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全球儿童青少年抑郁筛查指南综述

李晶 孙莹

李晶, 孙莹. 全球儿童青少年抑郁筛查指南综述[J]. 中国学校卫生, 2022, 43(5): 755-759. doi: 10.16835/j.cnki.1000-9817.2022.05.027
引用本文: 李晶, 孙莹. 全球儿童青少年抑郁筛查指南综述[J]. 中国学校卫生, 2022, 43(5): 755-759. doi: 10.16835/j.cnki.1000-9817.2022.05.027
LI Jing, SUN Ying. Summary of global child and adolescent depression screening guidelines[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 755-759. doi: 10.16835/j.cnki.1000-9817.2022.05.027
Citation: LI Jing, SUN Ying. Summary of global child and adolescent depression screening guidelines[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 755-759. doi: 10.16835/j.cnki.1000-9817.2022.05.027

全球儿童青少年抑郁筛查指南综述

doi: 10.16835/j.cnki.1000-9817.2022.05.027
基金项目: 

国家自然科学基金项目 82173537

国家自然科学基金项目 81872638

安徽省自然科学基金杰青项目 1908085J26

详细信息
    作者简介:

    李晶(2000-),女,湖南岳阳人,在读硕士,主要研究方向为儿童青少年卫生

    通讯作者:

    孙莹,Email:yingsun@ahmu.edu.cn

  • 利益冲突声明 所有作者声明无利益冲突。
  • 王苗苗
  • 中图分类号: R179 B844.2

Summary of global child and adolescent depression screening guidelines

  • 摘要: 研究旨在了解全球儿童青少年抑郁筛查指南的研究进展,为中国儿童青少年抑郁症筛查提供参考依据。通过收集全球多个国家或机构有关儿童青少年抑郁筛查指南或专家共识,对搜集到的文献证据进行梳理后发现,目前全球多个国家与机构建议在12~18岁青少年中,基于合适的筛查工具开展青少年抑郁症的普遍性筛查,确保青少年抑郁症的早期发现、治疗及干预;针对12岁以下儿童,目前尚没有充分证据支持普遍性筛查,但建议对高风险儿童开展抑郁症筛查以期早期干预。
    1)  利益冲突声明 所有作者声明无利益冲突。
    2)  王苗苗
  • 表  1  全球儿童青少年抑郁筛查指南总结

    Table  1.   Summary of global child and adolescent depression screening guidelines

    国家/组织 发布时间 相关机构、指南 筛查建议
    美国 2019 美国预防服务工作组 12~18岁的青少年中筛查重症抑郁症。筛查应在适当的系统下实施,以确保准确的诊断、有效的治疗和适当的随访[4];目前的证据不足以评估11岁以下儿童筛查重症抑郁症的利弊之间的平衡[4]
    2018 美国儿科学会《美国初级保健青少年抑郁症指南》 当有足够的系统来确保准确诊断、有效治疗和随访时,应针对12~18岁的人群进行筛查[7]
    2019 美国家庭医师学会 筛查时注意保密性以及选择SSHADESS访谈方式[9];12岁以上青少年应该每年都进行抑郁症状筛查[8]
    2007 美国儿童和青少年精神医学会 临床医生使用来自精神疾病诊断与统计手册或国际疾病分类的抑郁障碍标准的检查表、青少年或父母的自我报告中获得的结果筛查抑郁症状[10]
    英国 2019 英国国家卫生与临床优化研究所 初级保健环境中通过评估心理社会状况、家族史、各种近期事件和其他生活因素以及对家庭和同伴关系质量来筛查抑郁症状;在儿童青少年心理健康服务中心中需要定期做抑郁障碍相关的自我评定量表,作为常规评估流程的一部分[11]
    加拿大 2021 加拿大预防保健工作组 没有足够的证据推荐在儿童或青少年中进行常规筛查[12];建议更新中,新一轮的证据审查在进行中[13]
    澳大利亚 2017 澳大利亚皇家全科医师学院 针对存在风险因素的5~12岁儿童,通过基于DSM-5框架的筛查量表和结构化访谈筛查和评估儿童抑郁症[15]
    ICOMH国际共识 2021 建议使用《儿童焦虑和抑郁量表修订版》量表和《患者健康问卷-9》评估[16]
    :SSHADESS:“strength”(优势)、“school”(学校)、“home”(家庭)、“activities”(活动)、“drugs/substance misuse”(毒品/物质滥用)、“emotions”(情绪)、“eating”(饮食)、“sexuality”(性行为)、“safety”(安全);ICOMH:国际健康结果测量联盟。
    下载: 导出CSV
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  • 收稿日期:  2022-04-12
  • 修回日期:  2022-04-26
  • 网络出版日期:  2022-05-20
  • 刊出日期:  2022-05-25

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