest, SID, Embase, and Magiran with determined keywords. Screening was done on the basis of relevance to the purpose of the study, titles, abstracts, full text, and inclusion and exclusion criteria. The quality of the articles was assessed using the Newcastle-Ottawa standard scale. After primary and secondary screening, 30 articles were finally included in the study. According to the 30 articles reviewed, the prevalence of depression in the Iranian elderly was 52 percent based on the random-effects model (CI 95%: 46–58). According to the results of the present study, depression in the Iranian elderly was moderate to high. Therefore, more exact assessment in terms of depression screening in elderly people seems necessary. Coherent and systematic programs, including psychosocial empowerment counselling for the elderly and workshops for their families, are also needed. Researchers can also use the results of this study for future research.

2021 ◽  
Vol 11 (2) ◽  
pp. 81-84
Fidelis E Uwumiro ◽  
Victory O Okpujie ◽  
Kingsley O Anokwuru

The first known reference to Postpartum Depression (PPD), was Hippocrates’ 4th century hypothesis that drainage of lochia, if suppressed, could flow to the brain resulting in agitation, delirium, and episodes of mania. This hypothesis became dogma and lasted over a millennium. Over the years, knowledge of PPD has evolved but researchers still struggle to establish it as a distinct disease entity. It was initially recognized as Major Depressive Disorder (MDD) with postpartum onset in the 1994 revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the “bible” of diagnostic criteria for mental health professionals and researchers. It is currently recognized as MDD with peripartum onset (DSM-V) and researchers have admitted that persuasive evidence to indicate that postpartum depression is distinct from other existing depressive disorders, has not been found. Several diagnostic tools such as the Edinburg Postpartum Depression Scale (EDPS), the Beck Depression Inventory (BDI-II), Patient Health Questionnaire (PHQ-9), and the Postpartum Depression Screening Scale (PDSS) are available for use but none of these is universally accepted. With much of the published literature plagued with bias and structural inconsistencies, the credibility of the evidence has been greatly diminished. The difficulty with disease designation, the absence of a universally accepted tool for diagnosis and the scarcity of generalizable evidence on the subject has impaired the early recognition and effective management of PPD. It is therefore expedient, to critically appraise some of the available literature and proffer solutions to navigating this conundrum.

2021 ◽  
Joanne Shaw ◽  
Karen Allison ◽  
Jessica Cuddy ◽  
Toni Lindsay ◽  
Peter Grimison ◽  

Abstract Background: Anxiety and depression screening and management in cancer settings occurs inconsistently in Australia. We developed a clinical pathway (ADAPT CP) to promote standardized assessment and response to affected patients and enhance uptake of psychosocial interventions. Health professional education is a common strategy utilised to support implementation of practice change interventions. Health professional education is a common strategy utilised to support implementation of practice change interventions. We developed an interactive on-line education program to support staff communication and confidence with anxiety/depression screening and referral prior to the ADAPT CP being implemented in 12 oncology services participating in the ADAPT CP cluster randomised controlled trial (CRCT). The aim of this research was to assess acceptability and uptake of the education program.Patient Involvement: Although the wider ADAPT Program included patient consumers on the Steering Committee, in the context of this research consumer engagement included health professionals working in oncology. These consumers contributed to resource development.Methods: Development was informed by oncology and communication literature. The five online modules were pilot tested with 12 oncology nurses who participated in standardised medical simulations. Acceptability and uptake were assessed across the 12 Oncology services participating in the ADAPT CRCT. Results: During pilot testing the online training was reported to be acceptable and overall communication and confidence improved for all participants post training. However, during the ADAPT CRCT uptake was low (7%; n=20). Although those who accessed the training reported it to be valuable, competing demands and online format reportedly limited HPs’ capacity and willingness to undertake training.Conclusions: This interactive on-line training provides strategies and communication skills for front-line staff to guide these important conversations. Building workforce skills, knowledge and confidence is crucial for the successful implementation of practice change interventions. However, despite being acceptable during pilot testing, low uptake in real world settings highlights organisational support and incentivisation for frontline staff to undertake training is critical for wider engagement. A multimodal approach to delivery of training to cater for staff preferences for face to face and/or online staff may maximise training uptake and increase effectiveness of training interventionsTrial Registration: Pilot study ACTRN12616001490460 (27/10/2016). ADAPT RCT ACTRN12617000411347(22/03/2017)

2021 ◽  
Vol 85 (3) ◽  
pp. AB30
Michael Lor ◽  
Sarah Lonowski ◽  
Amy Vandiver ◽  
Nirali Patel ◽  
Carol E. Cheng

2021 ◽  
Vol 5 (2) ◽  
pp. 198
Wahyu Desiana ◽  
Tarsikah Tarsikah

  Abstract Background: Postpartum depression is a psychological disorder during the postpartum period which is more dangerous than the baby blues. Postpartum depression can have a serious impact on the development of the baby as well as the social life of the mother. To anticipate the incidence of postpartum depression, it is necessary to have early detection. The purpose of this study was to describe the results of the seventh day postpartum depression screening at PMB S Malang City. Methods: The design of this research is descriptive quantitative with a population of 72 postpartum mothers, the number of samples is 57 people who are taken at simple random. Research instrument: EPDS questionnaire. Results: The results showed that postpartum mothers experienced postpartum depression in as many as 22.8%. Postpartum mothers who have an EPDS score 10 are mothers with the age group > 35 years, working mothers, high school education, nuclear family type, and the number of children 2 - 3 people. Conclusion: Even in small amounts, postpartum depression can have a negative impact on maternal mental health and child development in the future, so early detection efforts need to be cultivated. 

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