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首页> 外文期刊>Medical care research and review: MCRR >Does depression screening have an effect on the diagnosis and treatment of mood disorders in general medical settings?: an instrumental variable analysis of the national ambulatory medical care survey.
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Does depression screening have an effect on the diagnosis and treatment of mood disorders in general medical settings?: an instrumental variable analysis of the national ambulatory medical care survey.

机译：抑郁症筛查是否对一般医疗环境中的情绪障碍的诊断和治疗有影响？：国家门诊医疗调查的工具变量分析。

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This study examined the association of depression screening with the diagnoses of mood disorders and prescription of antidepressants in 73,712 visits to nonpsychiatrist physician offices drawn from the 2005-2007 U.S. National Ambulatory Medical Care Survey. Physicians used depression screening selectively for patients whom they perceived as more likely to have a mood disorder. In bivariate probit analyses with instrumental variables, depression screening did not increase the prevalence of either mood disorder diagnoses or prescription of antidepressants. However, screening was associated with lower rates of antidepressants prescription without a diagnosis of a mood disorder. In visits in which antidepressants were prescribed, 47.4% of the screened visits compared with 16.3% of nonscreened visits had a mood disorder diagnosis. As currently practiced in medical settings, depression screening may help improve targeting and appropriate use of antidepressant medications. Wider use of depression screening may help curb the growing trend of off-label antidepressant prescriptions.
机译：这项研究在2005-2007年美国国家门诊医疗调查中抽取了73,712次非精神科医师就诊，考察了抑郁症筛查与情绪障碍诊断和抗抑郁药处方的相关性。医师对他们认为更可能患有情绪障碍的患者进行选择性抑郁症筛查。在具有工具变量的双变量概率分析中，抑郁症筛查并没有增加情绪障碍诊断或抗抑郁药处方的患病率。然而，筛查与降低抗抑郁药处方率有关，而没有诊断出情绪障碍。在开具抗抑郁药处方的访视中，有47.4％的筛查访视具有心境障碍诊断能力，而非筛查访视的16.3％。按照目前在医疗环境中的实践，抑郁症筛查可能有助于改善靶向性和适当使用抗抑郁药。抑郁症筛查的广泛使用可能有助于遏制标签外抗抑郁药处方的增长趋势。

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