Anxiety and Depression Screening for Youth in a Primary Care Population

Overview

Journal Ambul Pediatr

Publisher Elsevier

Specialty Pediatrics

Date 2008 May 27

PMID 18501865

Citations 24

Authors

Wayne Katon

Joan Russo

Laura Richardson

Elizabeth McCauley

Paula Lozano

Affiliations

Soon will be listed here.

Abstract

Objective: Prior studies have shown a low rate of accurate identification by primary care physicians of mental health disorders in youth. This study tested the psychometric properties of 2 brief mental health screening questionnaires, the Mood and Feelings Questionnaire, short form, (MFQ-SF) and Childhood Anxiety Sensitivity Index (ASI), in a large sample of youth.

Methods: In a sample of 1375 youth aged 11 to 17 (779 with asthma, 596 randomly selected controls) enrolled in a health maintenance organization, the psychometric properties (optimum cutoffs on receiver operator characteristic (ROC) curves, sensitivity, specificity, positive and negative predictive values) of 2 brief anxiety and depression screens were compared with a gold standard-structured psychiatric interview.

Results: Both the MFQ-SF and ASI performed well on ROC analysis for screening youth for 1 or more Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) anxiety or depressive disorders. The MFQ-SF performed better on ROC analysis than the ASI for youth with major depression (area under the curve of 0.84 vs 0.77). For screening youth with anxiety disorders, ROC curves showed that both the MFQ-SF and ASI only performed in the fair range (area under the curve of 0.76).

Conclusion: The MFQ-SF and ASI are 2 relatively brief questionnaires that performed well for screening youth for 1 or more DSM-IV anxiety or depressive disorders. The MFQ-SF performed better than the ASI for screening youth with major depression. Use of these instruments could increase the accuracy of identification of mental health disorders in youth by primary care physicians.

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References

Shaffer D, Fisher P, Dulcan M, Davies M, Piacentini J, Lahey B . The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study. J Am Acad Child Adolesc Psychiatry. 1996; 35(7):865-77. DOI: 10.1097/00004583-199607000-00012. View

Richardson L, Davis R, Poulton R, McCauley E, Moffitt T, Caspi A . A longitudinal evaluation of adolescent depression and adult obesity. Arch Pediatr Adolesc Med. 2003; 157(8):739-45. DOI: 10.1001/archpedi.157.8.739. View

Taylor S, Koch W, Woody S, McLean P . Anxiety sensitivity and depression: how are they related?. J Abnorm Psychol. 1996; 105(3):474-9. DOI: 10.1037//0021-843x.105.3.474. View

Shaffer D, Fisher P, Lucas C, Dulcan M . NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry. 2000; 39(1):28-38. DOI: 10.1097/00004583-200001000-00014. View

Zuckerbrot R, Jensen P . Improving recognition of adolescent depression in primary care. Arch Pediatr Adolesc Med. 2006; 160(7):694-704. DOI: 10.1001/archpedi.160.7.694. View

Wasserman G, McReynolds L, Lucas C, Fisher P, Santos L . The voice DISC-IV with incarcerated male youths: prevalence of disorder. J Am Acad Child Adolesc Psychiatry. 2002; 41(3):314-21. DOI: 10.1097/00004583-200203000-00011. View

Canino G, Shrout P, Rubio-Stipec M, Bird H, Bravo M, Ramirez R . The DSM-IV rates of child and adolescent disorders in Puerto Rico: prevalence, correlates, service use, and the effects of impairment. Arch Gen Psychiatry. 2004; 61(1):85-93. DOI: 10.1001/archpsyc.61.1.85. View

Gilbody S, House A, Sheldon T . Routinely administered questionnaires for depression and anxiety: systematic review. BMJ. 2001; 322(7283):406-9. PMC: 26571. DOI: 10.1136/bmj.322.7283.406. View

Katon W, Richardson L, Russo J, Lozano P, McCauley E . Quality of mental health care for youth with asthma and comorbid anxiety and depression. Med Care. 2006; 44(12):1064-72. DOI: 10.1097/01.mlr.0000237421.17555.8f. View

10.

Wells K, Burnam M, Leake B, ROBINS L . Agreement between face-to-face and telephone-administered versions of the depression section of the NIMH Diagnostic Interview Schedule. J Psychiatr Res. 1988; 22(3):207-20. DOI: 10.1016/0022-3956(88)90006-4. View

11.

Thapar A, McGuffin P . Validity of the shortened Mood and Feelings Questionnaire in a community sample of children and adolescents: a preliminary research note. Psychiatry Res. 1998; 81(2):259-68. DOI: 10.1016/s0165-1781(98)00073-0. View

12.

Rector N, Szacun-Shimizu K, Leybman M . Anxiety sensitivity within the anxiety disorders: disorder-specific sensitivities and depression comorbidity. Behav Res Ther. 2006; 45(8):1967-75. DOI: 10.1016/j.brat.2006.09.017. View

13.

Olson A, Kelleher K, Kemper K, Zuckerman B, Hammond C, Dietrich A . Primary care pediatricians' roles and perceived responsibilities in the identification and management of depression in children and adolescents. Ambul Pediatr. 2002; 1(2):91-8. DOI: 10.1367/1539-4409(2001)001<0091:pcprap>2.0.co;2. View

14.

Zuckerbrot R, Maxon L, Pagar D, Davies M, Fisher P, Shaffer D . Adolescent depression screening in primary care: feasibility and acceptability. Pediatrics. 2007; 119(1):101-8. DOI: 10.1542/peds.2005-2965. View

15.

Kovacs M, Goldston D, Obrosky D, Bonar L . Psychiatric disorders in youths with IDDM: rates and risk factors. Diabetes Care. 1997; 20(1):36-44. DOI: 10.2337/diacare.20.1.36. View

16.

Merikangas K, Zhang H, Avenevoli S, Acharyya S, Neuenschwander M, Angst J . Longitudinal trajectories of depression and anxiety in a prospective community study: the Zurich Cohort Study. Arch Gen Psychiatry. 2003; 60(10):993-1000. DOI: 10.1001/archpsyc.60.9.993. View

17.

Gardner W, Kelleher K, Pajer K, Campo J . Primary care clinicians' use of standardized tools to assess child psychosocial problems. Ambul Pediatr. 2003; 3(4):191-5. DOI: 10.1367/1539-4409(2003)003<0191:pccuos>2.0.co;2. View

18.

Katon W, Lozano P, Russo J, McCauley E, Richardson L, Bush T . The prevalence of DSM-IV anxiety and depressive disorders in youth with asthma compared with controls. J Adolesc Health. 2007; 41(5):455-63. PMC: 2153460. DOI: 10.1016/j.jadohealth.2007.05.023. View

19.

Asarnow J, Jaycox L, Duan N, LaBorde A, Rea M, Murray P . Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial. JAMA. 2005; 293(3):311-9. DOI: 10.1001/jama.293.3.311. View

20.

Horwitz S, Leaf P, LEVENTHAL J, FORSYTH B, Speechley K . Identification and management of psychosocial and developmental problems in community-based, primary care pediatric practices. Pediatrics. 1992; 89(3):480-5. View