Semi-structured Depression Scale Sensitive to Change with Treatment for Use in the Elderly

1994 ◽  
Vol 164 (4) ◽  
pp. 522-527 ◽  
Author(s):  
A. V. Ravindran ◽  
K. Welburn ◽  
J. R. M. Copeland
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Antidepressant Treatment ◽  
Depression Scale ◽  
The Elderly ◽  
Structured Interview ◽  
The Core ◽  
New Instrument ◽  
Before And After ◽  
Hamilton Rating Scale

The construction of a semi-structured interview depression scale that is sensitive to change for use in the elderly is described. Depression items from a well validated diagnostic instrument, the Geriatric Mental State Schedule (GMSS), were used as the core items in the development of the instrument. Improvement in depression in 80 elderly patients was independently assessed with two standard rating scales for depression, the Hamilton Rating Scale for Depression and the Beck Depression Inventory, and by an independent clinician's judgement before and after standard antidepressant treatment. Depression items that were sensitive to change were retained from the core items to form the new instrument. Results indicate that this scale is reliable and valid, shows better correlation with both the clinician's and the patient's judgement of improvement than the standard instruments, and is sparing of the rater's time.

Geriatric Depression

2001 ◽  
Vol 14 (6) ◽  
pp. 498-510 ◽  
Author(s):  
Stephen C. Cooke ◽  
Melissa L. Tucker
Keyword(s):  
Rating Scales ◽  
Suicide Attempts ◽  
Antidepressant Treatment ◽  
Treatment Options ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Signs And Symptoms ◽  
The Elderly ◽  
Geriatric Depression ◽  
Diagnostic And Statistical Manual

Depression in the elderly is more common than once thought, especially in nursing home settings, where as many as 25% of residents can exhibit signs and symptoms of depression. Depression in the elderly can have a significant impact on overall health and desired outcome. The depressed elderly patient has been shown to have worsened prognosis of concomitant medical conditions, increased use of health care, decreased recovery time, and more likelihood to experience accelerated physical deterioration. Suicide represents the most serious complication of depression of the older depressed individual. The elderly are at a disproportionate risk for suicide attempts and are more likely to be successful. Diagnosis should be made using Diagnostic and Statistical Manual of Mental Disorders(4th ed.) (DSMIV) criteria, and clinicians should use standardized rating scales such as the Geriatric Depression Scale to assist in monitoring the severity of depressive symptoms and the efficacy of antidepressant treatment. Several treatment options are available to the clinician and include psychotherapy, electroconvulsive therapy, older antidepressants such as the tricyclics, and newer more tolerable therapies such as the serotonin reuptake inhibitors. Drug therapy should be individualized and should take into account the pharmacokinetic and pharmacodynamic changes that are associated with normal aging.

An Effect-Size Comparison of the Beck, Zung, and Hamilton Rating Scales for Depression: A Three-Week and Twelve-Week Analysis

1988 ◽  
Vol 63 (2) ◽  
pp. 467-470 ◽  
Author(s):  
Michael J. Lambert ◽  
Kevin S. Masters ◽  
David Astle
Keyword(s):  
Early Treatment ◽  
Rating Scales ◽  
Rating Scale ◽  
Meta Analysis ◽  
Depression Scale ◽  
The Other ◽  
Self Rating ◽  
Treatment Gains ◽  
Hamilton Rating Scale ◽  
Over Time

Three widely used measures of depression, the Beck Depression Inventory, Zung Self-rating Depression Scale, and Hamilton Rating Scale for Depression, were used in an analysis of treatment effects over time. Results were not consistent with those of an earlier meta-analysis of Lambert, Hatch, Kingston, and Edwards in 1986. Present findings indicate that the Zung's self-rating is more likely to show early treatment gains while Beck's inventory shows larger gains over a longer time. Scores on the Hamilton Rating fall between the other two. These results indicate that research should be focused on the differences among these scales.

Locus of Control, Depression, and Anxiety in Young and Old Adults: A Comparison Study

1985 ◽  
Vol 20 (1) ◽  
pp. 41-52 ◽  
Author(s):  
Victor Molinari ◽  
George Niederehe
Keyword(s):  
Rating Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Depression And Anxiety ◽  
Comparison Study ◽  
Standard Score ◽  
Old Adults ◽  
Zung Depression Scale ◽  
Hamilton Rating Scale ◽  
High Chance

Levenson's Internal, Powerful Others, and Chance scales were administered to 305 college undergraduates and 117 community-living elderly. On the basis of their highest standard score, sixty young and sixty elderly participants were then classified into High Internal, High Powerful Others, and High Chance categories. The young sample was administered the Zung Depression Scale and the debilitating anxiety scale of the Alpert-Haber Achievement Anxiety Test, while the elderly were given the Beck Depression Inventory, the Depression and Anxiety Scales of the Profile of Mood States, and rated on the Hamilton Rating Scale for Depression. Contrary to previous results, the elderly sample was more external (on the Chance dimension) than the young. As predicted, there was a significant relationship linking a pattern of high internality and low belief in powerful others with low depression in the elderly, but not in the young. Applicability of these findings to placement and intervention strategies is discussed.

A New Depression Scale Designed to be Sensitive to Change

1979 ◽  
Vol 134 (4) ◽  
pp. 382-389 ◽  
Author(s):  
Stuart A. Montgomery ◽  
Marie Åsberg
Keyword(s):  
Clinical Trials ◽  
Rating Scale ◽  
Antidepressant Treatment ◽  
Antidepressant Drugs ◽  
Depression Scale ◽  
Depressive Illness ◽  
Sensitivity To Change ◽  
Ethical Implications ◽  
Hamilton Rating Scale ◽  
Better Than

SummaryThe construction of a depression rating scale designed to be particularly sensitive to treatment effects is described. Ratings of 54 English and 52 Swedish patients on a 65 item comprehensive psychopathology scale were used to identify the 17 most commonly occurring symptoms in primary depressive illness in the combined sample.Ratings on these 17 items for 64 patients participating in studies of four different antidepressant drugs were used to create a depression scale consisting of the 10 items which showed the largest changes with treatment and the highest correlation to overall change.The inter-rater reliability of the new depression scale was high. Scores on the scale correlated significantly with scores on a standard rating scale for depression, the Hamilton Rating Scale (HRS), indicating its validity as a general severity estimate. Its capacity to differentiate between responders and non-responders to antidepressant treatment was better than the HRS, indicating greater sensitivity to change. The practical and ethical implications in terms of smaller sample sizes in clinical trials are discussed.

A comparison of the ‘Hamilton Rating Scale for Depression’ and the ‘Montgomery-Asberg Depression rating Scale’

1999 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
I.P.A.M. Huijbrechts ◽  
P.M.J. Haffmans ◽  
K. Jonker ◽  
A. van Dijke ◽  
E. Hoencamp
Keyword(s):  
Clinical Practice ◽  
Clinical Global Impression ◽  
Rating Scale ◽  
Reliability And Validity ◽  
Structured Interview ◽  
Clinical Impression ◽  
Clinical Relationship ◽  
Hamilton Rating Scale ◽  
Depressive States

SummaryAlthough the Hamilton Rating Scale for Depression (HRSD) is the most frequently used rating scale for quantifying depressive states, it has been criticized for its reliability and its usability in clinical practice. This criticism is less applying to the Montgomery-Asberg Depression Rating Scale (MADRS). Goal of the present study is to investigate the reliability and validity, and clinical relationship between the HRSD and the MADRS. For 60 out-patients with diagnosed depression (DSM IV296.2x, 296.3x, 300.40 and 311.00), the HRSD and MADRS were scored at baseline and 6 weeks later by an independent rater according to a structured interview. Also the Clinical Global Impression (CGI) was assessed by a psychiatrist. Satisfying agreement was found between the totalscores (r= .75, p>.000 en r=.92, p>.000 respectively, at baseline and 6 weeks later). Furthermore agreement was found between the items of both scales, and these agree with the clinical impression. The reliability of the MADRS is more stable than the reliability of the HRSD (α = .6367 and α =.8900 vs α = .2193 and α = .8362 at baseline and at endpoint respectively). Considering the ease of scoring both scales in one interview and the widely international use of the HRSD, scoring both the HRSD and the MADRS to measure the severity of a depression seems to be an acceptabel covenant.

Treatment, outcome and predictors of response in elderly depressed in-patients

1997 ◽  
Vol 170 (5) ◽  
pp. 436-440 ◽  
Author(s):  
T. J. Heeren ◽  
P. Derksen ◽  
B. F. V. Heycop Ten Ham ◽  
P. P. J. Van Gent
Keyword(s):  
Clinical Trials ◽  
Treatment Outcome ◽  
Rating Scale ◽  
Antidepressant Treatment ◽  
Psychiatric Hospitals ◽  
The Elderly ◽  
Full Recovery ◽  
Treatment Expectations ◽  
Predictors Of Response ◽  
Vigorous Treatment

BackgroundFull recovery rates in naturalistic studies of the treatment of elderly depressives are invariably lower than in clinical trials. This may be the result of inadequate treatment due to the lack of clear treatment strategy recommendations for the elderly.MethodThis is a naturalistic prospective study of depressed elderly in-patients in three Dutch psychiatric hospitals. Patients were included when they suffered from any mood disorder according to DSM - III - R criteria. Severity of the depression was measured on the Montgomery -Asberg Rating Scale.ResultsAntidepressants were prescribed to more than 90% of the patients. More than half of them received only one treatment. The dose of the antidepressants was less than the recommended dose for adults in 55% of cases. Full recovery from the depressive episode was achieved in less than half of the patients (33–45%).ConclusionsIn the present study a relatively poor outcome of the antidepressant treatment of elderly depressives has been found. A combination of low treatment expectations and fear of vigorous treatment seems to have been important.

scholarly journals Correlation Between Level of Depression and Risk of Suicide in Elderly at Purwodadi, Grobogan

2020 ◽  
Vol 1 (2) ◽  
pp. 27-31
Author(s):  
Rilla Fiftina Hadi ◽  
Titis Hadiati ◽  
Natalia Dewi Wardani
Keyword(s):  
Rating Scale ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Severe Depression ◽  
The Elderly ◽  
Low Risk ◽  
Cross Sectional ◽  
Severity Rating ◽  
Central Java ◽  
Cross Sectional Design

Abstract Background: According to WHO, the elderly people have physical and mental challenges, including depression. The incidence of depression lead to suicide on elderly is about 12.7%. In Grobogan Regency, Purwodadi, Central Java, there has been an increase of depression in the last 5 years. Purwodadi Subdistrict depends on the number of orders with the highest number of traffic cases and the elderly.Objective: To determine the correlation between depression level and the risk of suicide.Methods: This research is a quantitative study with cross sectional design in which all respondents were observed and variables were measured at one time. Samples were taken from elderly outpatient of primary health care and Posyandu lansia at Purwodadi, who met the inclusion and exclusion criterias. Research samples were selected based on nonprobability sampling method through purposive sampling. This research used the Indonesian version of the GDS (Geriatric Depression Scale) and CSSRS (Columbia Suicide Severity Rating Scale) questionnaire.Results: The prevalence of elderly depression is 63.3%, and a significant correlation was found between severe depression and low risk of suicide (p <0.05)Conclusion: significant correlation was found between severe depression and low risk of suicide

scholarly journals Terapi Musik terhadap Depresi pada Lansia

2019 ◽  
Vol 13 (2) ◽  
pp. 72-81
Author(s):  
Theresia Widyastuti
Keyword(s):  
Music Therapy ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Sampling Technique ◽  
The Elderly ◽  
Rank Test ◽  
A Value ◽  
Before And After ◽  
The Difference ◽  
Quasi Experiment

 Depression is a mood disorder that is generally characterized by hopelessness, excessive helplessness, and lack of enthusiasm for life. Starting from stress that is not overcome, then a person can fall into a phase of depression. This study aims to look at the effect of providing music therapy in reducing depression in the elderly before and after being given a commitment. To achieve this goal, this study uses a quasi-experimental method (Quasi Experiment). The type of research design used is Quasi Experiment with one group pretest and posttest design. The sampling technique was purposive sampling where participants based on population criteria obtained a sample of 16 people. Data collection methods using tests with a scale measuring instrument namely Geriatric Depression Scale (GDS) consisting of 30 item questions, observation methods and interview methods .. Based on data analysis it was concluded that the results obtained were Man Whitney Test U = 0.500 with a value of p = 0.001 ( p <0.01) where the mean ranks on the gain score is 12.44 and the sum of ranks is 99.50, this shows the difference in effectiveness of the effects of music therapy before and after treatment and to test the difference in levels of depression before and after being given music therapy using Wilcoxon Sign Rank test analysis . the results obtained z value = -2.539 with a value of p = 0.11 (p <0.01) so that it can be concluded that there are differences in changes in the level of depression in the elderly before and after given treatment.

Depression in Inpatients: Bipolar vs Unipolar

2003 ◽  
Vol 92 (3) ◽  
pp. 1031-1039 ◽  
Author(s):  
Stella Dorz ◽  
Giuseppe Borgherini ◽  
Donatella Conforti ◽  
Caterina Scarso ◽  
Guido Magni
Keyword(s):  
Social Support ◽  
Major Depression ◽  
Social Adjustment ◽  
Rating Scales ◽  
Rating Scale ◽  
Social Impairment ◽  
Symptom Checklist ◽  
Bipolar Patients ◽  
Hamilton Rating Scale ◽  
Social Adjustment Scale

162 depressed inpatients were divided into three diagnostic groups to compare patterns of sociodemographic characteristics, psychopathology, and psychosocial: 35 had a single episode of major depression, 96 had recurrent major depression, and 31 had a bipolar disorder. Psychopathology and psychosocial functioning were measured by clinician-rated scales, Montgomery-Asberg Depression Rating Scale, Hamilton Rating Scale for Depression, Clinical Global Impression, and self-rating scales, Symptom Checklist-90, Social Support Questionnaire, Social Adjustment Scale. The three groups were comparable on sociodemographic variables, with the exception of education. Univariate analyses showed a similar social impairment as measured by Social Support Questionnaire, Social Adjustment Scale, and no significant differences were recorded for the psychopathology when the total test scores (Montgomery-Asberg Depression Rating Scale, Hamilton Rating Scale for Depression, Clinical Global Index, Symptom Checklist-90) were evaluated. Some differences emerged for single items in the Montgomery-Asberg Depression Rating Scale and Symptom Checklist-90. These findings suggest a substantial similarity among the three groups. Results are discussed in terms of the clinical similarities between unipolar and bipolar patients during a depressive episode as well as the limitations of cross-sectional study implies.

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