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Letters 1. Kroenke K, Spitzer RL, Williams JBW. The Patient Health Questionnaire-2: example, are not represented in the Diagnostic and Statistical 3 validity of a two-item depression screener. Med Care. 2003;41(11):1284-1292. Manual of Mental Disorders (DSM) criteria. In evaluating the 2. Maj M. “Clinical judgment” and the DSM-5 diagnosis of major depression. desirability of screening for depression in primary care, it is World Psychiatry. 2013;12(2):89-91. tempting, but in our view a mistake, to reify the DSM criteria. 3. Kendler KS. The phenomology of major depression and the representativeness This line of reasoning risks losing sight of a deeper reality: the and nature of DSM criteria. Am J Psychiatry. 2016;173(8):771-780. criteria for major depression are not the thing itself, but rather 4. Huybrechts KF, Palmsten K, Mogun H, et al. National trends in an imperfect index of an underlying condition. A better means antidepressant medication treatment among publicly insured pregnant women. of assessing the desirability of depression screening is to focus Gen Hosp Psychiatry. 2013;35(3):265-271. on evaluating the practical clinical consequences of screening 5. Barth J, Munder T, Gerger H, et al. Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network on patients who are screened. meta-analysis.
JAMA Internal Medicine – American Medical Association
Published: Mar 1, 2017
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