Providing Guideline-Concordant Assessment and Monitoring for Major Depression in Primary Care
Many patients require depression screening in primary care or else will go undiagnosed and untreated. Assessing patients for depression should include a thorough clinical interview and the use of an assessment tool such as the Patient Health Questionnaire (PHQ-9), Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR), or WHO Well-Being Index (WHO-5). Once depression is diagnosed, clinicians should set goals with the patient and then monitor progress. While response is an initial goal of treatment, the main goal should be full symptom remission because it is associated with improved function. Areas to monitor include treatment adherence, side effects, and comorbid conditions. Depression can be effectively recognized and monitored in primary care if clinicians follow established guidelines and systematically track progress.
From the Department of Family Medicine, University of North Carolina, Chapel Hill, and the Mood Disorders Clinic, Moses Cone Family Practice Center, Greensboro (Dr Manning); and the Departments of Family Medicine and Psychiatry, University of Tennessee College of Medicine, Memphis (Dr Jackson).
J Clin Psychiatry 2015;76(1):e3
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