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Screening for depression and assessing change in severity of depression
 — is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?
Author(s)Martin Smalbrugge, Lineke Jongenelis, Anne Margriet Pot
Journal titleAging & Mental Health, vol 12, no 2, March 2008
PublisherTaylor & Francis, March 2008
Pagespp 244-248
Sourcehttp://www.tandfonline.com
KeywordsDepression ; Screening ; Evaluation ; Nursing homes ; Netherlands.
AnnotationThe Geriatric Depression Scale (GDS) and the Montgomery-Asberg Depression Rating Scale (MADRS) were administered to 150 older nursing home patients by trained interviewers. The presence of major (MaD) or minor depression (MinD) was evaluated with the Schedules for Clinical Assessment in neuropsychiatry. Receiver Operator Characteristic (ROC) curves of the GDS versions were performed to measure the ability to screen for depression. The ability to measure change in severity of depression was measured by differences in means terms of effect sizes. It was found that in ROC curves, all three GDS versions performed well. The MADRS showed larger effect sizes for the differences between MaD, MinD and no depression that the GDS versions. The effect sizes of the three GDS versions were comparable. Thus, all three versions of the GDS can be used for screening on depression for NH patients. The MADRS is superior to the GDS for assessing (changes in) severity of depression, but the GDS also appears to be an acceptable instrument for this purpose and is less time-consuming. (RH).
Accession NumberCPA-080512210 A
ClassmarkENR: 3V: 4C: LHB: 76H

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