0.21 (95% CI -0.17 to 0.59) and 0.57 (95% CI 0.11 to 1.04), respectively. Twelve trials compared exercise as part of a comprehensive programme with no intervention. Only four provided data sufficient to calculate overall effects, and the results indicate a moderate short-term difference in in favour of the intervention [SMD 0.51 (95% CI 0.15 to 0.88)]. Gilbody S et al, To determine There is substantial Twelve studies (including 5693 Case finding for G. There is the clinical and evidence that routinely patients) met our inclusion depression not some evidence Screening and cost administered case criteria. Synthesis of data routinely carried suggesting that case finding effectiveness of finding/screening gave the following results: out. this instruments screening and questionnaires for (1) the recognition of intervention is for depression case finding depression have minimal depression: according to case ineffective but Cochrane instruments in: impact on the detection, note entries of depression, it is not Database of 1) improving management or outcome of screening/case finding conclusive. Systematic the recognition depression by clinicians. instruments had borderline Reviews of depression; Practice guidelines and impact on the overall 2) improving recommendations to adopt recognition of depression by Mental health the this strategy, in isolation, in clinicians (relative risk 1.38; and Wellbeing management of order to improve the quality 95% confidence interval 1.04 Working Age depression, and of healthcare should be to 1.83). However, substantial Adults and 3) improving resisted. The longer heterogeneity was found for Older People the outcome of benefits and costs of routine this outcome. Screening and depression. screening/case finding for feedback, irrespective of depression have not been baseline score of depression
0.21 (95% CI -0.17 to 0.59) and 0.57 (95% CI 0.11 to 1.04), respectively. Twelve trials compared exercise as part of a comprehensive programme with no intervention. Only four provided data sufficient to calculate overall effects, and the results indicate a moderate short-term difference in in favour of the intervention [SMD 0.51 (95% CI 0.15 to 0.88)]. Gilbody S et al, Screening and case finding instruments for depression Cochrane Database of Systematic Reviews Mental health and Wellbeing Working Age Adults and Older People To determine the clinical and cost effectiveness of screening and case finding instruments in: 1) improving the recognition of depression; 2) improving the management of depression, and 3) improving the outcome of depression. There is substantial evidence that routinely administered case finding/screening questionnaires for depression have minimal impact on the detection, management or outcome of depression by clinicians. Practice guidelines and recommendations to adopt this strategy, in isolation, in order to improve the quality of healthcare should be resisted. The longer benefits and costs of routine screening/case finding for depression have not been Twelve studies (including 5693 patients) met our inclusion criteria. Synthesis of data gave the following results: (1) the recognition of depression: according to case note entries of depression, screening/case finding instruments had borderline impact on the overall recognition of depression by clinicians (relative risk 1.38; 95% confidence interval 1.04 to 1.83). However, substantial heterogeneity was found for this outcome. Screening and feedback, irrespective of baseline score of depression Case finding for depression not routinely carried out. G. There is some evidence suggesting that this intervention is ineffective but it is not conclusive.