Evidence map›Paper›PMID 27310247›Full record

SynthesisCanadian journal of psychiatry. Revue canadienne de psychiatrie2016

Accuracy of Depression Screening Tools to Detect Major Depression in Children and Adolescents: A Systematic Review.

Michelle Roseman, Lorie A Kloda, Nazanin Saadat, Kira E Riehm, Abel Ickowicz, Franziska Baltzer, Laurence Y Katz, Scott B Patten, Cécile Rousseau, Brett D Thombs

Open access · bronzeAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 8 pooled it
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 8 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  8. Depression Screening and Health Outcomes in Children and Adolescents: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Michelle Roseman1 Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec.
Lorie A Kloda2 Libraries, Concordia University, Montreal, Quebec.
Nazanin Saadat1 Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec.
Kira E Riehm1 Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec.
Abel Ickowicz3 Department of Psychiatry, Hospital for Sick Children, University of Toronto, Toronto, Ontario.
Franziska Baltzer4 Montreal Children's Hospital, Montreal, Quebec.
Laurence Y Katz6 University of Manitoba, Winnipeg, Manitoba.
Scott B Patten7 University of Calgary, Calgary, Alberta.
Cécile Rousseau5 McGill University, Montreal, Quebec.
Brett D Thombs1 Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec.
Jewish General Hospital · CAMcGill University · CAConcordia University · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDepression screening among children and adolescents is controversial, and no clinical trials have evaluated benefits and harms of screening programs. A requirement for effective screening is a screening tool with demonstrated high accuracy. The objective of this systematic review was to evaluate the accuracy of depression screening instruments to detect major depressive disorder (MDD) in children and adolescents.

methodData sources included the MEDLINE, MEDLINE In-Process, EMBASE, PsycINFO, HaPI, and LILACS databases from 2006 to September 30, 2015. Eligible studies compared a depression screening tool to a validated diagnostic interview for MDD and reported accuracy data for children and adolescents aged 6 to 18 years. Risk of bias was assessed with QUADAS-2.

resultsWe identified 17 studies with data on 20 depression screening tools. Few studies examined the accuracy of the same screening tools. Cut-off scores identified as optimal were inconsistent across studies. Width of 95% confidence intervals (CIs) for sensitivity ranged from 9% to 55% (median 32%), and only 1 study had a lower bound 95% CI ≥80%. For specificity, 95% CI width ranged from 2% to 27% (median 9%), and 3 studies had a lower bound ≥90%. Methodological limitations included small sample sizes, exploratory data analyses to identify optimal cut-offs, and the failure to exclude children and adolescents already diagnosed or treated for depression.

conclusionsThere is insufficient evidence that any depression screening tool and cut-off accurately screens for MDD in children and adolescents. Screening could lead to overdiagnosis and the consumption of scarce health care resources.

Indexed as

AdolescentChildHumansMajor Depressive DisorderPsychiatric Status Rating Scalesadolescentschildrendepressiondiagnostic accuracyscreening

Identifiers

PMID27310247
PMCPMC5564894
OpenAlexW2401214028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.