#LATE NIGHT SCREEN TIME WITH DEPRESSION MANUAL#

( Note: In children, consider failure to make expected weight gain.)Ĥ. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation).ģ. ( Note: In children and adolescents, can be irritable mood.)Ģ. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful). Note: Do not include symptoms that are clearly attributable to another medical condition.ġ. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure.

#LATE NIGHT SCREEN TIME WITH DEPRESSION MANUAL#

When screening is positive for possible depression, the diagnosis should be confirmed using criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th ed.Ī. Older adults can be screened for depression using an instrument such as the PHQ-2, PHQ-9, Cornell Scale for Depression in Dementia, or Geriatric Depression Scale. Consider screening at least once during pregnancy and again four to eight weeks after delivery. Pregnant women should be screened for depression at least once during the perinatal period using a validated screening instrument such as the Edinburgh Postnatal Depression Scale or the PHQ-9. Screening must be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. The USPSTF recommends screening adolescents 12 to 18 years of age for major depressive disorder in the primary care setting. If depression is identified by the PHQ-2, completion of the PHQ-9 or a clinical interview is recommended. The PHQ-2 is accepted as an initial screening instrument for depression in all age groups. The USPSTF recommends screening for depression in the general adult population. If screening is positive for possible depression, the diagnosis should be confirmed using Diagnostic and Statistical Manual of Mental Disorders, 5th ed., criteria. In older adults, the Geriatric Depression Scale is also an appropriate screening tool for depression. Women should be screened for depression at least once during the perinatal period using the PHQ-2, PHQ-9, or Edinburgh Postnatal Depression Scale. Screening all postpartum women for depression is recommended by the USPSTF, American Academy of Family Physicians, American Academy of Pediatrics, and American College of Obstetricians and Gynecologists. If the PHQ-2 is positive for depression, the PHQ-9 or a clinical interview should be administered. The PHQ-2 has sensitivity comparable with the PHQ-9 in most populations however, the specificity of the PHQ-9 ranges from 91% to 94%, compared with 78% to 92% for the PHQ-2. The two-item and nine-item Patient Health Questionnaires (PHQs) are commonly used validated screening tools.

All screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. Additionally, the USPSTF recommends screening children and adolescents 12 to 18 years of age for major depressive disorder. Preventive Services Task Force (USPSTF) and American Academy of Family Physicians recommend screening for depression in the general adult population.

Depression affects an estimated 8% of persons in the United States and accounts for more than $210 billion in health care costs annually.

Late night screen time with depression