Experience with a Swedish version of the Geriatric Depression Scale in primary care centres

1997 ◽  
Vol 12 (10) ◽  
pp. 1029-1034 ◽  
Author(s):  
G. G. Gottfries ◽  
Sven Noltorp ◽  
Niels N�rgaard
Keyword(s):  
Primary Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression ◽  
Swedish Version

Validity of the Brazilian version of the Geriatric Depression Scale (GDS) among primary care patients

2009 ◽  
Vol 22 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Milena Sampaio Castelo ◽  
João M. Coelho-Filho ◽  
André F. Carvalho ◽  
José W. O. Lima ◽  
Jamile C. S. Noleto ◽  
...  
Keyword(s):  
Primary Care ◽  
Predictive Value ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Northeastern Brazil ◽  
Geriatric Depression ◽  
Primary Care Clinics ◽  
Brazilian Version ◽  
Major Depressive Episodes ◽  
Depressive Episodes

ABSTRACTBackground: The aim of the present study was to determine the validity of the Brazilian version of the Geriatric Depression Scale (GDS) with 30 (GDS-30), 15 (GDS-15), 10 (GDS-10), 4 (GDS-4) and 1 (GDS-1) items and to calculate the optimum cutoff points for identifying depression among elderly primary care subjects.Methods: A cross-sectional study was carried out involving 220 elderly patients recruited from four primary care clinics in northeastern Brazil. The following measurements were obtained: sociodemographic variables, Katz scale of independence in activities of daily living, and the GDS with 30, 15, 10, 4 and 1 item(s). A psychiatrist blinded to the results of the GDS applied the mood module of the Structured Clinical Interview for the DSM-IV for the diagnosis of major depressive episodes as the “gold standard.”Results: The use of the cut-off point of 10/11 for the GDS-30 produced sensitivity and specificity rates of 92.0% (95% CI: 70–98) and 79% (95% CI: 73–85), respectively. The positive predictive value (PPV) and the negative predictive value (NPV) were 49% and 98%, respectively. The optimum cut-off point for the GDS-15 was 4/5, at which sensitivity was 87% (95% CI: 71–95) and specificity was 82% (95% CI: 76–91), PPV was 51% and NPV was 97%. At the cut-off point of 3/4 the sensitivity, specificity, PPV and NPV for the GDS-10 were 76% (95% CI: 60–89), 81% (95% CI: 75–87), 46% (95% CI: 33–59%), and 94% (95% CI 89–97%), respectively. The optimum cut-off point for the GDS-4 was 0/1, at which sensitivity was 84% (95% CI: 68–93%); specificity was 75% (95% CI; 68–91%); PPV was 41% and NPV was 96%. For the GDS-1, sensitivity was 47%, specificity was 96%; PPV was 69% and NPV was 90%.Conclusions: The GDS-30, GDS-15, GDS-10 and GDS-4 proved to be good screening instruments for depression in primary care clinics in Brazil, whereas the GDS-1 failed to perform adequately.

Validation of the Spanish version of the geriatric depression scale (GDS) in primary care

2002 ◽  
Vol 17 (3) ◽  
pp. 279-287 ◽  
Author(s):  
M. I. Fernández-San Martín ◽  
C. Andrade ◽  
J. Molina ◽  
P. E. Muñoz ◽  
B. Carretero ◽  
...  
Keyword(s):  
Primary Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Spanish Version ◽  
Geriatric Depression

scholarly journals Erratum: Validation of the Spanish version of the geriatric depression scale (GDS) in primary care

2007 ◽  
Vol 22 (7) ◽  
pp. 704-704
Author(s):  
M. I. Fernández-San Martín ◽  
C. Andrade ◽  
J. Molina ◽  
P. E. Muñoz ◽  
B. Carretero ◽  
...  
Keyword(s):  
Primary Care ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Spanish Version ◽  
Geriatric Depression

Approach to major depression in old people

2010 ◽  
Vol 22 (5) ◽  
pp. 733-738 ◽  
Author(s):  
Beatriz Navarro ◽  
Fernando Andrés ◽  
Ignacio Párraga ◽  
Susana Morena ◽  
José Miguel Latorre ◽  
...  
Keyword(s):  
Primary Care ◽  
Convergent Validity ◽  
Affective State ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Female Gender ◽  
The Elderly ◽  
Health Problems ◽  
Geriatric Depression ◽  
Cross Sectional

ABSTRACTBackground: The difficulty in identifying and distinguishing Major Depressive Disorder (MDD) in primary care is well known. The main objective of this study is to determine the frequency of MDD in persons aged 65 years and older using the Detection of Depression in the Elderly Scale (DDES). A second objective is to determine the convergent validity of the DDES with the Geriatric Depression Scale (GDS).Methods: A cross-sectional, observational study was carried out of 1,387 subjects aged 65 years and older. The variables considered were: affective state (GDS and DDES), physical and cognitive functional state, health problems and sociodemographic characteristics.Results: Using the DDES we identified MDD in 50 subjects (4.3%). There was a moderate correlation (r = 0.570; p < 0.001) between the DDES and the GDS scores (p < 0.001). According to logistic regression analysis, the variables associated with a probable MDD (DDES +) were: dependence in activities of daily living (OR: 3.3), female gender (OR: 2.3), marital status single/widowed/divorced (OR: 2.0), and the presence of four of more health problems (OR: 2.1).Conclusions: Using the DDES scale we found a 4.3% prevalence of MDD in a representative sample of older adults. Compared to the GDS, the most commonly used scale, the DDES may be considered a more sensitive screening tool for the identification of MDD in primary care.

scholarly journals FUNCTIONAL COGNITIVE DISORDER AS THE MOST FREQUENT DIAGNOSIS IN PUBLIC MEMORY CLINIC

2021 ◽  
Author(s):  
Priscylla de Senna ◽  
Wyllians Borelli ◽  
Wagner Brum ◽  
Eduardo Zimmer ◽  
Márcia Chaves ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Blind Spot ◽  
Cognitive Disorder ◽  
Cognitive Screening ◽  
Geriatric Depression ◽  
Memory Clinic ◽  
Common Causes

Background: Functional cognitive disorder (FCD) has been described as a blind spot of dementia care. Objectives: Identify the frequency of FCD in a tertiary memory clinic (TMC). Methods: A retrospective analysis was conducted to identify new referrals from the primary care setting to a TMC from southern Brazil over 2014 to 2020. Diagnostic protocol included neurologic evaluation, cognitive screening, neuroimaging and laboratory testing. FCD was defined as cognitive complaints without objective cognitive decline, in the absence of evidence of neurodegenerative disease. Data is shown in mean (SD). Results: 516 patients (61% females, mean age 70.76±10.3 years) with a mean of 4.5 (+-3.94) years of education were referred. The diagnoses were: FCD (146, 28.3%); Alzheimer’s dementia (115, 22.3%); Mild Cognitive Impairment (51, 9.9%), vascular dementia (36, 7%); other types, including less common causes of dementia and rare pathologies (168, 7.6%). FCD patients were younger (66.2 (±9.4) vs. 72.6, p <0.001), and showed higher Geriatric Depression Scale than non-FCD patients (7.4 (±4.5) vs. 5.3 (±3.7), p <0.001). Education level did not differ. Conclusions: FCD was the most frequent diagnosis. Primary care strategies may greatly improve early diagnosis and treatment to these patients.

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