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Cited by 43Mental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Detecting emotional disorder in young people in primary care

Sanci, Lena, Lewis, Dyani, Patton, George·2010·Current Opinion in Psychiatry
DOI 10.1097/yco.0b013e32833aac38
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Abstract

PURPOSE OF REVIEW: Screening young people for emotional disorder in primary care has seemed sensible given most attend annually and most mental disorder is undetected. Yet evidence supporting screening has been scant. This review considers recent progress around conceptual frameworks, epidemiological findings, accuracy of available instruments and evidence for effectiveness of screening in reducing the burden of emotional disorders. RECENT FINDINGS: Despite better evidence about the accuracy of screens in identifying adolescent depression and possible benefits of early intervention with current treatments, demonstration of improved health outcomes and cost-effectiveness is still lacking. Even when screening detects mental disorder other factors such as readiness for care and availability of effective treatments may affect responses. Best results are obtained when screening is linked to collaborative models of care. Evidence around harms from screening is scant but debate exists over potential harms of false-positives such as stigma and increased strain on healthcare resources. SUMMARY: There is growing consensus that, if screening for emotional disorder is to be effective in primary care, facilitated access of identified young people to effective treatment options is necessary. Further research is required to demonstrate that routine screening will improve mental health outcomes and be cost-effective.

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  • Existing face-to-face services pose significant barriers for young people largely due to access, availability, and high costs, as well as reluctance due to stigma and embarrassment.

    “In addition, existing face-to-face services pose significant barriers for young people [10-16] largely due to access, availability, and high costs of these services [17], as well as the reluctance of young people to seek professional help due to stigma and embarrassment [18-20].”

    From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [16]

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Authors
Sanci, L., Lewis, D., & Patton, G.
Affiliations
  • The University of Melbourne (AU)
  • Murdoch Children's Research Institute (AU)
Corresponding author
Sanci, Lena
ORCID
Venue
Current Opinion in Psychiatry
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2010-07
Volume
23
Issue
4
Pages
318-323
ISSN
0951-7367 (ISSN-L)
DOI
10.1097/yco.0b013e32833aac38
OpenAlex
W1998286653
Cited by
43
References
60
Citations by year
2025: 2 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 5 · 2012: 6
FWCI
0.68
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
adolescents, primary care, adolescent depression, screening accuracy, collaborative care, access to treatment, cost-effectiveness, stigma, false positives, mental health outcomes
MeSH terms
Adolescent, Child, Humans, Mass Screening, Primary Health Care, Surveys and Questionnaires, Mood Disorders

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