scholarly journals The question of preoperative anxiety and depression in older patients and family protectors

2020 ◽  
Vol 15 (2) ◽  
pp. 217-225
Author(s):  
Sehun Lim ◽  
Younmi Oh ◽  
Kwangrae Cho ◽  
Myoung-hun Kim ◽  
Sungho Moon ◽  
...  
Keyword(s):  
Older Patients ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Preoperative Anxiety ◽  
Anxiety And Depression ◽  
Preoperative Period ◽  
Geriatric Depression ◽  
Information Scale ◽  
Insufficient Knowledge

Background: Higher levels of anxiety increase the risks of surgery, including morbidity and mortality. The objectives of this study were to measure anxiety and depression during the preoperative period and to identify the degree of knowledge and concerns of older patients and their family protectors regarding anesthesia, and the causes of these concerns. Methods: We administered a questionnaire to older patients scheduled to undergo surgery and their family protectors one day prior to the surgery. The questionnaire included tools for quantifying anxiety and depression (Anxiety-Visual Analogue Scale, the Amsterdam Preoperative Anxiety and Information Scale, State-Trait Anxiety Inventory Korean YZ Form, and Short Form Geriatric Depression Scale). We also asked about the concrete causes of anxiety using pre-created forms.Results: There were 140 older patients and family protectors who participated in the study. The majority of older patients (n = 114, 81.4%) undergoing surgery and their family protectors (n = 114, 81.4%) indicated that they were anxious. Most of the older patients and their family protectors responded that they had insufficient knowledge about anesthesia, and they were mostly worried about failure to awaken following surgery, and postoperative pain. Older patients with higher anxiety scores showed higher depression scores. There were significant differences in depression scores depending on the presence of cohabitating family members. Conclusions: It is important to remember that older patients with higher depression scores have higher anxiety during the preoperative period.

scholarly journals Does Routine Pain Assessment Result in Better Care?

2009 ◽  
Vol 14 (3) ◽  
pp. 211-216 ◽  
Author(s):  
Thomas Hadjistavropoulos ◽  
Ying C MacNab ◽  
Amanda Lints-Martindale ◽  
Ronald Martin ◽  
Heather Hadjistavropoulos
Keyword(s):  
Pain Assessment ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Educational Interventions ◽  
Geriatric Depression ◽  
Clinical Practices ◽  
Medical Problems ◽  
Medical Practitioners ◽  
Over Time

BACKGROUND: Although a variety of national organizations such as the Canadian Pain Society, the American Pain Society and the Joint Commission on Accreditation of Health Care Organizations have advanced the idea that pain should be assessed on a routine basis, there is little evidence that systematic pain assessment information is used routinely by clinicians even when it is readily available.OBJECTIVE: To determine whether systematic pain assessment information alters medical practitioners’ clinical practices.METHODS: A population of seniors with complex medical problems who were evaluated by case coordinators was studied. Case coordinators were assigned to either an experimental or control patient assessment condition. Control condition patients were assessed as usual. In the experimental condition, a psychometrically valid pain assessment battery as well as the Geriatric Depression Scale – Short Form (because depression and chronic pain are frequently comorbid) were integrated into the routine case coordination assessment. A summary of the results of the depression and pain assessments was subsequently sent to physicians via mail and fax. Patients were also given copies of the assessment summaries and were asked to discuss these with their physicians. Physicians’ medication prescriptions were monitored over time through the database of the provincial ministry of health.RESULTS: At the end of the study, no significant differences between experimental and control patients were found with respect to medications prescribed or patient self-reports of pain. Nonetheless, there was a significant relationship between Geriatric Depression Scale – Short Form scores and pain medications prescribed for patients in the experimental condition. Moreover, indexes of overall pain intensity did not change significantly over time.CONCLUSIONS: The findings do not support the idea that the availability of systematic pain assessment information leads to change in clinician’s medication practices. As such, educational interventions and public policy initiatives are needed to ensure that treatment providers do not only gather but also use pain assessment information.

Geriatric Depression Scale--Short Form; Japanese Version

2016 ◽  
Author(s):  
Norio Murayama ◽  
Tadashi Endo ◽  
Koichiro Inaki ◽  
Shinsai Sasaki ◽  
Yuko Fukase ◽  
...  
Keyword(s):  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Japanese Version ◽  
Geriatric Depression

scholarly journals Validation of the Tamil version of short form Geriatric Depression Scale-15

2015 ◽  
Vol 6 (03) ◽  
pp. 442-1446 ◽  
Author(s):  
Sonali Sarkar ◽  
Shivananand Kattimani ◽  
Gautam Roy ◽  
K. C. Premarajan ◽  
Siddharth Sarkar
Keyword(s):  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
The Elderly ◽  
Clinical Interview ◽  
Geriatric Depression ◽  
Early Assessment ◽  
Primary Care Population ◽  
Prevalence Of Depression ◽  
Language Screening

ABSTRACT Background: Local language screening instruments can be helpful in early assessment of depression in the elderly in the community and primary care population. This study describes the validation of a Tamil version of Geriatric Depression Scale (short form 15 [GDS-15] item) in a rural population. Materials and Methods: A Tamil version of GDS-15 was developed using standardized procedures. The questionnaire was applied in a sample of elderly (aged 60 years and above) from a village in South India. All the participants were also assessed for depression by a clinical interview by a psychiatrist. Results: A total of 242 participants were enrolled, 64.9% of them being females. The mean score on GDS-15 was 7.4 (±3.4), while the point prevalence of depression was 6.2% by clinical interview. The area under the receiver-operator curve was 0.659. The optimal cut-off for the GDS in this sample was found at 7/8 with sensitivity and specificity being 80% and 47.6%, respectively. Conclusion: The Tamil version of GDS-15 can be a useful screening instrument for assessment of depression in the elderly population.

The validation of the short form of the Geriatric Depression Scale (GDS) in Greece

1999 ◽  
Vol 11 (6) ◽  
pp. 367-372 ◽  
Author(s):  
K. N. Fountoulakis ◽  
M. Tsolaki ◽  
A. Iacovides ◽  
J. Yesavage ◽  
R. O’Hara ◽  
...  
Keyword(s):  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression

Screening Depression Among Institutionalized Older Chinese Men by Minimum Data Set

2009 ◽  
Vol 24 (4) ◽  
pp. 179-183 ◽  
Author(s):  
Chih-Kuang Liang ◽  
Liang-Kung Chen ◽  
Chia-Fen Tsai ◽  
Tung-Ping Su ◽  
Yuk-Keung Lo ◽  
...  
Keyword(s):  
Rating Scale ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Minimum Data Set ◽  
Geriatric Depression ◽  
Data Set ◽  
Chinese Men ◽  
Minimum Data ◽  
Older Chinese

Objective: To compare the effectiveness of the Minimum Data Set-based Depression Rating Scale (MDS-DRS) and Geriatric Depression Scale (GDS) in screening depression among older institutionalized Chinese men living in Taiwan. Method: MDS Nursing Home 2.1 Chinese version, Mini-Mental State Examination (MMSE), and short form Geriatric Depression Scale (GDS-15) were used among elderly residents in Banciao Veterans Home. Screening results of MDS-DRS and GDS-15, and relationship between 16 MDS Mood and Anxiety symptoms and depression were evaluated. Results: The prevalence of depression defined by MDS-DRS and GDS were 0.2% and 8.7%, respectively. Multiple logistic regression disclosed that E1a (OR: 12.9, 95% CI: 2.8-58.8, p = 0.001), E1k (OR: 15.6, 95% CI: 5.6-43.5, p < 0.001), and E1l (OR: 22.2, 95% CI: 6.1-83.3, p < 0.001) were all independent associative factors for GDS-defined depression but only explained 51.9% of all depressive subjects. Conclusions: The effectiveness of MDS-DRS is limited, and a new MDS-based depression screening instrument is needed.

scholarly journals Rasch Analysis of the Geriatric Depression Scale-Short Form

2009 ◽  
Vol 49 (2) ◽  
pp. 262-275 ◽  
Author(s):  
K. S. Chiang ◽  
K. E. Green ◽  
E. O. Cox
Keyword(s):  
Rasch Analysis ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Geriatric Depression

Depressiveness in preoperative period and postoperative recovery of orthopedic patients - preliminary results of prospective study

2011 ◽  
Vol 26 (S2) ◽  
pp. 837-837
Author(s):  
D. Ignjatovic Ristic ◽  
V. Janjic ◽  
B. Ristic ◽  
B. Radmanovic
Keyword(s):  
Depressive Symptoms ◽  
Short Form ◽  
Age Groups ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Postoperative Recovery ◽  
Preoperative Period ◽  
Surgical Interventions ◽  
Preliminary Results ◽  
Orthopedic Patients

IntroductionDepression is often occurred after surgical interventions and may have serious consequences on postoperative recovery. The treatment of early discovered depressive symptoms may have strong influence on the recovery of operated orthopedic patients.Simple and quick instrument for detection and evaluation of depressive symptoms could be of great use to doctors.Work objectives are1) determine the prevalence of depressiveness in preoperative period in patients with scheduled surgical interventions, and2) validation of Geriatric Depression Scale - short form (GDS-SF) in detection of depressiveness.MethodA sample of 120 orthopedic patients is the part of larger sample in prospective research of depressiveness in patients in preoperative period with scheduled surgical interventions (except cardio-surgical). For estimation of depressiveness we used battery of tests (GDS-SF, BDI - Beck's depression scale, MDI - major depressive disorder questionnaire), and patients were tested 3 times: to 14 days prior the surgery, 7 and 90 days after the surgery. Validation of GDS-SF was examined compared to BDI according to age and gender of examinees.ResultsIn preliminary sample of 120 orthopedic patients with scheduled orthopedic interventions, prevalence of depressiveness is greater than prevalence of depressiveness in general population (p < 0.001). Depressiveness is much more present in women than in men (p < 0.001). Correlation of depressive scores in BDI and in GDS-SF is satisfactory for all age groups.ConclusionPreliminary results indicate on further research of depressiveness in preoperative period in order to confirm validation of GDS-SF as simpler alternative for early detection of depressiveness.

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