Clinical cutoffs for the beck Depression inventory and the Geriatric Depression scale with older adult psychiatric outpatients

RÉSUMÉCette étude avait comme objectif de comparer les performances diagnostiques de l'Inventaire de Dépression de Beck (IDB) et de l'Échelle de Dépression Gériatrique (EDG) à correctement identifier des adultes âgés déprimés et des adultes âgés non déprimés exempts de troubles cognitifs importants et vivant en centres d'accueil. Aux seuils-critères usuels de 10 et de 11, la sensibilité du IDB était de 96,30 pour cent et celle du EDG de 88,89 pour cent alors que la spécificité se situait à 46,15 et 56,41 pour cent respectivement. Les courbes caractéristiques du receveur (ROC) ont permis de confronter les résultats obtenus à ces échelles avec le diagnostic des psychiatres selon les critères du DSM-III-R. Contrairement à ce qui avait été prévu, aucune différence n'a été retrouvée entre la surface sous la courbe du IDB (Az = 0,87; é.t. = .04) et celle du EDG (Az = 0,85; é.t. = .05). Ce résultat indique l'équivalence des performances diagnostiques de ces deux échelles. L'exclusion des énoncés somatiques ou du facteur somatique n'a pas amélioré significativement la performance diagnostique du IDB. Des indices de stabilité temporelle, de validité concomitante et de concordance avec le diagnostic ont aussi confirmé la fidélité et la validité de ces deux échelles auprès de résidants cognitivement intacts vivant en centres d'accueil.

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The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2008000200002 ◽

2008 ◽

Vol 66 (2a) ◽

pp. 152-156 ◽

Cited By ~ 38

Author(s):

Vitor Tumas ◽

Guilherme Gustavo Ricioppo Rodrigues ◽

Tarsis Leonardo Almeida Farias ◽

José Alexandre S. Crippa

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Major Depression ◽

Beck Depression Inventory ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Diagnostic Value ◽

Geriatric Depression ◽

Operating Characteristics ◽

Highly Correlated

OBJECTIVE: Evaluate the accuracy of diagnosis of major depression in patients with Parkinson's disease (PD) using the UPDRS, the 15-item Geriatric Depression Scale (GDS15) and the Beck Depression Inventory (BDI). METHOD: 50 consecutive patients with PD were evaluated. The diagnosis of major depression was made according to the DSM-IV criteria. RESULTS: We found a 24% prevalence of major depression. All depression scales were highly correlated but UPDRS depression item had the lowest diagnostic value. The GDS15 had the more appropriate "receiver operating characteristics" curve. The best cut-off scores for screening depression were 17/18 for BDI and 8/9 for GDS15. We did not find any correlation between the level of depression and intensity of motor symptoms, functional capacity and duration of the disease. CONCLUSION: GDS15 is better than the BDI and the UPDRS for screening depression in PD and depression is not related to the degree of parkinsonian symptoms.

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Community reintegration: Therapeutic dining program for older adult following stroke

American Journal of Recreation Therapy ◽

10.5055/ajrt.2009.0016 ◽

2009 ◽

Vol 8 (3) ◽

pp. 7-18

Author(s):

Christina Harper

Keyword(s):

Older Adults ◽

Nutritional Status ◽

Older Adult ◽

Barthel Index ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Self Esteem ◽

Depression Symptoms ◽

Community Reintegration ◽

Geriatric Depression

Therapeutic dining programs are part of the community reintegration process for clients recovering from a stroke. It is a supervised program performed in social settings that consists of a combination of techniques to improve the eating situation. Therapeutic dining programs are a beneficial form of therapy for many rehabilitative groups. This specific program has been tailored to older adults who are recovering from a stroke. Its main goals, aside from improving the eating situation, are to prevent another stroke from happening and decrease depression symptoms and increase self-esteem by reintegrating clients back into the community. I looked into several different community reintegration program and nutrition and eating after stroke studies in which positive outcomes were found for post-stroke clients. All studies and research used has provided a strong support for the specific proposed intervention program for my client Kelly, who is an older adult female recovering from a stroke. Assessments selected: The Barthel Index, Nutritional Status, and Geriatric Depression Scale (GDS). Plan: Small group therapeutic dining program with other older adults in the afternoon. Intervention: Therapeutic Dining Program three times a week for eight weeks to improve eating situation, promote healthy eating, decrease symptoms of depression, and increase self esteem and social activity. Evaluation: The Barthel Index, Nutritional Status, Geriatric Depression Scale plus a Stroke Recovery Scorecard. Clients Goals: 1) Client will lower the risks of having another stroke. 2) Client will increase their eating situation experience and self-esteem while decreasing their depression symptoms. 3) Client will get involved in one support group or leisure activity outside of recreational therapy (RT) dining program for community reintegrated leisure pursuits.

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Comparison among Four Measures of Depression in Younger and Older Alcoholics

Psychological Reports ◽

10.2466/pr0.1986.59.1.287 ◽

1986 ◽

Vol 59 (1) ◽

pp. 287-293 ◽

Cited By ~ 2

Author(s):

Arthur S. Tamkin ◽

Leon A. Hyer ◽

Mary F. Carson

Keyword(s):

Cognitive Function ◽

Beck Depression Inventory ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Geriatric Depression ◽

Millon Clinical Multiaxial Inventory ◽

The One ◽

Depression Scales

Two hypotheses were tested: (1) The Geriatric Depression Scale (GDS) would be less affected by age in an older alcoholic group than in a younger one. (2) In comparison with other depression scales—Beck Depression Inventory, Depression Scale of MMPI, and Dysthymic Scale of Millon Clinical Multiaxial Inventory—the Geriatric Depression Scale would be the one least affected by age in the older group. To test these hypotheses two groups were formed, containing 36 and 37 subjects, whose mean ages were 32.50 and 53.98 yr. All subjects were administered the four depression scales and tests of cognitive function. The results confirmed the first hypothesis as r was .32 between age and the Geriatric Depression Scale for the younger group and .03 for the older group. The second hypothesis was not confirmed. All four depression scales correlated nonsignificantly with age in the older group. The use of the depression scales for all ages was supported and discussed.

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