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KMID : 0384320060270050364
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Korean Journal of Family Medicine
2006 Volume.27 No. 5 p.364 ~ p.369
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Comparing Various Short-Form Geriatric Depression Scales in Elderly Patients
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Park Hyun-Seok
Young Jak Deung Jung
Lee Cha-Im
Oh Jung-Eun
Hong Sung-Ho
Cho Choo-Yon
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Abstract
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Background: A 15-item GDS form is now widely used to screen for depressive symptoms in elderly patients, but even the 15-item version seems fairly long for routine
use in busconducted to determine which of the three short-form GDS tools with four or five questions extracted from the 15-item GDS tool could be a valid alternative to the
15-item GDS.
Methods: This study was performed using a questionnaire survey of 102 elderly patients over sixty-five, who had either visited or had been admitted in either one
of the two universities hospitals in Seoul or Chung-Cheong district from October 1999 to June 2004. Questionnaire contained demographic and statistical characteristics,
items related to health behavior, 15-item GDS, Mini-Mental State Examination Korean (MMSE-K) and activities of daily living. Three scales, namely, D’Ath GDS-4, Van Marwijk GDS-4, and Hoyl GDS-5 were compared to the 15-item GDS. Sensitivity, specificity,
positive predictive value and the area under the ROC curves were calculated for each short-form GDS scales.
Results: The mean 15-item GDS score was 7.4±3.3 and 69.6% of the subjects were to have suggested depression. Hoyl GDS-5 instrument had the highest sensitivity
of 87.3%, specificity of 80.6%, and positive predictive value of 91.1% among the three short-form alternatives. The 5-item Hoyl GDS version had the highest area under the curve (0.84), compared to 0.76 for the 4-item Van Marwijk and 0.66 for the 4-item D’Ath GDS version.
Conclusion: The 5-item Hoyl GDS had superior validity over the D’Ath GDS-4 and Van Marwijk GDS-4. The GDS5/15 may be an effective alternative screening tool.
(J Korean Acad Fam Med 2006;27:364-369)
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KEYWORD
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deression, GDS, elderly, screening
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