How are patients with insomnia screened for depression?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

A 2-question case-finding instrument can help screen for depression. The questions are as follows:

  • During the past month, have you often been bothered by feeling “down,” depressed, or hopeless?

  • During the past month, have you often been bothered by having little interest or pleasure in doing things?

A patient who answers “No” to both questions is unlikely to have major depression. A patient who answers “Yes” to either should receive diagnostic testing for depression.


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