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Accuracy of the 15-item Geriatric Depression Scale (GDS-15) in a community sample of the oldest old
Author(s)Anton J M de Craen, T J Heeren, Jacobijn Gussekloo
Journal titleInternational Journal of Geriatric Psychiatry, vol 18, no 1, January 2003
Pagespp 63-66
KeywordsDepression ; Evaluation ; Octogenarians ; Living in the community ; Netherlands.
AnnotationCognitive impairment is common in the oldest-old. This might influence the sensitivity and specificity of the 15-item Geriatric Depression Scale (GDS-15). 79 Dutch subjects from the Leiden 85-plus Study were administered the GDS-15 and the Mini-Mental State Examination (MMSE). Within two days, the Geriatric Mental State (GMS-AGECAT) was administered to obtain a clinical diagnosis of depression. Eight subjects (10%) were diagnosed with clinical depression. At a cut-off point of 3/4, the sensitivity and specificity of the GDS-15 were 88% and 76% respectively. In the group with MMSE scores of 26 and higher, sensitivity was unaffected at all cut-off points, while specificity increased. In the group with MMSE scores below 28, sensitivity was also unaffected at all cut-off points, while specificity decreased. The GDS-15 is a suitable instrument to diagnose depression in the general population of the oldest old. However, for subjects with cognitive impairment, the accuracy should be further investigated. (RH).
Accession NumberCPA-030217008 A
ClassmarkENR: 4C: BBM: K4: 76H

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