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Simple depression, anxiety screen in just 2 questions | Univadis

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Simple depression, anxiety screen in just 2


questions
Takeaway
Asking 2 simple questions can act as a broad screen for anxiety and depression in an outpatient
setting.

Study design
Japanese outpatients (n=453) at a university hospital were asked to complete a medical
questionnaire and the Hospital Anxiety and Depression Scale questionnaire before examination.

Key results
Data from 358 (79.0%) patients were included in the analyses. Logistic regression analysis
identified the following predictors of anxiety or depression: 3 or more complaints (OR, 2.39;
95% CI, 1.48-3.88) and 4 or more previous physicians (OR, 1.72, 95% CI, 1.10-2.69).
In the predictive model for the presence of symptoms of anxiety and depression, the likelihood
ratio was 2.40 (95% CI, 1.33-4.34) in patients reporting positively to both 3 or more complaints
and 4 or more previous physicians, and 1.35 (95% CI, 1.04-1.77) in those reporting just 1
condition.

Limitations
The results may not apply to visitors to specialty departments.
The researchers did not use a structured interview for diagnoses.

Why this matters


When patients report 3 or more complaints, or 4 or more previous physicians, or both on a
medical questionnaire, physicians should consider the presence of anxiety or depression.

http://www.univadis.co.uk/viewarticle/simple-depression-anxiety... 04-Jul-16

Simple depression, anxiety screen in just 2 questions | Univadis

References

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http://www.univadis.co.uk/viewarticle/simple-depression-anxiety... 04-Jul-16

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