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Centre for Policy on Ageing | |
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Beside the Geriatric Depression Scale
— the WHO-Five Well-being Index as a valid screening tool for depression in nursing homes | | Author(s) | Antje-Kathrin Allgaier, Dietmar Kramer, Barbara Saravo |
| Journal title | International Journal of Geriatric Psychiatry, vol 28, no 11, November 2013 |
| Publisher | Wiley Blackwell, November 2013 |
| Pages | pp 1197-1204 |
| Source | www.orangejournal.org |
| Keywords | Nursing homes ; Residents [care homes] ; Depression ; Diagnosis ; Screening ; Measurement ; Instruments. |
| Annotation | The aim of the present study was to compare criterion validities of the WHO-Five Well-being Index (WHO-5) and the Geriatric Depression Scale 15-item version (GDS-15) and 4-item version (GDS-4) as screening instruments for depression in nursing home residents. Data from 92 residents aged 65-97 years without severe cognitive impairment were analysed. Criterion validities of the WHO-5, the GDS-15 and the GDS-4 were assessed against diagnoses of major and minor depression provided by the Structured Clinical Interview for DSM-IV. Subanalyses were performed for major and minor depression. Areas under the receiver operating curve (AUCs) as well as sensitivities and specificities at optimal cut-off points were computed. Prevalence of depressive disorder was found to be 28.3%. The AUC value of the WHO-5 (0.90) was similar to that of the GDS-15 (0.82). Sensitivity of the WHO-5 (0.92) at its optimal cut-off of 12 or less was significantly higher than that of the GDS-15 (0.69) at its optimal cut-off of 7 or more. The WHO-5 was equally sensitive for the subgroups of major and minor depression (0.92), whereas the GDS-15 was sensitive only for major depression (0.85), but not for minor depression (0.54). For specificity, there was no significant difference between WHO-5 (0.79) and GDS-15 (0.88), but both instruments outperformed the GDS-4 (0.53). In conclusion, the WHO-5 demonstrated high sensitivity for major and minor depression. Being shorter than the GDS-15 and superior to the GDS-4, the WHO-5 is a promising screening tool that could help physicians improve low recognition rates of depression in nursing home residents. (JL). |
| Accession Number | CPA-131018207 A |
| Classmark | LHB: KX: ENR: LK7: 3V: 3R: YW4 |
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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