scholarly journals Cross-Cultural Adaptation and Validation of The Geriatric Depression Scale Into Igbo Language: A Validation Study

Author(s):  
Ukamaka Gloria Mgbeojedo ◽  
Christopher Olusanjo Akosile ◽  
Juliet Chidera Ezugwu ◽  
Emmanuel Chiebuka Okoye ◽  
Nene Jeneviv John ◽  
...  

Abstract Background: Late-life experiences such as protracted and indisposing medical disorders can negatively impact older adults’ psychological and mental health, making them vulnerable to depression. Majority of the assessment tools for depression were developed for use in western countries. There is therefore need for availability of culture- and environment- specific tools for assessment of depression in low and middle income countries. This study was designed to cross-culturally adapt and validate the Geriatric Depression Scale-15 (GDS-15) into Igbo Language and culture. Methods: The English version of the GDS-15 was translated into Igbo language; synthesized, back-translated, and underwent expert panel review, pretesting and cognitive debriefing interview, according to Beaton’s guideline. The Igbo version of the GDS-15 was tested for concurrent and structural validities and internal consistency among consecutively recruited 140 consenting older adults (62.9% females) in Enugu North Senatorial District, at 0.05 level of significance.Results: The English version of the GDS-15 was successfully cross-culturally adapted to Igbo with all the 15 items still retained on the Igbo version of the GDS-15. The Igbo version of the GDS-15 exhibited the same structure as the English version. The Igbo version of the GDS-15 has Cronbach’s alpha value of 0.53. The correlation between the participants’ total scores on the Igbo and the English versions of the GDS-15 (rho = 0.86) was excellent. There was no significant difference between corresponding scores in the English and Igbo versions of the GDS-15 (p = 0.89).Conclusions: The Igbo version of the GDS-15 is a valid and culturally specific instrument, and can be used for assessing depression among Igbo older adults in Nigeria.

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 337
Author(s):  
Yurie Mikami ◽  
Keiko Motokawa ◽  
Maki Shirobe ◽  
Ayako Edahiro ◽  
Yuki Ohara ◽  
...  

One prominent factor associated with malnutrition is poor appetite. In Japan, the number of older adults living alone has increased annually. Those living alone tended to eat alone, which may lead to poor appetite. This study aimed to investigate the association between eating alone and poor appetite using an index called the Simplified Nutritional Appetite Questionnaire (SNAQ). We surveyed 818 people aged 70 and over in Takashimadaira, Itabashi-ku, Tokyo, Japan, in 2016. Comparisons were made between two groups, a poor appetite group (n = 295) and a good appetite group (n = 523), and results indicate that the poor appetite group had a higher rate of eating alone than the good appetite group (38.0% vs. 20. 1%: p < 0.001). Multivariable logistic regression (OR; 95%CI) was performed and poor appetite was significantly associated with the Geriatric Depression Scale (GDS) score (1.707; 1.200–2.427), the number of medications (1.061; 1.007–1.118), JST score (0.894; 0.841–0.950), the indication of “very healthy” on a self-rated health scale (0.343; 0.152–0.774), and reports of eating alone (1.751; 1.130–2.712). Our results suggest that eating alone is associated with a poor appetite.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S329-S329
Author(s):  
Erin Harrington ◽  
Ha Do ◽  
Alex J Bishop ◽  
Celinda Reese-Melancon ◽  
and Weihua Sheng

Abstract Socially assistive robotic (SAR) technologies represent a viable tool for monitoring the safety and health of older adults. However, it is unclear whether SARs can comprehensively screen geriatric well-being as effectively as trained human clinicians. The purpose of this study was to compare SAR versus human assessment of geriatric well-being. Participants included 30 older adults (Mage = 73.40, SD = 7.88) who completed a robot-administered well-being assessment session during which human-administered evaluation was simultaneously performed. Standardized clinical screening assessment tools common in geriatric care were administered (e.g., Short Blessed Test (SBT), UCLA Loneliness Scale, Geriatric Depression Scale, PHQ-4, Iowa Fatigue Scale, Fall Risk). Multiple dependent sample t-tests were used to explore variability in assessment scores between SAR and human evaluation. Assessment scores significantly differed on several measures, including the SBT (t(29) = -9.33, p &lt; .001), UCLA Loneliness scale (t(19) = 2.37, p &lt; . 05), and fall risk assessment (t(29) = 3.03, p &lt; .01). Specifically, the SAR indicated that older adults were significantly more cognitively impaired, less lonely, and more likely to fall compared to the human administrator. Other observed differences and hypothesized explanations will be discussed in greater detail. The current study indicates that there is a divergence in geriatric assessment outcomes based on human versus SAR administration. Findings have implications relative to further developing SAR technology to align with human-based evaluations to enhance cognitive well-being, social connectedness, and falls prevention.


2011 ◽  
Vol 23 (6) ◽  
pp. 950-960 ◽  
Author(s):  
Kathryn Betts Adams

ABSTRACTBackground: In light of inconsistencies in cut points for identifying non-major depression, this study examined the classification efficiency of the Geriatric Depression Scale (GDS and GDS-15) total scores and individual items, and four additional depressive symptoms for identification of subthreshold, minor, or criterion depression among 166 vulnerable residents of congregate housing.Methods: Depression (combined categories of major depressive episode, minor, or subthreshold depression) was determined by the Mini-International Neuropsychiatric Interview (MINI) diagnostic interview depression module administered by telephone to 166 older residents of congregate housing facilities who also completed the 30-item GDS and four other yes/no potential indicators of geriatric depression. Classification agreement and ROC curve analysis for the full and 15-item GDS scale scores were calculated. Individual item hit rates for MINI criterion were calculated for GDS items and four new items.Results: GDS and GDS-15 at standard cut points had 70–75% agreement with MINI. Best sensitivity and specificity were obtained at lower than standard cut points. Some GDS Withdrawal, Apathy, lack of Vigor (WAV) and cognitive items obtained very low hit rates. New items “I just don't feel like myself” and “I feel I am a burden to others” better discriminated MINI depression than most GDS items and had good item-to-total correlations with the GDS.Conclusions: Diagnostic criteria and GDS screen had partial agreement. Some GDS items did not adequately represent depression among functionally impaired or oldest old older adults. Feeling one is a burden and the sense of feeling “different” from usual may be useful indicators of depression among vulnerable older adults.


Author(s):  
Αντωνία Χατζηευφραιμίδου ◽  
Δέσποινα Μωραΐτου ◽  
Γεωργία Παπαντωνίου ◽  
Έλενα Ναζλίδου ◽  
Κρυσταλλία Πάντσιου

Η παρούσα έρευνα αποσκοπούσε να εξετάσει τη σχέση ηλικίας - κοινωνικής νόησης.<br />Το δείγμα αποτελούνταν από 72 άτομα, ηλικίας 20 ως 82 ετών, κατανεμημένα σε<br />τρεις ομάδες ηλικίας: τους «Νέους Ενήλικες» (Μ.Ο. = 25 έτη, Τ.Α. = 3.7 έτη), τους<br />«Μεσήλικες» (Μ.Ο. = 51.2 έτη, Τ.Α. = 7.5 έτη) και τους «Ηλικιωμένους» (Μ.Ο. =<br />72.1 έτη, Τ.Α. = 4.9 έτη). Οι τρεις ομάδες ήταν εξισωμένες ως προς το φύλο και το<br />μορφωτικό επίπεδο. Στους συμμετέχοντες χορηγήθηκε η Δοκιμασία Κοινωνικού<br />Συμπερασμού (Απλός) [ΔΚΣ(Α). Social Inference (Minimal) – SI(M): Part 2 of the<br />ΤΑSIT, McDonald, Flanagan,Rollins &amp; Kinch, 2003], η οποία εξετάζει εάν ο<br />συμμετέχοντας κατανοεί το σαρκασμό και μπορεί να τον διακρίνει από την<br />ειλικρίνεια. Στην ομάδα των ηλικιωμένων χορηγήθηκαν επιπλέον η Δοκιμασία<br />Σύντομης Γνωστικής Εκτίμησης (ΔΣΓΕ, Mini Mental State Examination, MMSE,<br />Folstein, Folstein, &amp; McHugh, 1975, προσαρμογή στον ελληνικό πληθυσμό:<br />Fountoulakis, Tsolaki, Chatzi &amp; Kazis, 2000) και η Γηριατρική Κλίμακα<br />Κατάθλιψης-15 (ΓΚΚ-15, Geriatric Depression Scale–15, GDS-15, Yesavage, et al.,<br />1982-1983, προσαρμογή στον ελληνικό πληθυσμό: Fountoulakis, Tsolaki, Iacovides,<br />et al., 1999). Τα αποτελέσματα για τους ηλικιωμένους έδειξαν ότι όσο πιο χαμηλή η<br />βαθμολογία στη ΔΣΓΕ και όσο πιο υψηλή στη ΓΚΚ-15, τόσο χαμηλότερη η επίδοση<br />στη ΔΚΣ(Α). Για το σύνολο του δείγματος, τα αποτελέσματα έδειξαν πως η ηλικία<br />2<br />συνδέεται αρνητικά με την ικανότητα κατανόησης του σαρκασμού και η αυτο-<br />αναφερόμενη υπερχοληστεριναιμία αποτελεί επιβαρυντικό παράγοντα στην<br />παραπάνω σχέση.


Retos ◽  
2017 ◽  
pp. 14-19
Author(s):  
Lisbet Guillen Pereira ◽  
Egar Bueno Fernandez ◽  
Manuel Gutierrez Cruz ◽  
José Ramón Guerra Santiesteban

El artículo se enfoca en el análisis de un programa de actividades físicas y su efecto en la mejora de los niveles de depresión y bienestar subjetivo de adultos mayores. Se utiliza un diseño experimental con pre y pos tratamiento en una muestra de 111 adultos mayores seleccionado mediante criterios de inclusión, a la que se le aplicó un procedimiento de proporción de uno a tres para crear el grupo experimental y de control (n=74 grupo experimental y n=37 el grupo de control). La depresión fue medida aplicando la Escala de Depresión Geriátrica de Yesavage y el bienestar subjetivo a partir de la Philadelphia Geriatric Center Morale Scale. Para el análisis del pre con el post tratamiento se utilizó un modelo de análisis de varianza (ANOVA) con medidas repetidas (MR). Los resultados revelaron diferencias significativas en la Depresión Geriátrica (p=.000) y del Bienestar subjetivo en cada dimensión estudiada: afectos positivos (p=.000), afectos negativos (p=.000) y agitación (p=.000), lo que se concluye que las dos variables dependientes mejoraron de manera significativa al aplicar la propuesta.Abstract: This article focuses on the analysis of a program of physical activities and its effect on reducing depression levels and on increasing subjective well-being of older adults. An experimental design with pre- and post-treatment was applied to a sample of 111 older adults selected in accordance with inclusion criteria, using a one-to-three ratio procedure to create experimental and control groups (Experimental group, n = 74; control group, n = 37). Depression was measured by means of the Yesavage Geriatric Depression Scale, whereas subjective well-being with the Philadelphia Geriatric Center Morale Scale. For the pre-post analysis, a variance analysis model (ANOVA) with repeated measures (MR) was used. Results revealed significant differences in Geriatric Depression (p = .001) and subjective well-being in each dimension studied: positive affects (p = .001), negative affects (p = .001) and agitation (p = .001), We can conclude that the two dependent variables improved significantly after applying the program proposed.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 542-542
Author(s):  
Heejung Kim ◽  
Youngshin Cho ◽  
Kyuhee Lim ◽  
Sunghee Lee ◽  
Yuntae Kim ◽  
...  

Abstract The Internet of Medical Things (IoMT) is a promising tool to monitor depression and relevant symptoms. However, the multimodal IoMT monitoring system has been rarely developed considering the characteristics of older adults, particularly living in the community. Therefore, it is necessary to know how to develop multimodal IoMT monitoring systems tailored for older adults and evaluate the feasibility for research and practice. We developed a multimodal IoMT monitoring system that included a smartphone for facial and verbal expressions, smartwatch for activity and heart rates, and ecological momentary assessment (EMA) application. A convenience sample of 21 older Korean adults aged over 65 years was recruited from a community center, and 19 participants completed it. The data were collected in four weeks using self-report questionnaires, IoMT devices, and semi-structured interviews between July and December 2020 and were analyzed in mixed methods. Based on the Geriatric Depression Scale-Short Form scores, eight participants were classified in the depressive group (38.1%) and 13 in the non-depressive group (61.9%). A total of 1,505 (70.72%) EMA data were collected, and 1,277 (60.00%) were analyzed. Furthermore, 1,421 (66.78%) facial expression data were collected and labeled, including anger, happiness, neutral, sadness, surprise, and exception. Voice dialogues were transformed into 5,264 scripts. The depressive group showed lower user acceptance relative to the non-depressive group. However, both groups experienced positive emotions, had regular life patterns, and increased their self-interest. Thus, our multimodal IoMT monitoring system is a feasible and useful measure for acquiring mental health information in older adults’ depression.


2020 ◽  
Vol 9 (3) ◽  
pp. 795
Author(s):  
Michio Maruta ◽  
Hyuma Makizako ◽  
Yuriko Ikeda ◽  
Hironori Miyata ◽  
Atsushi Nakamura ◽  
...  

The aim of this cross-sectional study was to investigate relationships between individuals’ ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 ± 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of ≥5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35–0.77) and women (OR 0.67, 95% CI 0.49–0.91), but performance was limited in women (OR 0.87, 95% CI 0.77–0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.


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