scholarly journals Internal Consistency of Yesavage Geriatric Depression Scale (GDS 15-Item Version) in Ecuadorian Older Adults

Author(s):  
María Erazo ◽  
Martha Fors ◽  
Sofía Mullo ◽  
Paloma González ◽  
Carmen Viada

The present study aimed to assess the validity of a Spanish version of the Geriatric Depression-15 Scale (GDS-15) in Ecuadorian adults. Cross-sectional study to validate GDS-15 in its short version (GDS-15). Internal consistency and factor structure were assessed through Kuder Richardson 20 and Confirmatory Factor Analysis. A total of 211 subjects 65 years of age and older participated in the validation process. Internal consistency was adequate, the Kuder Richardson 20 coefficient for the total scale was 0.73. Three factor structure was found for the scale. This study highlights the importance of having a validated scale for screening depression in the elderly. This study provides an evidence for the use of GDS-15 in Ecuadorian elderly population to screen for depression.

2000 ◽  
Vol 12 (2) ◽  
pp. 163-172 ◽  
Author(s):  
Turan Ertan ◽  
Engin Eker

The purpose of this study was to examine the Geriatric Depression Scale (GDS) translated into Turkish for its reliability, discriminant validity, and factor structure in a sample of 276 community-dwelling elderly and 30 patients with major depression. One item (Item 5) was discovered to have conceptual difficulty for Turkish elderly and was transformed to negative form. Item 2 was transformed to positive form to keep the number of positive and negative items equal to that in the original GDS. A reasonable time stability with 1-week interval (r:.74) and a high level of internal consistency (α = .91) were observed. Student's t test resulted in a significant discriminant validity for the scale total score. Factor study with principal component analysis and varimax rotation gave rise to a structure with seven factors. Results of the same analysis with two factors were found to be easier to interpret. The first factor was composed of 19 items reflecting “depressive affect and thought content.” The other 11 items representing “decrease in motivation and cognitive functions” loaded in the second factor. In conclusion, the Turkish GDS was found to have reasonable time reliability, high internal consistency, and discriminant validity for Turkish elderly. Its two-factor structure can be used as an informative instrument for epidemiological studies, reflecting two main dimensions of depression in the elderly.


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


2019 ◽  
Vol 28 ◽  
Author(s):  
Mariana Silva Freitas Guimarães ◽  
Darlene Mara dos Santos Tavares

ABSTRACT Objective: verify the prevalence of abuse and probable alcohol dependence in the elderly; describe sociodemographic and clinical characteristics of the elderly; and verify the factors associated with alcohol abuse and probable dependence in the elderly. Method: cross-sectional study, observational, domiciliary survey type, conducted with 614 elderly people living in the urban area of the city of Uberaba, Brazil. The Mini Mental State Examination, sociodemographic instrument, Older Americans Resources and Services Questionnaire, Geriatric Depression Scale and Michigan Alcoholism Screening Test - Geriatric Version were used. Statistical analysis was performed in the Statiscal Package for Social Sciences. Results: the prevalence of abuse and probable alcohol dependence was 26.5%. Among the elderly with abuse and probable dependence on alcohol, there was predominance of males, 60 |- 70 years old, who lived with a spouse or partner, had 1 |- 5 years of schooling, individual monthly income from 1 -| 3 minimum wages, five or more morbidities and no indication of depressive symptoms. Abuse and probable alcohol dependence were associated with males and the presence of depressive symptoms. Conclusion: the study reinforces the need to identify early abuse and probable alcohol dependence in the elderly and to invest in health action strategies for the purpose of health promotion, disease prevention and rehabilitation of the elderly.


2018 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Eliyana

ABSTRAKTujuan penelitian: Penelitian ini dilakukan untuk dapat mengetahui hubungan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta. Metode: Desain penelitian deskriptf korelasi dengan menggunakan pendekatan cross sectional digunakan dalam penelitian ini. Pemilihan responden dilakukan menggunakan non-probability sampling dengan teknik purposive sampling sehingga didapatkan 50 responden dengan usia di atas 60 tahun dan tinggal di komunitas. Pengambilan data dilakukan secara langsung sejak tanggal 2-16Agustus 2016 dengan menggunakan kuesioner University California of Los Angeles Loneliness Scale dan Geriatric Depression Scale. Analisis data menggunakan uji korelasi Kendal Tau. Hasil: Penelitian ini menunjukkan ada hubungan yang signifikan antara tingkat kesepian dan tingkat depresi pada lansia di Dukuh Trayeman, Pleret, Bantul, Yogyakarta dengan p=0,001 di mana nilai korelasi mencapai 0,892. Hal ini bermakna terdapat hubungan yang sangat kuat dengan arah positif di antara kedua variabel. Diskusi: Pada masa lanjut usia akan terjadi banyak kemunduran, baik fisik maupun psikologis. Beberapa kemunduran psikologis yang terjadi seperti kesepian dan depresi yang dapat memicu terjadinya penyakit yang kompleks apabila tidak segera diatasi. Kesimpulan: Tingkat kesepian pada lansia merupakan hal yang sangat berkaitan dengan kejadian depresi pada lansia. Maka dari itu, sedini mungkin tingkat kesepian yang terjadi pada lansia harus segera diatasi karena semakin tinggi tingkat kesepian yang dialami oleh lansia, semakin tinggi juga tingkat depresi yang akan terjadi.Kata Kunci: kesepian, depresi, lansia, komunitas.CORRELATION BETWEEN LONELINESS LEVEL AND DEPRESI IN THE ELDERLY ATTRAYEMAN HAMLET, BANTUL, YOGYAKARTAABSTRACTObjective: This research was conducted to identify the correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta. Methods: This study is descriptive correlational by using cross sectional approach. Samples were taken using non-probability sampling with purposive sampling technique with a sample size of 50 respondents aged above 60 years and living in the community. Data were collected directly from 2 August 2016 until 16 August 2016 using University California of Los Angeles Loneliness Scale and Geriatric Depression Scale. The data were analyzed using Kendal’s Tau correlation test. Results: This study showed that there was a significant correlation between loneliness level and depression level in the elderly at Trayeman Hamlet, Pleret, Bantul, Yogyakarta with p = <0.001 where the correlation value was 0.892. This means there was a very strong correlation with positive direction between the two variables. Discussion: The elderly will experience significant setbacks, either physical and psychological. The psychological setbacks include loneliness and depression which can lead to complex diseases, unless they are addressed immediately. Conclusion: Loneliness level in the elderly is strongly correlated with depression in elderly. Therefore, the loneliness level in the elderly should be addressed as early as possible because the higher the loneliness level experienced by the elderly, the higher the of depression level will occur. Keywords: loneliness, depression, elderly, community.


Author(s):  
Pamagal Kavithai ◽  
Anandaraj R. ◽  
Buvaneswary S. ◽  
Prakash M.

Background: Depression among elderly has been a neglected health issue. Various factors hinder its early diagnosis. The objectives of this study are to screen for depression among elderly using geriatric depression scale-15 and to determine its influencing factors.Methods: A community based cross sectional study on geriatric depression was done in villages catered by a primary health centre in Puducherry. Permanent residents of the study setting, aged ≥60 years consenting for the study were included. Line listing of elderly individuals in the study setting was done and subjects were selected by simple random sampling. A pretested structured questionnaire was used to collect socio-demographic and clinic-psychological variables. Hindi mental state examination scale was used to screen for cognitive impairment (score <23). Geriatric Depression Scale (GDS-15) was used to screen for depression (score >5) among geriatric individuals. Appropriate statistical tests of significance were done.Results: Among the 360 elderly individuals screened using GDS-15 tool, 41.4% of them were found to be at a higher risk of developing depression. Significant factors for risk of depression in univariate analysis include being female, illiterate, unemployed, widow/single, having sleep problems, dependency in activities of daily living and cognitive impairment. Predictors for risk of depression evident by multivariate analysis include presence of unemployment, sleep problems and cognitive impairment.Conclusions: A higher proportion of elderly was observed to be at risk of depression.  Primary care physicians may consider screening for depression in elderly with identified risk factors and act accordingly.


2021 ◽  
Author(s):  
Cássia Rossetto Verga ◽  
Graciela Ishibashi ◽  
Guilherme da Silva ◽  
Tiago Ordonez ◽  
Gabriela dos Santos ◽  
...  

Background: Literature data emphasize that the recent spread of the new Coronavirus (COVID-19) pandemic has triggered several mental health issues such as depression and anxiety disorders. Fear of the illness and social distancing have shown to be risk factors for mood disorders. It is thus necessary to study the relation between mood disorders in older adults during the pandemic. Objective: Analyze the relation between mood disorders and COVID-19 in older adults within the pandemic framework. Methods: Cross-sectional study with the application of the following tools: Geriatric Depression Scale (GDS15) and Geriatric Anxiety Inventory (GAI). Results: 428 older adults with an average age of 67.54±5.65 years were evaluated. Most of them were married females with an education level of 14.72±3.54 years and only 10% of them had fallen ill to COVID-19. 71% of them reported changes in mood and anxiety levels due to the pandemic. There was also a significant statistical difference between this group and the other 29% regarding GDS15 and GAI scores (p <0.001). Meaningful correlations were found between GDS and GAI (rho = 0.52 / ρ = 0,001) in which the larger the depressive symptomatology, the higher the anxiety level was. Conclusion: Results suggest that there have been associations between depression and anxiety symptoms in older adults during the pandemic period. Such findings are important for the implementation of social and health public policies.


2021 ◽  
Vol 22 (4) ◽  
pp. 352-375

Elméleti háttér: A szelekció–optimalizáció–kompenzáció modell rugalmas alkalmazkodási folyamatokat feltételez, amelyekkel az idősek képesek pozitív egyensúlyt elérni életkoruk nyereségei és veszteségei között. Ezen stratégiák mérésére alkották meg a Szelekció– Optimalizáció–Kompenzáció Kérdőívet, majd annak rövid változatát (SOC-12). Cél: Kutatásunk egyik célja a SOC-12 kérdőív magyar nyelvre történő adaptálása és pszichometriai jellemzőinek vizsgálata volt. Módszerek: Keresztmetszeti kérdőíves kutatásunkat 155 fős, 60 éves és afeletti, kognitív zavarban nem szenvedő mintán végeztük el (átlagéletkor: 74,6 év, SD = 7,9 év, terjedelem: 60–98 év; nemi megoszlás: 125 [81%] nő és 30 [19%] férfi). Mérőeszközök: SOC-12 kérdőív, Connor–Davidson Reziliencia Skála, Rövid Geriátriai Depresszió Skála. Eredmények: A teljes SOC-12 kérdőív illeszkedési mutatói a megerősítő faktorelemzésben messze elmaradnak az elfogadhatótól. Feltáró faktorelemzéssel kétfaktoros szerkezet rajzolódott ki. A SOC-12 skála egészét reprezentáló (mind a négy alskála tételeiből tartalmazó) 1. faktor tételei jó megbízhatóságú skálát képeznek (McDonald-ω [95% CI]: 0,83 [0,79–0,87]. A 2. faktoron töltődő tételekből létrehozott alskála esetén az ω [95% CI]: 0,57 [0,43–0,69], így megbízhatósága elmarad a kívánatostól. Az általunk módosított, 7-tételes SOC-kérdőív konvergens és diszkriminatív validitása egyaránt optimális, alátámasztja a skála által mért erőforrás-felhasználási stratégiák érvényességét. Következtetések: Kutatásunk alapján a módosított SOC-12 kérdőív a magyar idős populációban jó pszichometriai mutatókkal rendelkezik. Eredményeink alátámasztják, hogy segítségével az időskori alkalmazkodási folyamatok összességében jól mérhetők. A szelekciós stratégiák önálló mérése azonban az alacsony megbízhatóságú tételek miatt nem lehetséges. A kérdőív használhatóságát elősegíti, hogy a kitöltés és az értékelés egyaránt rövid időt vesz igénybe.Background: The selection-optimization-compensation model assumes flexible adaptation processes by which the elderly are able to achieve a positive balance between gains and losses of their lives. The Selection-Optimization-Compensation (SOC-12) questionnaire was developed to measure these strategies. Aim: The aim of our research was to adapt the SOC-12 questionnaire to Hungarian language and to establish its psychometric properties. Methods: Our cross-sectional research was conducted on a sample of 155 people aged 60 and over (mean age: 74.6 years, SD = 7.9 years, range: 60–98 years; gender distribution: 125 (81%) women and 30 (19%) male). Measures: SOC-12 Questionnaire, Connor-Davidson Resilience Scale, Geriatric Depression Scale Short Form. Results: Based on our results, the fit of the original 4 factor structure of the SOC-12 questionnaire very weak. Exploratory factor analysis revealed a two-factor structure. The items of factor 1, which represent the whole of the SOC-12 scale (containing items from all subscales), form a scale with good reliability (McDonald’s ω [95% CI]: 0,83 [0,79–0,87]. In the case of the subscale created from the items loading on the factor 2, the ω-value [95% CI] is 0.56 [0.43–0.69], so its reliability is less than acceptable. Both convergent and divergent validity of the modified SOC questionnaire is optimal, supporting the validity of the resource use strategies measured by the scale. Conclusions: Based on the current study, the original SOC-12 questionnaire had to be modified. Our results support that the modified questionnaire makes measurable adaptation processes in old age. Independent measurement of selection strategies is not possible due to low reliability items. The scale provides a short, easy response to measure these strategies, and both completion and evaluation take a short time.


1991 ◽  
Vol 3 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Javaid I. Sheikh ◽  
Jerome A. Yesavage ◽  
John O. Brooks ◽  
Leah Friedman ◽  
Peter Gratzinger ◽  
...  

The Geriatric Depression Scale (GDS) is commonly used to measure depression in the elderly. However, there have been no reports of the underlying structure of the GDS. To this end, the GDS was administered to 326 community-dwelling elderly subjects, and the data were subjected to a factor analysis. A five-factor solution was selected and, after a varimax rotation, the factors that emerged could be described as: (1) sad mood, (2) lack of energy, (3) positive mood, (4) agitation, and (5) social withdrawal. This solution accounted for 42.9% of the variance. Knowledge of the factor structure should aid both clinicians and researchers in the interpretation of responses on the GDS.


2021 ◽  
Vol 9 (5) ◽  
pp. 1303-1310
Author(s):  
Sakshi Deshmukh ◽  
◽  
Shrikant Sant ◽  

Question:Has COVID-19 Pandemic affected the psychological health of the elderly patients at PRH, Loni? Design: Descriptive Participants: 300 Intervention: Non Interventional Outcome measures: Geriatric Depression Scale (GDS- 15) Score Results: The average of males having significant depression determined, using Geriatric Depression Scale (GDS-15) was 3.56 whereas for females, it was 3.48. The difference in scoring depression between males and females was 1% percentage wise. Conclusion: On an average 41.8% of geriatric patients at PRH, Loni suffered from depression according to GDS- 15 score grading, during the time span of 3 months i.e. from January 2021 to March, 2021. Both inpatients as well as outpatients visiting PRH, Loni were included in the study with equal number of participation of males and females. This study concluded that males suffered from depression slightly higher than females. From the three categories of depression, mild depression had the highest rating than moderate and severe types of depression which was higher in females than in males. Broadly speaking, mild depression was the highest amongst older adults aged between 60 to 80, out of which females were moreover affected than males with a difference of 2.1%. Moderate depression amongst males was 4.6% and in females was comparatively higher with the percentage of 5.3%. The gender difference in the scoring was 2.1%. The percentage of Severe depression was 0.6% in males and was nil in females despite having a slightly higher rate of depression, in general at PRH, Loni.


2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 88-96
Author(s):  
Ariene Angelini dos Santos-Orlandi ◽  
Allan Gustavo Brigola ◽  
Ana Carolina Ottaviani ◽  
Bruna Moretti Luchesi ◽  
Érica Nestor Souza ◽  
...  

ABSTRACT Objective: to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers. Method: a cross - sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables). Results: there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility. Conclusion: elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.


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