Questionnaires for depression and anxiety

doi:10.1136/bmj.323.7305.167/b

BMJ 2001;323:167 ( 21 July )

Letters

Questionnaires for depression and anxiety

Systematic review is incomplete

Routine screening entails additional pitfalls

Two screening questions may be helpful

Systematic review is incomplete

The first 150 words of the full text of this article appear below.

EDITOR $---$ Gilbody et al published a systematic review of the effect in primary care settings of routinely administered questionnaireson the recognition, treatment, and outcome of psychiatric disorders,particularly depression.¹ They reviewed randomised trials publishedthroughout 2000 and concluded that the routine administrationof such questionnaires is a costly exercise that has not beenshown to influence clinicians'behaviour.

On behalf of the United States Preventive Services Task Force, we performed a broader systematic review of the effectivenessof routine screening for depression. In addition to those reportedin Gilbody et al, we identified six randomised trials of screeningthat examined recognition, treatment, or clinical outcomes.^2-7Each study used a validated screening instrument and gave feedbackto providers of the screening results; some also confirmed resultsfrom the screening instrument with a criterion standard or gavesystematic support to providers and patients to improve the qualityof care after recognition . . . [Full text of this article]

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Routinely administered questionnaires for depression and anxiety: systematic review: Simon M Gilbody, Allan O House, and Trevor A Sheldon
BMJ 2001 322: 406-409. [Abstract] [Full Text] [PDF]

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Pignone, M. P., Gaynes, B. N., Rushton, J. L., Burchell, C. M., Orleans, C. T., Mulrow, C. D., Lohr, K. N. (2002). Screening for Depression in Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force. ANN INTERN MED 136: 765-776 [Abstract] [Full text]