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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 1/2022

05.08.2021 | Original Contributions

Screening for depression in old age

A comparison of the geriatric depression scale and the depression in old age scale

verfasst von: Dr. phil. Christina Wunner, Mark Stemmler, Johanna Masuch, Markus Gosch, Christiane Waller, Katrin Singler

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 1/2022

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Abstract

Objective

Since 1996, older patients have been treated in the Nuremberg Geriatric Day Hospital. The geriatric depression scale (GDS) is an obligatory part of the geriatric assessment at admission but its use in the clinical setting has revealed some problems. The aim of the study was to compare the GDS with the depression in old age scale (DIA-S) in terms of applicability and psychometric characteristics.

Methods

As gold standard a semi-structured interview was used to record the depression criteria according to Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Using a sample of 375 patients, sensitivity and specificity as well as positive and negative predictive values were calculated for both screening tests.

Results

No clear superiority of any screening method could be proven. The sensitivity of the DIA‑S in the overall sample was higher than that of the GDS, but the specificity was much lower. In terms of predictive values, there were slight advantages for the GDS. In the sub-samples, poorer values were found in both scales for cognitively impaired or dementia patients with slightly better values for GDS.

Conclusion

The DIA‑S can be used very easily in everyday clinical practice, but no advantages of this method compared to GDS could be demonstrated.
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Metadaten
Titel
Screening for depression in old age
A comparison of the geriatric depression scale and the depression in old age scale
verfasst von
Dr. phil. Christina Wunner
Mark Stemmler
Johanna Masuch
Markus Gosch
Christiane Waller
Katrin Singler
Publikationsdatum
05.08.2021
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe 1/2022
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-021-01949-w

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