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Centre for Policy on Ageing | |
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| Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients | | Author(s) | Tawanchai Jirapramukpitak, Niphon Darawuttimaprakorn, Sureeporn Punpuing |
| Journal title | Aging & Mental Health, vol 13, no 6, November 2009 |
| Publisher | Taylor & Francis, November 2009 |
| Pages | pp 899-904 |
| Source | http://www.tandfonline.com |
| Keywords | Psychogeriatric patients ; Depression ; Symptoms ; Measurement ; Evaluation ; Thailand. |
| Annotation | The concurrent and construct validity of the Euro-D in older Thai people was assessed. Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview (MINI) to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. Receiver operating characteristic (ROC) analysis was used to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6, the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies, there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Among Thai psychiatric clinic attendees, Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies. (KJ/RH). |
| Accession Number | CPA-100210228 A |
| Classmark | LF:E: ENR: CT: 3R: 4C: 7HG |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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