TY - JOUR
T1 - Recognizing Adolescent Depression with Parent- and Youth-Report Screens in Pediatric Primary Care
AU - Jellinek, Michael
AU - Bergmann, Paul
AU - Holcomb, Juliana M.
AU - Riobueno-Naylor, Alexa
AU - Dutta, Anamika
AU - Haile, Haregnesh
AU - Sturner, Raymond
AU - Howard, Barbara
AU - Murphy, J. Michael
N1 - Funding Information:
Supported by the Fuss Family Fund . The Fuss Family Fund had no role in the design or conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Research reported in this article was also supported by the National Institute of Mental Health, United States ( R44MH116751 ). The content is solely the responsibility of the authors and does not necessarily represent the views of the National Institutes of Health. This analysis and write up of this study was conducted at and through Massachusetts General Hospital using data collected by the Center for Promotion of Child Development through Primary Care and its for-profit subsidiary, Total Child Health (TCH), Inc. CHADIS, the web-tool used in the study, was developed by R.S. and his spouse, B.H. R.S. is the Director of the Center and B.H. is the President of TCH. Both are members of the Board of Directors of Center and are paid employees or consultants to both entities. The other authors declare no conflicts of interest.
Funding Information:
Supported by the Fuss Family Fund. The Fuss Family Fund had no role in the design or conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Research reported in this article was also supported by the National Institute of Mental Health, United States (R44MH116751). The content is solely the responsibility of the authors and does not necessarily represent the views of the National Institutes of Health. This analysis and write up of this study was conducted at and through Massachusetts General Hospital using data collected by the Center for Promotion of Child Development through Primary Care and its for-profit subsidiary, Total Child Health (TCH), Inc. CHADIS, the web-tool used in the study, was developed by R.S. and his spouse, B.H. R.S. is the Director of the Center and B.H. is the President of TCH. Both are members of the Board of Directors of Center and are paid employees or consultants to both entities. The other authors declare no conflicts of interest.
Publisher Copyright:
© 2021 Elsevier Inc.
PY - 2021/6
Y1 - 2021/6
N2 - Objectives: To compare the use of the parent-report Pediatric Symptom Checklist (PSC-17P) and youth-report Patient Health Questionnaire-9 Modified for Teens (PHQ-9M) in compliance with recent quality standards for adolescent depression screening. Study design: Parents of 5411 pediatric outpatients (11.0-17.9 years old) completed the PSC-17P, which contains scales that assign categorical risk for overall (PSC-17P-OVR), internalizing (PSC-17P-INT), externalizing (PSC-17P-EXT), and attention (PSC-17P-ATT) problems. Adolescents completed the PHQ-9M, which assesses depressive symptoms. Both forms were completed online within 24 hours of each other before pediatric well-child visits. Results: A total of 9.9% of patients (n = 535) were at risk on the PSC-17P-OVR, 14.3% (n = 775) were at risk on the PSC-17P-INT, and 17.0% (n = 992) were at risk on either or both scales (PSC-17P-OVR and/or PSC-17P-INT). Using the PHQ-9M cut-off score of 10 (moderate-very severe depression), an additional 2.4% (n = 131) were classified as at risk, with 66.8% (n = 263) of all PHQ-9M positives (n = 394) also coded as at risk by the PSC-17P-OVR and/or PSC-17P-INT scales. Using a PHQ-9M cut-off score of 15 (severe-very severe depression), only 29 patients (21.8% of the PHQ-9M positives) not identified by the PSC-17P-OVR and/or PSC-17P-INT were classified as being at risk. Conclusions: The combined PSC-17P-OVR and/or PSC-17P-INT scales identified 17% of adolescents as at risk for depression, including about two-thirds to three-quarters of adolescents classified as at risk on the PHQ-9M. These findings support using the PSC-17P to meet quality standards for depression as well as overall screening in pediatrics. Primary care clinicians can add the PHQ-9M to identify additional adolescents who may self-report depressive symptoms.
AB - Objectives: To compare the use of the parent-report Pediatric Symptom Checklist (PSC-17P) and youth-report Patient Health Questionnaire-9 Modified for Teens (PHQ-9M) in compliance with recent quality standards for adolescent depression screening. Study design: Parents of 5411 pediatric outpatients (11.0-17.9 years old) completed the PSC-17P, which contains scales that assign categorical risk for overall (PSC-17P-OVR), internalizing (PSC-17P-INT), externalizing (PSC-17P-EXT), and attention (PSC-17P-ATT) problems. Adolescents completed the PHQ-9M, which assesses depressive symptoms. Both forms were completed online within 24 hours of each other before pediatric well-child visits. Results: A total of 9.9% of patients (n = 535) were at risk on the PSC-17P-OVR, 14.3% (n = 775) were at risk on the PSC-17P-INT, and 17.0% (n = 992) were at risk on either or both scales (PSC-17P-OVR and/or PSC-17P-INT). Using the PHQ-9M cut-off score of 10 (moderate-very severe depression), an additional 2.4% (n = 131) were classified as at risk, with 66.8% (n = 263) of all PHQ-9M positives (n = 394) also coded as at risk by the PSC-17P-OVR and/or PSC-17P-INT scales. Using a PHQ-9M cut-off score of 15 (severe-very severe depression), only 29 patients (21.8% of the PHQ-9M positives) not identified by the PSC-17P-OVR and/or PSC-17P-INT were classified as being at risk. Conclusions: The combined PSC-17P-OVR and/or PSC-17P-INT scales identified 17% of adolescents as at risk for depression, including about two-thirds to three-quarters of adolescents classified as at risk on the PHQ-9M. These findings support using the PSC-17P to meet quality standards for depression as well as overall screening in pediatrics. Primary care clinicians can add the PHQ-9M to identify additional adolescents who may self-report depressive symptoms.
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U2 - 10.1016/j.jpeds.2021.01.069
DO - 10.1016/j.jpeds.2021.01.069
M3 - Article
C2 - 33548264
AN - SCOPUS:85102023394
SN - 0022-3476
VL - 233
SP - 220-226.e1
JO - Journal of Pediatrics
JF - Journal of Pediatrics
ER -