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Letters   |    
Low Depression Screening Rates in U.S. Ambulatory Care
Suzanne T. McGoey, M.D., M.S.; Karen E. Huang, M.S.; Guy K. Palmes, M.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.201300132
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Dr. McGoey and Ms. Huang are affiliated with the Center for Dermatology Research, Department of Dermatology, and Dr. Palmes is with the Department of Psychiatry and Behavioral Medicine, all at the Wake Forest School of Medicine, Winston-Salem, North Carolina.

Copyright © 2013 by the American Psychiatric Association

Extract

To the Editor: Depression is an important public health problem with significant costs both to individuals and society. In 2003, the U.S. lifetime prevalence of major depressive disorder was 16.2% (1). Depression is the leading cause of disability (2), with an estimated cost of $83.1 billion in the United States in 2000 (3). As of 2009, the U.S. Preventive Services Task Force (USPSTF) recommends “screening adults for depression in clinical practices that have systems in place to assure accurate diagnosis, effective treatment, and follow-up” (4). In light of these recommendations, the primary aim of the study reported here was to estimate the rate of depression screening in the U.S. outpatient office setting.

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References

Kessler  RC;  Berglund  P;  Demler  O  et al:  The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R).  JAMA 289:3095–3105, 2003
[CrossRef] | [PubMed]
 
Murthy  R;  Bertolote  J;  Epping-Jordan  J  et al:  Mental Health: New Understanding, New Hope .  Geneva,  World Health Organization, 2001
 
Greenberg  PE;  Kessler  RC;  Birnbaum  HG  et al:  The economic burden of depression in the United States: how did it change between 1990 and 2000? Journal of Clinical Psychiatry 64:1465–1475, 2003
[CrossRef] | [PubMed]
 
US Preventive Services Task Force:  Screening for depression in adults: US Preventive Services Task Force recommendation statement.  Annals of Internal Medicine 151:784–792, 2009
[CrossRef] | [PubMed]
 
Ambulatory Health Care Data. Atlanta, National Center for Health Statistics, Centers for Disease Control and Prevention. Available at www.cdc.gov/nchs/ahcd.htm. Accessed Feb 2, 2013
 
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