Depression Screening with SIG E CAPS

Aka: Depression Screening with SIG E CAPS

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II. Background

  1. Developed by Dr. Carey Gross at Massachusetts General Hospital for use by psychiatry residents

III. Indications

  1. Major Depression Screening

IV. Questions (Mnemonic: SIG E CAPS)

  1. Depressed Mood
  2. Sleep decreased (Insomnia with 2-4 am awakening)
  3. Interest decreased in activities (anhedonia)
  4. Guilt or worthlessness (Not a major criteria)
  5. Energy decreased
  6. Concentration difficulties
  7. Appetite disturbance or weight loss
  8. Psychomotor retardation/Agitation
  9. Suicidal thoughts

V. Interpretation: Criteria for Major Depression

  1. Five of 9 major positive answers everyday for 2 weeks

VI. References

  1. Carlat (1998) Am Fam Physician 58(7):1617-24 [PubMed]

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