Critical Synthesis Package: 2-Item Depression Screener

Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the 2-Item Depression Screener, and (2) a copy of the 2-Item Depression Screener instrument developed by Mary Whooley, MD. The 2-Item Depression...

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Main Author: Maria van Zuilen
Format: Article
Language:English
Published: Association of American Medical Colleges 2014-04-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.9763
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author Maria van Zuilen
author_facet Maria van Zuilen
author_sort Maria van Zuilen
collection DOAJ
description Abstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the 2-Item Depression Screener, and (2) a copy of the 2-Item Depression Screener instrument developed by Mary Whooley, MD. The 2-Item Depression Screener is a brief depression screen initially designed for the primary care setting. It has since been used with a range of patient populations. It assesses depressed mood and anhedonia by asking the patient: “During the past month, have you often been bothered by (1) feeling down, depressed, or hopeless and (2) little interest or pleasure in doing things?” A “Yes” answer to either question is considered a positive screen. Data on the diagnostic validity of the 2-Item Depression Screener comes from studies with multiple patient populations. Sensitivity of the screener is high and compares favorably to that of longer measures. Specificity is somewhat lower than longer measures. Hence, a positive screen must be followed up by further evaluation to determine if the patient meets diagnostic criteria for a mood disorder. A negative screen on the other hand makes it highly unlikely the patient is depressed. Given its brevity and ease of implementation as either a clinician-administered or self-report tool, it has clear utility in a busy clinical setting. Use of the 2-Item Depression Screener has been shown to have an effect on case finding and on the initiation of antidepressant treatment; however, there are no studies linking depression screening to improved outcomes. While the 2-Item Depression Screener has been well-studied with patient populations, there is little research on its use with health care trainees. The applicability of this measure to health sciences education deserves additional investigation.
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spelling doaj.art-f694328f550a4e6f83649373d40f9a2d2022-12-21T19:48:53ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652014-04-011010.15766/mep_2374-8265.9763Critical Synthesis Package: 2-Item Depression ScreenerMaria van Zuilen01 University of Miami Leonard M. Miller School of MedicineAbstract This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the 2-Item Depression Screener, and (2) a copy of the 2-Item Depression Screener instrument developed by Mary Whooley, MD. The 2-Item Depression Screener is a brief depression screen initially designed for the primary care setting. It has since been used with a range of patient populations. It assesses depressed mood and anhedonia by asking the patient: “During the past month, have you often been bothered by (1) feeling down, depressed, or hopeless and (2) little interest or pleasure in doing things?” A “Yes” answer to either question is considered a positive screen. Data on the diagnostic validity of the 2-Item Depression Screener comes from studies with multiple patient populations. Sensitivity of the screener is high and compares favorably to that of longer measures. Specificity is somewhat lower than longer measures. Hence, a positive screen must be followed up by further evaluation to determine if the patient meets diagnostic criteria for a mood disorder. A negative screen on the other hand makes it highly unlikely the patient is depressed. Given its brevity and ease of implementation as either a clinician-administered or self-report tool, it has clear utility in a busy clinical setting. Use of the 2-Item Depression Screener has been shown to have an effect on case finding and on the initiation of antidepressant treatment; however, there are no studies linking depression screening to improved outcomes. While the 2-Item Depression Screener has been well-studied with patient populations, there is little research on its use with health care trainees. The applicability of this measure to health sciences education deserves additional investigation.http://www.mededportal.org/doi/10.15766/mep_2374-8265.9763DepressionScreeningDREAMDirectory and Repository of Educational Assessment MeasuresPrimary CareSensitivity
spellingShingle Maria van Zuilen
Critical Synthesis Package: 2-Item Depression Screener
MedEdPORTAL
Depression
Screening
DREAM
Directory and Repository of Educational Assessment Measures
Primary Care
Sensitivity
title Critical Synthesis Package: 2-Item Depression Screener
title_full Critical Synthesis Package: 2-Item Depression Screener
title_fullStr Critical Synthesis Package: 2-Item Depression Screener
title_full_unstemmed Critical Synthesis Package: 2-Item Depression Screener
title_short Critical Synthesis Package: 2-Item Depression Screener
title_sort critical synthesis package 2 item depression screener
topic Depression
Screening
DREAM
Directory and Repository of Educational Assessment Measures
Primary Care
Sensitivity
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.9763
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