TREATMENT
Review: screening or case-finding questionnaires used alone are not effective for management of depression
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S Gilbody
Dr S Gilbody, University of York, Leeds, UK; sg519@york.ac.uk
What is the effectiveness of screening or case-finding questionnaires used alone for detection and management of depression?
Studies selected compared standardised screening or case-finding instruments for depression with usual care in non-psychiatric settings (eg, general hospital or primary care). Studies that had substantial enhancements in the process of care (eg, case managers, nursing interventions, or collaborative care) were excluded. Outcomes were recognition of depression, use of any intervention for depression (pharmacological or psychosocial intervention or active referral to a specialist), and outcomes of depression.
Medline; EMBASE/Excerpta Medica; CINAHL; Cochrane Depression, Anxiety, and Neurosis Group Trials Register; Cochrane Library; National Health Service Economic Evaluations Database; Database of Reviews of Effectiveness; British Nursing Index and Royal College of Nursing; PsycLIT; and EconLIT (all to Dec 2007) were searched for randomised controlled trials (RCTs). 16 RCTs (n = 7576) met the
Ryerson University, Daphne Cockwell School of Nursing, Toronto, Ontario, Canada
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