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    Screening for depression in an urban pediatric primary care clinic

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    Author
    Dubowitz, H.
    Feigelman, S.
    Lane, W.
    Prescott, L.
    Blackman, K.
    Grube, L.
    Meyer, W.
    Tracy, J.K.
    Date
    2007
    Journal
    Pediatrics
    Publisher
    American Academy of Pediatrics
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.1542/peds.2006-2010
    Abstract
    OBJECTIVES. The goals were to estimate the prevalence of parental depressive symptoms among parents at a pediatric primary care clinic and to evaluate the stability, sensitivity, specificity, and positive and negative predictive values of a very brief screen for parental depression. METHODS.A total of 216 mothers (because 96% of caregivers were mothers, we use this term) bringing in children <6 years of age for child health supervision completed a parent screening questionnaire in a primary care clinic. The parent screening questionnaire, a brief screen for psychosocial problems developed for the study, includes 2 questions on depressive symptoms. Mothers then completed the computerized study protocol within 2 months. This included the parent screening questionnaire as well as the Beck Depression Inventory II. Different combinations of the depression questions were evaluated against Beck Depression Inventory II clinical cutoff values. RESULTS. Twelve percent of the mothers met the Beck Depression Inventory II clinical cutoff value for at least moderate depressive symptoms. There was moderate stability of the screening questions. When a positive response to either or both of the 2 questions was considered, the sensitivity was 74%, the specificity was 80%, the positive predictive value was 36%, and the negative predictive value was 95%. CONCLUSIONS. Maternal depressive symptoms are prevalent. A very brief screen can identify reasonably those who could benefit from additional evaluation and possible treatment. This should benefit mothers, families, and children. Copyright 2007 by the American Academy of Pediatrics.
    Keyword
    Child maltreatment
    Depression
    Prevention
    Primary care
    Risk factors
    Screening
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-33947133598&doi=10.1542%2fpeds.2006-2010&partnerID=40&md5=12fdf7f1161e22946aba8e48f82afba0; http://hdl.handle.net/10713/11883
    ae974a485f413a2113503eed53cd6c53
    10.1542/peds.2006-2010
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