Depression constitutes a disorder with multi-determinate a cause that affects people worldwide whose incidence has risen in recent years.
Adriana Munhoz Carneiro, Depression Thoughts Scale: Association with Depression Rating Scales.
Depression and health risk behaviors in adolescents are leading causes of preventable morbidity and mortality. Primary care visits provide prime opportunities to screen and provide preventive services addressing risk behaviors/conditions. This study evaluated the co-occurrence of depression and health risk behaviors (focusing on smoking, drug and alcohol misuse, risky sexual behavior, and obesity-risk) with the goal of informing preventive service strategies. Depression treatment and course is often complicated by HRBs and extent data indicate that improved depression is associated with reduced HRBs, particularly substance misuse, underscoring both the need for preventive services targeting risk-reduction in depressed youths and the potential benefits of depression treatment for reducing HRBs.
Risk behaviors are a leading cause of preventable morbidity and mortality and depression is both a leading cause of disability worldwide and associated with suicide, the third leading cause of death in adolescents and young adults. Study results indicate that depression and HRBs (particularly the cluster of smoking, substance misuse, and risky sex) frequently co-occur and risk across diverse risk-domains was associated with similar constructs. These findings support the value of screening and clinical service strategies that target multiple related risk-conditions, the potential benefits of treatment approaches with flexibility to address both depression and HRBs using clinical decisionmaking algorithms and/or a modular approach, and the value of pediatric collaborative care models for integrating behavioral health within primary care. Such combination strategies that maximize the value of primary care encounters for promoting health and reducing risk are consistent with current guidelines and recommendations and are consistent with our national goal of increasing the quality and years of healthy life.
Joan Rosenbaum Asarnow, Depression and Health Risk Behaviors: Towards Optimizing Primary Care Service Strategies for Addressing Risk
Last date updated on June, 2014