Journal of Adolescent Health
Volume 44, Issue 6 , Pages 520-527 , June 2009

Are Adolescents Being Screened for Emotional Distress in Primary Care?

  • Elizabeth M. Ozer, Ph.D.

      Affiliations

    • Division of Adolescent Medicine, University of California, San Francisco, California
    • Young Adult and Family Center, Department of Psychiatry, University of California, San Francisco, California
    • Corresponding Author InformationAddress correspondence to: Elizabeth M. Ozer, Ph.D., Division of Adolescent Medicine, University of California, San Francisco, 3333 California Street, Suite 245, San Francisco, CA 94118.
    • ,
  • Elaine G. Zahnd, Ph.D.

      Affiliations

    • Public Health Institute, Oakland, California
    • ,
  • Sally H. Adams, Ph.D.

      Affiliations

    • Division of Adolescent Medicine, University of California, San Francisco, California
    • ,
  • Sheila R. Husting, B.A.

      Affiliations

    • Division of Adolescent Medicine, University of California, San Francisco, California
    • ,
  • Charles J. Wibbelsman, M.D.

      Affiliations

    • Department of Pediatrics, Kaiser Permanente Northern California, San Francisco, California
    • ,
  • Kim P. Norman, M.D.

      Affiliations

    • Young Adult and Family Center, Department of Psychiatry, University of California, San Francisco, California
    • ,
  • Susan M. Smiga, M.D.

      Affiliations

    • Young Adult and Family Center, Department of Psychiatry, University of California, San Francisco, California

Received 10 June 2008 ,Accepted 18 December 2008.

References 

  1. Knopf D, Park MJ, Paul Mulye T. A Mental Health Profile of Adolescents: 2007 Brief. San Francisco, CA: National Adolescent Health Information Center, University of California, San Francisco; 2007;
  2. Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM–IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593–602
  3. United States Department of Health and Human Services. Mental Health: A Report of the Surgeon General. Rockville, MD: Office of the Surgeon General, U.S. Public Health Service. Available at: http://www.surgeongeneral.gov/library/mentalhealth/home.html. Accessed 1999.
  4. Rushton JL, Forcier M, Schectman RM. Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. J Am Acad Child Adolesc Psychiatry. 2002;41(2):199–205
  5. National Center for Injury Prevention and Control WISQARS. Fatal Injury Reports [Online Database]. Available at: http://webappa.cdc.gov/sasweb/ncipc/mortrate.html. Accessed 2008.
  6. Brown RA, Lewinsohn PM, Seeley JR, et al. Cigarette smoking, major depression, and other psychiatric disorders among adolescents. J Am Acad Child Adolesc Psychiatry. 1996;35(12):1602–1610
  7. Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–976
  8. Lewinsohn PM, Rohde P, Seeley JR. Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clin Psychol Rev. 1998;18(7):765–794
  9. Lehrer JA, Shrier LA, Gortmaker S, et al. Depressive symptoms as a longitudinal predictor of sexual risk behaviors among US middle and high school students. Pediatrics. 2006;118(1):189–200
  10. Youth Risk Behavior Surveillance System (YRBSS) Division of Adolescent and School Health Centers for Disease Control and Prevention. Youth Online [Online Database]. Available at: http://apps.nccd.cdc.gov/yrbss/. Accessed 2007.
  11. Stein RE, Zitner LE, Jensen PS. Interventions for adolescent depression in primary care. Pediatrics. 2006;118(2):669–682
  12. Newacheck PW, Brindis CD, Cart CU, et al. Adolescent health insurance coverage: recent changes and access to care. Pediatrics. 1999;104(2 Pt 1):195–202
  13. Elster AB, Kuznets N. Guidelines for Adolescent Preventive Services (GAPS): Recommendations and Rationale. Chicago, IL: American Medical Association; 1994;
  14. Green M. Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents. Arlington, VA: National Center for Education in Maternal and Child Health; 1994;
  15. United States Preventive Services Task Force. Guide to Clinical Preventive Services. 2nd ed.. Baltimore, MD: Williams & Wilkins; 1996;
  16. Hagan JF, Shaw JS, Duncan PM. Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents. 3rd ed.. Elk Grove Village, IL: American Academy of Pediatrics; 2008;
  17. Zuckerbrot RA, Cheung AH, Jensen PS, et al. Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, assessment, and initial management. Pediatrics. 2007;120(5):e1299–e1312
  18. Burns BJ, Costello EJ, Angold A, et al. Children's mental health service use across service sectors. Health Aff (Millwood). 1995;14(3):147–159
  19. Asarnow JR, Jaycox LH, Duan N, et al. Effectiveness of a quality improvement intervention for adolescent depression in primary care clinics: a randomized controlled trial. JAMA. 2005;293(3):311–319
  20. Zuckerbrot RA, Jensen PS. Improving recognition of adolescent depression in primary care. Arch Pediatr Adolesc Med. 2006;160(7):694–704
  21. Halpern-Felsher BL, Ozer EM, Millstein SG, et al. Preventive services in a health maintenance organization: how well do pediatricians screen and educate adolescent patients?. Arch Pediatr Adolesc Med. 2000;154(2):173–179
  22. Klein JD, Allan MJ, Elster AB, et al. Improving adolescent preventive care in community health centers. Pediatrics. 2001;107(2):318–327
  23. Klein JD, Graff CA, Santelli JS, et al. Developing quality measures for adolescent care: validity of adolescents’ self-reported receipt of preventive services. Health Serv Res. 1999;34(1 Pt 2):391–404
  24. Bethell C, Klein J, Peck C. Assessing health system provision of adolescent preventive services: the Young Adult Health Care Survey. Med Care. 2001;39(5):478–490
  25. Ozer EM, Adams SH, Lustig JL, et al. Increasing the screening and counseling of adolescents for risky health behaviors: a primary care intervention. Pediatrics. 2005;115(4):960–968
  26. Brown ER, Holtby S, Zahnd E, et al. Community-based participatory research in the California Health Interview Survey. Prev Chronic Dis. 2005;2(4):A03
  27. Holtby S, Zahnd E, Lordi N, et al. Health of California's Adults, Adolescents, and Children: Findings from CHIS 2003 and CHIS 2001. Los Angeles, CA: UCLA Center for Health Policy Research; 2006;
  28. Radloff LS. The use of the Center for Epidemiologic Studies Depression Scale in Adolescents and Young Adults. J Youth Adolesc. 1991;20(2):149–166
  29. Adams SA, Ozer EM, Zahnd E. Adolescent short-CESD. Measure developed for use in California Health Interview Survey. 2003.
  30. Huba GJ, Melchoir LA. Staff of the Measurement Group and HRSA/HAB's SPNS Cooperative Agreement Steering Committee, Module 26A: CES-D Form (Interview). Available at: http://www.TheMeasurementGroup.com. Accessed 1995.
  31. Hambidge SJ, Emsermann CB, Federico S, et al. Disparities in pediatric preventive care in the United States, 1993–2002. Arch Pediatr Adolesc Med. 2007;161(1):30–36
  32. Chung H, Teresi J, Guarnaccia P, et al. Depressive symptoms and psychiatric distress in low income Asian and Latino primary care patients: prevalence and recognition. Community Ment Health J. 2003;39(1):33–46
  33. Kessler RC, Walters EE. Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety. 1998;7(1):3–14
  34. Kaiser Permanente Northern California Region. Clinical Practice Guidelines, Prevention & Health Promotion: Kaiser Permanente. 1996;vol. 6:
  35. Adams SH, Husting S, Zahnd E, et al. Adolescent preventive services: rates and disparities in preventive health topics covered during routine medical care in a California sample. J Adolesc Health 2008; DOI:10.1016/j.jadohealth.2008.08.015.
  36. Olson AL, Kelleher KJ, Kemper KJ, et al. Primary care pediatricians’ roles and perceived responsibilities in the identification and management of depression in children and adolescents. Ambul Pediatr. 2001;1(2):91–98
  37. Zuckerbrot RA, Maxon L, Pagar D, et al. Adolescent depression screening in primary care: feasibility and acceptability. Pediatrics. 2007;119(1):101–108
  38. Ozer EM, Adams SH, Gardner LR, et al. Provider self-efficacy and the screening of adolescents for risky health behaviors. J Adolesc Health. 2004;35(2):101–107
  39. Buckelew SM, Adams SH, Irwin CEJ, et al. Increasing clinician self-efficacy for screening and counseling adolescents for risky health behaviors: results of an intervention. J Adolesc Health. 2008;43:198–200
  40. Irwin CE. Clinical preventive services for adolescents: still a long way to go. J Adolesc Health. 2005;37(2):85–86

PII: S1054-139X(08)00685-X

doi: 10.1016/j.jadohealth.2008.12.016

Journal of Adolescent Health
Volume 44, Issue 6 , Pages 520-527 , June 2009

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