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Instituto Nacional de Salud Pública

2008, Número 6

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salud publica mex 2008; 50 (6)


Utilidad de dos instrumentos para valorar depresión entre adultos mayores de México en estudios poblacionales y para la atención en el primer nivel de salud

Sánchez-García S, Juárez-Cedillo T, García-González JJ, Espinel-Bermúdez C, Gallo JJ, Wagner FA, Vázquez-Estupiñán F, García-Peña C

Idioma: Ingles.
Referencias bibliográficas: 35
Paginas: 447-456
Archivo PDF: 572.25 Kb.


RESUMEN

Objetivo. Determinar las propiedades psicométricas de las escalas CES-DR y GDS para depresión en población anciana y compararlas con el diagnóstico clínico psiquiátrico. Material y métodos. La primera fase consistió en entrevistas en casa para determinar las propiedades psicométricas. En la segunda fase, los psiquiatras condujeron entrevistas diagnósticas. La muestra consistió en 534 participantes de 60 años y más asegurados por el Instituto Mexicano del Seguro Social.Resultados. Primera fase: Alfa de Cronbach para el GDS y CES-DR fue de 0.87 y 0.86, respectivamente. El análisis factorial del GDS reportó ocho factores que explicaron 53.5% de la varianza, comparado con nueve del CESDR que explicaron 57.9%. Segunda fase: Comparado con el diagnóstico psiquiátrico, el CES-DR reportó una sensibilidad de 82% y una especificidad de 49.2% comparado con 53.8% y 78.9%, respectivamente del GDS. Conclusiones. Las escalas CESDR y GDS tienen consistencia y adecuada validez pero el CES-DR reporta más alta sensibilidad.


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