Experts Advise Routine Depression Screening for Teens
The US Preventive Services Task Force says the rate of depression in children between 12 and 18 years old is high enough to warrant routine screening by their primary care physicians. The recommendation, announced in the latest issue of the journal, ‘Pediatrics,’ is a reversal of its recommendation of 2002 and comes in the wake of new therapies and antidepressant medications that are proving effective for treating depression in this age group.
Depression affects an estimated one in 20 teenagers, affecting grades and increasing the likelihood of developing other physical ailments. Depressed teenagers are also more prone to turn to risky behaviors such as drug abuse and inappropriate sexual contact.
In 2002, the task force issued a report saying the evidence wasn’t conclusive enough to either support or oppose routine depression screening for teens and today’s expert advise does not include younger children between seven and 11 years of age. And even though routine screening is advocated for older teens, the advisory panel warns that careful monitoring is a must due to strong evidence that teens taking some antidepressant medications are at increased risk for suicide.
A review of the task force’s report, issued by experts from Kaiser Permanente and the Oregon Evidence-Based Practice Center in Portland, describes screening tests as performing ‘fairly well’ when diagnosing major depression in teenagers although there have been few studies of the questionnaire-style screening tests most often used.
The American Academy of Pediatrics suggests such screenings would become more routine if medical insurance and managed care providers would adequately compensate pediatricians for mental health services to children. Instead, according to the academy’s journal, doctors are underpaid or not paid at all when they recommend screening children for depression and consultations involving mental health specialists and the child’s parents.
Why isn’t anyone looking into these kids diets – so much of depression is just a chemical imbalance, and with what people are feeding their kids today, it’s not surprising they’re depressed and have a load of allergies!
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