TY - JOUR
T1 - Comparing various short-form geriatric depression scales leads to the GDS-5/15
AU - Weeks, Sandra Kenney
AU - McGann, Paul E.
AU - Michaels, Teresa King
AU - Penninx, Brenda W.J.H.
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Purpose: To compare three published short GDS scales and to identify a valid and reliable short-form alternative to the 15-item Geriatric Depression Scale. Design: Comparative validation study via retrospective chart review of 816 acute care patients in an 830-bed academic medical center in the USA in 2001. Methods: Data of the 15-item Geriatric Depression Scale, the Mini-Mental State Examination, and demographic data were extracted from medical records after patient discharge. Three scales: the D'Ath GDS-4, van Marwijk GDS-4, and Hoyl GDS-5, were compared to the 15-item Geriatric Depression Scale. Results: The Hoyl 5-item version showed the highest sensitivity (97.9%). Concern for GDS-5 false positives when compared to the 15-item GDS (specificity 72.7%) led to re-ordering the 15 GDS items into a new two-tiered instrument, the GDS-5/15. In this study of 816 older adult inpatients, 60% were screened as "not depressed" using the first 5 items on the GDS-5/15, leaving 40% for continued screening and completion of all 15 GDS items. Conclusions: A shorter screening tool might encourage more providers to add depression screening to routine health care visits. The GDS-5/15 is an alternative screening tool.
AB - Purpose: To compare three published short GDS scales and to identify a valid and reliable short-form alternative to the 15-item Geriatric Depression Scale. Design: Comparative validation study via retrospective chart review of 816 acute care patients in an 830-bed academic medical center in the USA in 2001. Methods: Data of the 15-item Geriatric Depression Scale, the Mini-Mental State Examination, and demographic data were extracted from medical records after patient discharge. Three scales: the D'Ath GDS-4, van Marwijk GDS-4, and Hoyl GDS-5, were compared to the 15-item Geriatric Depression Scale. Results: The Hoyl 5-item version showed the highest sensitivity (97.9%). Concern for GDS-5 false positives when compared to the 15-item GDS (specificity 72.7%) led to re-ordering the 15 GDS items into a new two-tiered instrument, the GDS-5/15. In this study of 816 older adult inpatients, 60% were screened as "not depressed" using the first 5 items on the GDS-5/15, leaving 40% for continued screening and completion of all 15 GDS items. Conclusions: A shorter screening tool might encourage more providers to add depression screening to routine health care visits. The GDS-5/15 is an alternative screening tool.
KW - Depression
KW - GDS
KW - Older adults
UR - http://www.scopus.com/inward/record.url?scp=0037812178&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/j.1547-5069.2003.00133.x
DO - https://doi.org/10.1111/j.1547-5069.2003.00133.x
M3 - Review article
C2 - 12854293
SN - 1527-6546
VL - 35
SP - 133
EP - 137
JO - Journal of nursing scholarship
JF - Journal of nursing scholarship
IS - 2
ER -