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坚持青少年抑郁症筛查实践取向

龚雯洁 曾榛 张丽 胡宓 童永胜

龚雯洁, 曾榛, 张丽, 胡宓, 童永胜. 坚持青少年抑郁症筛查实践取向[J]. 中国学校卫生, 2022, 43(5): 706-710. doi: 10.16835/j.cnki.1000-9817.2022.05.015
引用本文: 龚雯洁, 曾榛, 张丽, 胡宓, 童永胜. 坚持青少年抑郁症筛查实践取向[J]. 中国学校卫生, 2022, 43(5): 706-710. doi: 10.16835/j.cnki.1000-9817.2022.05.015
GONG Wenjie, ZENG Zhen, ZHANG Li, HU Mi, TONG Yongsheng. Objectives of screening for depression in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 706-710. doi: 10.16835/j.cnki.1000-9817.2022.05.015
Citation: GONG Wenjie, ZENG Zhen, ZHANG Li, HU Mi, TONG Yongsheng. Objectives of screening for depression in adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 706-710. doi: 10.16835/j.cnki.1000-9817.2022.05.015

坚持青少年抑郁症筛查实践取向

doi: 10.16835/j.cnki.1000-9817.2022.05.015
基金项目: 

国家自然科学基金项目 81973059

详细信息
    作者简介:

    龚雯洁(1979-),女,湖南长沙人,博士,教授,主要研究方向为妇幼保健和心理卫生

    曾榛(1987-), 女, 广西桂林人, 在读博士, 主要研究方向为妇幼保健和心理卫生

  • 利益冲突声明  所有作者声明无利益冲突。
  • 龚雯洁和曾榛为共同第一作者。
  • 中图分类号: B844.2 R179 G478

Objectives of screening for depression in adolescents

  • 摘要: 抑郁症是影响青少年身心健康的重要公共卫生问题, 教育部提出将其筛查纳入学生体检作为青少年抑郁症防治工作的一环, 但目前各国及不同组织对青少年抑郁症常规筛查的推荐等级及执行细节等问题存在诸多不同意见。研究概述了青少年抑郁的流行现况和危险因素, 总结国外相关指南及推荐意见, 提出开展基于学校体检的青少年抑郁症筛查仍需社会各界深入密切协作, 在厘清筛查科学性、工作运行、资源配置和伦理等关键问题的基础上, 实行"试点先行, 分步实施, 家校配合"的策略, 以实现促进青少年心理健康水平提高的最终目的。
    1)  利益冲突声明  所有作者声明无利益冲突。
    2)  龚雯洁和曾榛为共同第一作者。
  • 表  1  国外机构组织对青少年抑郁筛查的推荐

    Table  1.   Recommendations for adolescent depression screening by various of organizations in different countries

    组织 年份 筛查实施者 筛查对象 筛查方式或工具 筛查时间点 对筛查阳性者的措施
    美国预防服务工作组 2016 12~18岁 PHQ-A、BDI (primary care version) 根据抑郁症的严重程度和其他考虑因素,如青少年的生活状况、其他健康状况和治疗偏好,由临床医生、青少年和其父母共同决定治疗方案
    美国妇产科医师学会 2017 妇产科医生或门诊医生 9~17岁 PHQ-A、PHQ-2 将患者转诊至精神卫生保健专家或机构进行进一步评估和治疗,并随访
    澳大利亚家庭医生 2017 全科医生 5~12岁 学龄前感受清单、MFQ、CDI-2 正式的心理干预和转诊、药物治疗
    美国儿科学会 2018 初级保健的儿科医生 10~21岁 采用可靠的抑郁筛查量表和临床访谈 每年对≥12岁的青少年进行体检 评估后,联合初级保健临床医师和家庭对患者进行诊疗
    英国国家卫生与临床优化研究所 2019 基层保健人员进行风险识别与评估;儿童青少年心理健康服务系统(2~4级医疗)的保健人员对基层转诊对象进行常规筛查 5~18岁:风险识别与评估>11岁:转诊至心理健康服务系统后开展常规筛查 基于证据的社会、情感和行为筛查工具 评估、监测、随访、干预、治疗,分级诊疗
    美国儿童和青少年精神病学学会 2019 初级保健提供者或心理健康临床医生 ≥8岁 对儿童/青少年和家庭进行有关青少年抑郁症的教育,并对儿童进行治疗或转诊治疗
    :PHQ-A为青少年健康问卷;BDI为贝克抑郁量表初级保健版;PHQ-2为病人健康问卷-2;MFQ为情绪与感受问卷;CDI-2为儿童抑郁量表-2。
    下载: 导出CSV
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出版历程
  • 收稿日期:  2021-12-09
  • 修回日期:  2022-01-20
  • 网络出版日期:  2022-05-20
  • 刊出日期:  2022-05-25

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