BACKGROUND AND OBJECTIVES Parental depression affects as many as 1 in 5 US families. Pediatric professionals can play an important role in detecting parental depression, yet most studies on parental depression screening focus only on the postpartum period. The authors performed this scoping review to understand the existing literature on parental depression screening outside the postpartum period (child >12 months old) and to identify knowledge gaps. METHODS Sources for this research include PubMed, CINAHL, SCOPUS, Web of Science, and APA Psych Info. We included English language papers concerning screening for maternal and/or paternal depression or mood disorders outside of the postpartum period by pediatric clinicians or in a pediatric health care setting. Extracted variables included publication year, title, author(s), country, geographic setting, clinical setting, child age range (in years), parental focus, sample size, study type, approach, screening instrument(s), and findings. RESULTS Forty-one papers were included. The proportion of positive parental depression screens was consistently high across the included studies. Relatively few structured screening programs outside of the postpartum period were identified, especially for fathers. The included studies suggest that screening can be accomplished in pediatric settings, but appropriate referral and follow-up of positive screens poses a major challenge. This review was limited to English language papers concerning parental depression outside of the postpartum period. CONCLUSIONS These findings suggest that screening for parental depressive symptoms outside the postpartum period could identify families in need of support. Research is required to identify best practices for referral and follow-up of parents who screen positive.

中文翻译：

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儿科医疗机构中的父母抑郁筛查：范围审查。

背景和目标 父母抑郁症影响多达五分之一的美国家庭。儿科专业人员可以在检测父母抑郁症方面发挥重要作用，但大多数关于父母抑郁症筛查的研究仅关注产后时期。作者进行了这项范围审查，以了解现有的关于产后期间（>12 个月大的孩子）父母抑郁症筛查的文献，并确定知识差距。方法 本研究的来源包括 PubMed、CINAHL、SCOPUS、Web of Science 和 APA Psych Info。我们纳入了由儿科临床医生或在儿科医疗机构中筛查产后期间母亲和/或父亲抑郁症或情绪障碍的英文论文。提取的变量包括出版年份、标题、作者、国家、地理环境、临床环境、儿童年龄范围（以年为单位）、父母关注点、样本量、研究类型、方法、筛查工具和结果。结果 41 篇论文被纳入。在纳入的研究中，阳性父母抑郁筛查的比例一直很高。产后以外的结构化筛查项目相对较少，特别是针对父亲的。纳入的研究表明，筛查可以在儿科环境中完成，但对阳性筛查进行适当转诊和随访是一项重大挑战。这篇综述仅限于关于产后期间父母抑郁症的英语论文。结论 这些研究结果表明，在产后期间筛查父母的抑郁症状可以确定需要支持的家庭。需要进行研究以确定对筛查呈阳性的父母进行转诊和跟进的最佳做法。