General Hospital Psychiatry
Volume 30, Issue 1 , Pages 4-13 , January 2008

Mood disorder screening among adult emergency department patients: a multicenter study of prevalence, associations and interest in treatment

  • Edwin D. Boudreaux, Ph.D.

      Affiliations

    • Department of Emergency Medicine, UMDNJ-Robert Wood Johnson Medical School and Cooper Hospital, Camden, NJ 08103, USA
    • Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School and Cooper Hospital, Camden, NJ 08103, USA
    • Corresponding Author InformationCorresponding author. Emergency Medicine, Cooper Hospital, One Cooper Plaza, Camden, NJ 08103, USA. Tel.: +1 856 757 7801; fax: +1 856 757 9651.
    • ,
  • Sunday Clark, Dr.P.H.

      Affiliations

    • Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
    • ,
  • Carlos A. Camargo Jr, M.D., Dr.P.H.

      Affiliations

    • Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA

Received 26 July 2007 ,Accepted 27 September 2007.

References 

  1. Kessler RC, Berglund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289(23):3095–3105
  2. Murray CI, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: global burden of disease study. Lancet. 1997;349(9064):1498–1504
  3. Wells KB, Stewart A, Hays RD, et al. The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989;262(7):914–919
  4. Frank E, Thase ME. Natural history and preventative treatment of recurrent mood disorders. Annu Rev Med. 1999;50:453–468
  5. USPSTF . Screening for depression: recommendations and rationale. Ann Int Med. 2002;136(10):760–764
  6. Schade CP, Jones ER, Wittlin BJ. A ten-year review of the validity and clinical utility of depression screening. Psychiatr Serv. 1998;49(1):55–61
  7. Nawar EW, Niska RW, Xu J. National Hospital Ambulatory Medical Care Survey: 2005 emergency department summary. Advance data from vital and health statistics; no. 386. Hyattsville (Md): National Center for Health Statistics; 2007;
  8. Babcock-Irvin C, Wyer PC, Gerson LW. Preventive care in the emergency department: Part II. Clinical preventive services — an emergency medicine evidence-based review. Society for Academic Emergency Medicine Public Health and Education Task Force Preventive Services Work Group. Acad Emerg Med. 2000;7(9):1042–1054
  9. Kowalenko T, Khare RK. Should we screen for depression in the emergency department?. Acad Emerg Med. 2004;11(12):177–178
  10. Boudreaux ED, Cagande C, Kilgannon H, Kumar A, Camargo CA. A prospective study of depression among adult patients in an urban emergency department. J Clin Psychiatry. 2006;8(2):66–70
  11. Kumar A, Clark S, Boudreaux ED, Camargo CA. A multicenter study of depression among emergency department patients. Acad Emerg Med. 2004;11(12):1284–1289
  12. Meldon SW, Emerman CL, Schubert DS, Moffa DA, Etheart RG. Depression in geriatric ED patients: prevalence and recognition. Ann Emerg Med. 1997;30(2):141–145
  13. Raccio-Robak N, McErlean MA, Fabacher DA, Milano PM, Verdile VP. Socioeconomic and health status differences between depressed and nondepressed ED elders. Am J Emerg Med. 2002;20(2):71–73
  14. Rhodes KV, Lauderdale DS, Stocking CB, et al. Better health while you wait: a controlled trial of a computer-based intervention for screening and health promotion in the emergency department. Ann Emerg Med. 2001;37(3):284–291
  15. Schriger DL, Gibbons PS, Langone CA, et al. Enabling the diagnosis of occult psychiatric illness in the emergency department: a randomized, controlled trial of the computerized, self-administered PRIME-MD diagnostic system. Ann Emerg Med. 2001;37(2):132–140
  16. Baer L, Jacobs DG, Meszler-Reizes J, et al. Development of a brief screening instrument: the HANDS. Psychother Psychosom. 2000;69(1):35–41
  17. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4th ed.. Washington (DC): American Psychiatric Association; 1994;
  18. Boudreaux ED, Cagande C, Kilgannon H, Clark S, Camargo CA. Bipolar disorder screening among adult patients in an urban emergency department setting. J Clin Psychiatry. 2006;8:348–351
  19. Hirschfeld RM, Williams JB, Spitzer RL, et al. Development and validation of a screening instrument for bipolar spectrum disorder: the mood disorder questionnaire. Am J Psychiatry. 2000;157(11):1873–1875
  20. Hirschfeld RM, Holzer C, Calabrese JR, et al. Validity of the mood disorder questionnaire: a general population study. Am J Psychiatry. 2003;160(1):178–180
  21. Piver A, Yatham LN, Lam RW. Bipolar spectrum disorders: new perspectives. Can Fam Physician. 2002;48:896–904
  22. Whooley MA, Avins AL, Miranda J, et al. Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 1997;12(7):439–445
  23. Kroenke K, Spitzer RL, Williams JB. The patient health questionnaire-2: validity of a two-item depression screener. Med Care. 2003;41(11):1284–1292
  24. Miller CJ, Klugman J, Berv DA, Rosenquist KJ, Nassir Ghaemi S. Sensitivity and specificity of the mood disorder questionnaire for detecting bipolar disorder. J Affect Disord. 2004;81(2):167–171
  25. Bernstein E, Bernstein J, Levenson S. Project ASSERT: an ED based intervention to increase access to primary care, preventative services, and the substance abuse treatment system. Ann Emerg Med. 1997;30(2):181–189
  26. Substance Abuse and Mental Health Services Administration . Screening: adds prevention to treatment. Retrieved 9/15/06, from http://www.samhsa.gov/SAMHSA_News/VolumeXIV_1/index2.htm2006;
  27. Asplin BR, Magid DJ, Rhodes KV, Solberg LI, Lurie N, Camargo CA. A conceptual model of emergency department crowding. Ann Emerg Med. 2003;42:173–180
  28. Institute of Medicine . Future of emergency care series. Hospital-based emergency care: At the breaking point. Washington (DC): National Academy Press; 2006;
  29. Baker DW, Stevens CD, Brook RH. Regular source of ambulatory care and medical care utilization by patients presenting to a public hospital emergency department. JAMA. 1994;271(24):1909–1912
  30. O'Brien GM, Stein MD, Zierler S, et al. Use of the ED as a regular source of care: associated factors beyond lack of health insurance. Ann Emerg Med. 1997;30(3):286–291
  31. Hong R, Baumann BM, Boudreaux ED. The emergency department for routine healthcare: race/ethnicity, socioeconomic status, and perceptual factors. J Emerg Med. 2007;32(2):149–158
  32. Boudreaux ED, Kim S, Hohrman JL, Clark S, Camargo CA. Interest in smoking cessation among emergency department patients. Health Psychology. 2005;24(2):220–224
  33. Pellegrin KL, Stuart GW, Maree B, Frueh BC, Ballenger JC. A brief scale for assessing patients' satisfaction with care in outpatient psychiatric services. Psychiatr Serv. 2001;52:816–819

☆ Funding support: EDB is supported by NIH grant DA-16698.

PII: S0163-8343(07)00189-2

doi: 10.1016/j.genhosppsych.2007.09.006

General Hospital Psychiatry
Volume 30, Issue 1 , Pages 4-13 , January 2008

Article Tools