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The clinical usefulness of three depression screens for adolescents in India: A need in primary-care settings.
- Source :
-
Journal of Family Medicine & Primary Care . May2019, Vol. 8 Issue 5, p1748-1751. 4p. - Publication Year :
- 2019
-
Abstract
- Introduction: Adolescent Depression (AD) although is widely prevalent and is a prioritized disorder, it is under-diagnosed and under reported in primary-care. We document the post-test probability of three measures and select the best measure for identifying AD in primary-care settings in India based on the clinical utility. Materials and Methods: Three measures have been validated in India for AD and thus can be further evaluated for primary-care use; we calculated the positive (+PTP) and negative (-PTP) post-test probability from the prevalence of AD in India for Beck Depression Inventory-21 item version (BDI-21), Patient Health Questionnaire-9 item version (PHQ-9), and Children's Depression Rating Scale-Revised version (CDRS-R) using the Bayes theorem. The usefulness of the measure was defined a priori based on the odds ratio (OR) of +PTP (OR > 3) and −PTP (OR < 0.1). Results: The +PTP and −PTP for BDI-21 was 43% (95%CI = 40, 45%; OR = 0.7) and 25% (95%CI = 13, 43%; OR = 0.3) respectively. Similarly, the +PTP and − PTP for PHQ-9 was 74% (95%CI = 66, 81%; OR = 2.9) and 10% (95%CI = 6, 17%; OR = 0.1). Finally, +PTP and − PTP for CDRS-R was 78% (95%CI = 69, 84%; OR = 3.5) and 12% (95%CI = 7, 18%; OR = 0.1). Only CDRS-R achieved the useful decided a priori as can be seen in the Fagan's Nomograms. Conclusion: This research provides the evidence base for selecting CDRS-R as the screening measure, for Adolescent Depression, for clinical use in Primary-care settings in India. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ADOLESCENCE
*PROBABILITY measures
*ODDS ratio
*NOMOGRAPHY (Mathematics)
Subjects
Details
- Language :
- English
- ISSN :
- 22494863
- Volume :
- 8
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Journal of Family Medicine & Primary Care
- Publication Type :
- Academic Journal
- Accession number :
- 136894126
- Full Text :
- https://doi.org/10.4103/jfmpc.jfmpc_152_19