Screening for Depression in Adults
Authors: Michael Pignone, Bradley Gaynes, Kathleen Lohr, Jerry Rushton, Cynthia Mulrow
Journal: Annals of Internal Medicine (2003)

Letters6 May 2003Screening for Depression in AdultsMichael Pignone, MD, MPH, Bradley Gaynes, MD, MPH, Kathleen Lohr, PhD, Jerry Rushton, MD, MPH, and Cynthia Mulrow, MD, MScMichael Pignone, MD, MPHResearch Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow)Search for more papers by this author, Bradley Gaynes, MD, MPHResearch Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow)Search for more papers by this author, Kathleen Lohr, PhDResearch Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow)Search for more papers by this author, Jerry Rushton, MD, MPHResearch Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow)Search for more papers by this author, and Cynthia Mulrow, MD, MScResearch Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-138-9-200305060-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Coyne and colleagues that outcomes for depressed patients in primary care are better when screening is coupled with systematic efforts to improve initiation and continuation of effective therapy, as exemplified in the study by Wells and colleagues (1). The recommendation statement by the USPSTF (2) that accompanied our systematic review also explicitly noted that screening was more effective when coupled with systematic support. Rather than distract[ing] from efforts to promote greater access to such services, we believe our evidence review and the USPSTF recommendation will further encourage payers and health systems to make the changes ...References1. Wells KB, Sherbourne C, Schoenbaum M, Duan N, Meredith L, Untzer J, et al. . Impact of disseminating quality improvement programs for depression in managed primary care: a randomized, controlled trial. JAMA. 2000;283:212-20. [PMID: 10634337] CrossrefMedlineGoogle Scholar2. Screening for depression: recommendations and rationale. Ann Intern Med. 2002;136:760-4. [PMID: 12020145] LinkGoogle Scholar3. Schwenk TL. Screening for depression in primary care. A disease in search of a test [Editorial]. J Gen Intern Med. 1996;11:437-9. [PMID: 8842939] CrossrefMedlineGoogle Scholar4. Katzelnick DJ, Simon GE, Pearson SD, Manning WG, Helstad CP, Henk HJ, et al. . Randomized trial of a depression management program in high utilizers of medical care. Arch Fam Med. 2000;9:345-51. [PMID: 10776363] CrossrefMedlineGoogle Scholar5. Williams JW, Mulrow CD, Kroenke K, Dhanda R, Badgett RG, Omori D, et al. . Case-finding for depression in primary care: a randomized trial. Am J Med. 1999;106:36-43. [PMID: 10320115] CrossrefMedlineGoogle Scholar6. Whooley MA, Stone B, Soghikian K. Randomized trial of case-finding for depression in elderly primary care patients. J Gen Intern Med. 2000;15:293-300. [PMID: 10840264] CrossrefMedlineGoogle Scholar7. Callahan CM, Hendrie HC, Dittus RS, Brater DC, Hui SL, Tierney WM. Improving treatment of late life depression in primary care: a randomized clinical trial. J Am Geriatr Soc. 1994;42:839-46. [PMID: 8046193] CrossrefMedlineGoogle Scholar8. Callahan CM, Dittus RS, Tierney WM. Primary care physicians' medical decision making for late-life depression. J Gen Intern Med. 1996;11:218-25. [PMID: 8744879] CrossrefMedlineGoogle Scholar9. Zung WW, King RE. Identification and treatment of masked depression in a general medical practice. J Clin Psychiatry. 1983;44:365-8. [PMID: 6643397] MedlineGoogle Scholar10. Lewis G, Sharp D, Bartholomew J, Pelosi AJ. Computerized assessment of common mental disorders in primary care: effect on clinical outcome. Fam Pract. 1996;13:120-6. [PMID: 8732321] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Research Triangle InstituteUniversity of North Carolina Evidence-based Practice Center; Chapel Hill, NC 27514 (Pignone, Gaynes, Lohr)University of Michigan; Ann Arbor, MI 48109 (Rushton)University of Texas Health Science Center; San Antonio, TX 78284 (Mulrow) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoScreening for Depression in Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force Michael P. Pignone , Bradley N. Gaynes , Jerry L. Rushton , Catherine Mills Burchell , C. Tracy Orleans , Cynthia D. Mulrow , and Kathleen N. Lohr Screening for Depression: Recommendations and RationaleScreening for Depression in Adults James C. Coyne , Steven C. Palmer , and Patricia A. Sullivan Metrics Cited byScreening for Depression in the Primary Care PopulationScreening for Depression in the Primary Care Population 6 May 2003Volume 138, Issue 9Page: 767-768KeywordsPatientsSystematic reviews ePublished: 6 May 2003 Issue Published: 6 May 2003 Copyright & PermissionsCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...