User:Abelchan4/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)

 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).
 * Depression in childhood and adolescence

Assignment # 3

 * Note: You will be emailing your assignment # 3 directly to your tutor, however, please paste a version here that excludes your personal information. This will allow us to support your efforts on Wikipedia prior to editing "live" in the article.
 * Proposed Changes
 * Current Wiki page: Research suggests that the prevalence of young depression sufferers in Western cultures ranges from 1.9% to 3.4% among primary school children and 3.2% to 8.9% among adolescents .
 * Amongst teenagers, up to 9% meet criteria for depression in a given moment and approximately 20% experience depression sometime during adolescence. Specifically in primary care settings, higher prevalence rates of up to 28% are reported for adolescents meeting criteria for depression.
 * Citation: Cheung, Z. (2018). Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management. Pediatrics (Evanston), 141(3), e20174082–. https://doi.org/10.1542/peds.2017-4082
 * Rational for Proposed Changes
 * Change #1: remove current prevalence rates for clinical depression in adolescents
 * Current prevalence rates for depression in adolescents are from an outdated resource (1984)
 * Change #2: add in sentence with updated prevalence rates for clinical depression in adolescents
 * Updated data is from the Guidelines for Adolescent Depression in Primary Care (GLAD-PC), which was published in 2018 and has evidence-based information around prevalence of depression in adolescents
 * Change #3: add in sentence with specific information around prevalence rates of clinical depression in adolescents in a primary care setting
 * Included primary care perspective as guideline states that only a small portion of depressed adolescents are treated by mental health professionals; instead, most are seen in primary care settings which could provide a more accurate view of prevalence rates
 * Controversy or varied opinions about planned changes in your section
 * Current Wiki page’s prevalence rates vary quite widely in range (e.g. 3.2% to 8.9%); this could be representative of controversy around base rates and prevalence as the definition for diagnosing depression could differ amongst health care providers due to clinical opinion (e.g. primary care vs. mental health professional interpretation) as well as differing practices/guidelines based on location of practice
 * Proposed update with primary care prevalence rate may also be understated as guideline states that major depressive disorders in youth are underreported and undertreated in primary care settings; thus, prevalence rates could potentially be higher if more data was available from other studies
 * Despite this, in comparison to the Wikipedia’s current source for prevalence rates which is quite old (1984), the chosen guideline was published recently in 2018 and was endorsed by an established/trusted organization, the American Academy of Pediatrics, which increases the reliability of the information as it was likely assessed by experts in the fieldd
 * Critique of Source
 * In the American Academy of Pediatrics guideline, base prevalence rates cited studies completed in the United States or Canada so information may not be suitable for identifying prevalence rates of depression in adolescents around the world
 * The prior sentence around prevalence rates on the Wiki page specifies “Western culture” which helps to differentiate this information as being more representative of North American research results
 * Also, the citation contains the name of the organization (American Academy of Pediatrics) so if readers were interested in learning more about these prevalence rates, they would likely realize that this data is taken from mainly American-based studies
 * Potential issues with comparing prevalence of depression amongst adolescents in primary care settings vs. other healthcare settings as there may not be consistent criteria used for diagnosis
 * In the clinical guideline, I noticed that the papers cited for these prevalence rates used a variety of criteria including DSM-4, DSM-3, Hamilton Depression Rating Scale (HDRS), and Beck Depression Inventory (BDI), which could lead to some inconsistencies in prevalence rates
 * The additional sentence purposely does not specify the criteria used for diagnosis; despite this limitation, I believe the inclusion of the primary care perspective is important especially if most adolescents are potentially being treated for depression in these clinical settings due to less barriers to access (as compared to specialty mental health services)
 * Wiki Talk Page
 * 9. We propose to remove the following information in the Base Rates and Prevalence section from reference # 6 around prevalence rates for depression amongst adolescents as it is outdated: “…and 3.2% to 8.9% among adolescents.” Abelchan4 (talk) 18:50, 30 November 2020 (UTC)
 * 10. We propose to insert the following content into the Base Rates and Prevalence section: "Amongst teenagers, up to 9% meet criteria for depression in a given moment and approximately 20% experience depression sometime during adolescence. Specifically in primary care settings, higher prevalence rates of up to 28% are reported for adolescents meeting criteria for depression." Abelchan4 (talk) 18:50, 30 November 2020 (UTC)
 * 4doi10.1542/peds.2017-4082PMID29483201

What to post on the talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template