医学
重性抑郁障碍
人口
萧条(经济学)
精神科
毒物控制
无症状的
心情
环境卫生
内科学
宏观经济学
经济
作者
Michael J. Barry,Wanda K Nicholson,Michael Silverstein,David Chelmow,Tumaini R. Coker,Karina W. Davidson,Esa M. Davis,Katrina E Donahue,Carlos Roberto Jaén,Li Li,Gbenga Ogedegbe,Lori Pbert,Goutham Rao,John Ruiz,James J. Stevermer,Joel Tsevat,Sandra Millon Underwood,John B. Wong
出处
期刊:JAMA
[American Medical Association]
日期:2023-06-20
卷期号:329 (23): 2057-2057
被引量:31
标识
DOI:10.1001/jama.2023.9297
摘要
Importance Major depressive disorder (MDD), a common mental disorder in the US, may have substantial impact on the lives of affected individuals. If left untreated, MDD can interfere with daily functioning and can also be associated with an increased risk of cardiovascular events, exacerbation of comorbid conditions, or increased mortality. Objective The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of screening, accuracy of screening, and benefits and harms of treatment of MDD and suicide risk in asymptomatic adults that would be applicable to primary care settings. Population Asymptomatic adults 19 years or older, including pregnant and postpartum persons. Older adults are defined as those 65 years or older. Evidence Assessment The USPSTF concludes with moderate certainty that screening for MDD in adults, including pregnant and postpartum persons and older adults, has a moderate net benefit. The USPSTF concludes that the evidence is insufficient on the benefit and harms of screening for suicide risk in adults, including pregnant and postpartum persons and older adults. Recommendation The USPSTF recommends screening for depression in the adult population, including pregnant and postpartum persons and older adults. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in the adult population, including pregnant and postpartum persons and older adults. (I statement)
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