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List of Contributors xi
Preface Wayne Katon xv
1 Is the Syndrome of Depression a Valid Concept? Alex J. Mitchell Mark Zimmerman 3
What is Meant by Depression? 3
Value and Validity of the Syndrome Concept 7
Diagnostic Checklists (including DSM and ICD) 10
Unstructured (Unassisted) Clinician Diagnosis 15
Structured and Semi-Structured Assisted Diagnostic Interviews 19
Conclusion 22
References 24
2 Overview of Depression Scales and Tools Alex J. Mitchell 29
Background 29
The Classic Severity Scales (1960-1980) 36
The New Severity Scales (1981-2008) 39
The Future of Screening Scales 44
References 51
3 Why Do Clinicians Have Difficulty Detecting Depression? Alex J. Mitchell 57
Introduction to the Problem of Over- and Under-Detection 57
Predictors of Detection 62
Patient and Clinician Influences on Detection 66
Illness-Related Influences on Detection 71
Conclusions 74
References 75
4 How Can Existing Mood Scales Be Improved? How to Test, Refine, and Improve Existing Scales Adam B. Smith 83
Introduction 83
The Rasch Model and Other Item Response Models 86
Conclusion 95
References 96
5 How Do We Know When a Screening Test is Clinically Useful? Alex J. Mitchell 99
How Do Clinicians Make a Diagnosis? 99
Scientific Aspects of Diagnostic Accuracy 103
Clinical Aspects of Diagnostic Accuracy 105
Testing Screening via Implementation Studies 109
Conclusions 111
References 111
6 Clinical Judgment and the Influence of Screening on Decision Making Howard N. Garb 113
Introduction 113
Research on Clinical Judgment 114
The Limits of Screening 119
References 120
7 Implementing Screening as Part of Enhanced Care: Screening Aloneis Not Enough Simon Gilbody Dan Beck 123
The Case for Screening 123
Screening and Enhanced Care for Depression 128
New and Additional Evidence Relating to Enhanced Care 128
Is Screening a Necessary Intervention to Improve the Quality and Outcome of Care? 129
To Screen or Not to Screen? 136
References 137
8 Technological Approaches to Screening and Case Finding for Depression William H. Rogers Debra Lerner David A. Adler 143
Technological Methods of Screening for Depression 144
Ten Issues When Developing Computerized Screening for Depression 147
Examples of Implementation of Computerized Screening for Depression 150
Discussion 153
Conclusion 154
References 154
9 Screening for Depression in Primary Care: Can It Become More Efficient? Kathryn M. Magruder Derik E. Yeager 161
Introduction 161
Epidemiology of Depression in Primary Care 162
Is Screening for Depression in Primary Care Worthwhile? 165
Which Screening Tool Should Be Used? 169
Implementing Screening in Primary Care 178
What Developments Are on the Horizon? 183
Conclusions 185
References 185
10 Screening for Depression in Medical Settings: Are Specific Scales Useful? Gordon Parker Matthew Hyett 191
An Introductory Logic 191
Depression in the Medically Ill 192
"False-Positive" Depression Reflecting Confounding by Physical Symptoms Associated with Medical Illness 193
Screening Measures Used to Assess Depression in the Medically Ill 194
Discussion 198
References 199
11 Screening for Depression in Medical Settings: The Case Against Specific Scales Fariba Babaei Alex J. Mitchell 203
Overview of Depression in Physical Disease 203
Defining Somatic Symptoms 205
Diagnostic Accuracy of Somatic Symptoms in Depression 209
Evidence For and Against Somatic Symptoms when Diagnosing Comorbid Depression 211
Implications for Screening 217
References 236
12 Screening for Depression in Neurologic Disorders Andres M. Kanner 241
Depression in Stroke 242
Depression in Multiple Sclerosis 246
Depression in Epilepsy 249
Depression in Parkinson's Disease 255
Conclusions 258
References 258
13 Screening for Depression in Cancer Care Linda E. Carlson Sheena K. Clifford Shannon L. Groff Olga Maciejewski Barry D. Bultz 265
Prevalence of Depression in Cancer Care 265
Screening Methods for Depression 266
Screening for Depression in Oncology 267
Implementing Screening Programs in Oncology Settings 276
Special Issues in Screening Cancer Patients 292
Summary, Integration, Future Directions 293
Acknowledgments 294
References 295
14 Screening for Depression in Perinatal Settings Jodi Barton Philip Boyce 299
Introduction: Perinatal Screening in Context 299
Why Screen, and What Are We Screening For? 301
Screening Practices in Perinatal Settings 303
Screening Guidelines and Recommendations 304
Evidence-Based Comparison of Screening Methods 305
Implementation in Practice: Does Screening Make any Real-World Difference? 310
Service Delivery and Treatment Implications 311
Summary and Key Recommendations 313
References 314
15 Screening in Cardiovascular Care Brett D. Thombs Roy C. Ziegelstein 317
Depression in Cardiovascular Disease 318
The Prevalence of Depression in Cardiovascular Disease 319
Screening Instruments for Depression in Cardiovascular Care 320
Recommendations for Evaluation and Treatment of Patients in Cardiovascular Care 326
Conclusions 328
References 329
16 Screening in Diabetes Care: Detecting and Managing Depression in Diabetes Norbert Hermanns Bernhard Kulzer 335
Depression in Diabetes is a Major Health Problem 337
Screening Tests 340
Treatment Options 343
Screening Program 344
Conclusions for Clinical Practice 345
References 346
17 Commentary and Integration: Is it Time to Routinely Screen for Depression in Clinical Practice? James C. Coyne 349
Integration: Deflating the Puffer Phenomenon and Making the Case Against Screening 364
References 366
Appendix 371
Index 385
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Add Screening for Depression in Clinical Practice: An Evidence-Based Guide, Mood disorders are a global health issue. National guidance for their detection and management have been published in the US and in Europe. Despite this, the rate at which depression is recognized and managed in primary and secondary care settings re, Screening for Depression in Clinical Practice: An Evidence-Based Guide to the inventory that you are selling on WonderClubX
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Add Screening for Depression in Clinical Practice: An Evidence-Based Guide, Mood disorders are a global health issue. National guidance for their detection and management have been published in the US and in Europe. Despite this, the rate at which depression is recognized and managed in primary and secondary care settings re, Screening for Depression in Clinical Practice: An Evidence-Based Guide to your collection on WonderClub |