KMID : 0869220090130010032
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Journal of Korean Geriatric Psychiatry 2009 Volume.13 No. 1 p.32 ~ p.37
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Comparing Various Short-form Geriatric Depression Scales in Elderly Psychiatric Patients in Korea
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Lee Sang-Hun
Kang Min-Hee Kim Chul-Eung Lee Jung-Sub Bae Jae-Nam Cho Maeng-Je
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Abstract
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Objectives: The purpose of this study is to evaluate the diagnostic validity of the three published short Geriatric Depression Scales and to identify a valid and reliable alternative to the Korean version of the Geriatric Depression Scale (GDS-K) and short form Geriatric Depression Scales (SGDS-K).
Methods: All subjects were registered elderly psychiatric patients who first visited the Geriatric Psychiatry Clinic of Seoul National University Hospital in Seoul between April 1996 and May 1999. The GDS-K, SGDS-K, Hoyl GDS-5, D¡¯Ath GDS-4, van Marwijk GDS-4 were administered. Receiver operating characteristics (ROC) curve analysis performed to investigate the diagnostic validity of the Hoyl GDS-5, D¡¯Ath GDS-4, and van Marwijk GDS-4.
Results: The best trade-off between sensitivity and specificity was achieved with a Hoyl GDS-5 score of 3 (sensitivity£º0.7258, specificity£º0.7717), a D¡¯Ath GDS-4 score of 3 (sensitivity£º0.5968, specificity£º0.7391), and a van Marwijk GDS-4 score of 3 (sensitivity£º0.6613, specificity£º0.7391). The area under the ROC curves of each diagnostic tool were calculated into the Hoyl GDS-5 of 0.8198, the D¡¯Ath GDS-4 of 0.7525, and the van Marwijk GDS-4 of 0.7528.
Conclusion: The Hoyl GDS-5 may be utilized in screening for major depression among the elderly psychiatric patients in Korea.
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KEYWORD
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The Hoyl GDS-5, The D¡¯Ath GDS-4, The van Marwijk GDS-4, Korean elderly, Major depression
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