Is the 15-item Geriatric Depression Scale a Fair Screening Tool? A Differential Item Functioning Analysis Across Gender and Age

2017 ◽  
Vol 121 (6) ◽  
pp. 1167-1182 ◽  
Author(s):  
Francesca Chiesi ◽  
Caterina Primi ◽  
Martina Pigliautile ◽  
Marta Baroni ◽  
Sara Ercolani ◽  
...  

The 15-item version of the Geriatric Depression Scale (GDS-15) is widely employed to assess depression in old people, but it is unclear if there are biases in the total score depending on respondents’ gender and age. In the current study, we investigated the measurement equivalence of the GDS-15 to provide evidence that the test is a fair screening tool when administered to young-old, old-old, and oldest-old men and women. Item Response Theory-based Differential Item Functioning analyses were applied on a large sample of Italian old people. One item exhibited Differential Item Functioning when comparing men and women, and one item showed Differential Item Functioning across different age-groups. Nonetheless, the magnitude of Differential Item Functioning was small and did not produce any differential test functioning. The gender and age measurement equivalence of the GDS-15 confirms that the test can be used for clinical and research screening purposes.

2008 ◽  
Vol 108 (3) ◽  
pp. 285-290 ◽  
Author(s):  
B.F.P. Broekman ◽  
S.Z. Nyunt ◽  
M. Niti ◽  
A.Z. Jin ◽  
S.M. Ko ◽  
...  

2013 ◽  
Vol 17 (5) ◽  
pp. 638-645 ◽  
Author(s):  
Mia Conradsson ◽  
Erik Rosendahl ◽  
Håkan Littbrand ◽  
Yngve Gustafson ◽  
Birgitta Olofsson ◽  
...  

2008 ◽  
Vol 106 (3) ◽  
pp. 805-809 ◽  
Author(s):  
Diana S. Bass ◽  
Deborah K. Attix ◽  
Barbara Phillips-Bute ◽  
Terri G. Monk

2009 ◽  
Vol 24 (6) ◽  
pp. 556-562 ◽  
Author(s):  
Hans Debruyne ◽  
Michael Van Buggenhout ◽  
Nathalie Le Bastard ◽  
Marcel Aries ◽  
Kurt Audenaert ◽  
...  

2010 ◽  
Vol 18 (3) ◽  
pp. 256-265 ◽  
Author(s):  
Sheung-Tak Cheng ◽  
Edwin C.S. Yu ◽  
Seung Yau Lee ◽  
John Y.H. Wong ◽  
Ka Hin Lau ◽  
...  

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Antje-Kathrin Allgaier ◽  
Dietmar Kramer ◽  
Barbara Saravo ◽  
Roland Mergl ◽  
Sabina Fejtkova ◽  
...  

2017 ◽  
Vol 39 (4) ◽  
pp. 276-279 ◽  
Author(s):  
Filipi Leles da Costa Dias ◽  
Antônio Lúcio Teixeira ◽  
Henrique Cerqueira Guimarães ◽  
Maira Tonidandel Barbosa ◽  
Elisa de Paula França Resende ◽  
...  

Abstract Introduction Late-life depression (LLD) is common, but remains underdiagnosed. Validated screening tools for use with the oldest-old in clinical practice are still lacking, particularly in developing countries. Objectives To evaluate the accuracy of a screening tool for LLD in a community-dwelling oldest-old sample. Methods We evaluated 457 community-dwelling elderly subjects, aged ≥75 years and without dementia, with the Geriatric Depression Scale (GDS-15). Depression diagnosis was established according to DSM-IV criteria following a structured psychiatric interview with the Mini International Neuropsychiatric Interview (MINI). Results Fifty-two individuals (11.4%) were diagnosed with major depression. The area under the receiver operating characteristic (ROC) curve was 0.908 (p<0.001). Using a cut-off score of 5/6 (not depressed/depressed), 84 (18.4%) subjects were considered depressed by the GDS-15 (kappa coefficient = 53.8%, p<0.001). The 4/5 cut-off point achieved the best combination of sensitivity (86.5%) and specificity (82.7%) (Youden's index = 0.692), with robust negative (0.9802) and reasonable positive predictive values (0.3819). Conclusion GDS-15 showed good accuracy as a screening tool for major depression in this community-based sample of low-educated oldest-old individuals. Our findings support the use of the 4/5 cut-off score, which showed the best diagnostic capacity.


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