2008, Number 6
<< Back Next >>
salud publica mex 2008; 50 (6)
Usefulness of two instruments in assessing depression among elderly Mexicans in population studies and for primary care
Sánchez-García S, Juárez-Cedillo T, García-González JJ, Espinel-Bermúdez C, Gallo JJ, Wagner FA, Vázquez-Estupiñán F, García-Peña C
Language: English
References: 35
Page: 447-456
PDF size: 572.25 Kb.
ABSTRACT
Objective. To determine the psychometric qualities of the CES-DR and GDS scales in the elderly and compare them to clinical psychiatric diagnoses.
Material and Methods. The first phase consisted of home interviews for determining the psychometric qualities of the GDS and CES-DR scales. In the second phase, psychiatrists conducted diagnostic interviews. The sample consisted of 534 participants older than 60 years of age insured by the Mexican Institute of Social Security.
Results. First phase: Cronbach’s alpha for the GDS was 0.87 and 0.86 for CES-DR. The GDS factorial analysis found eight factors that could explain 53.5% of the total variance and nine factors that explained 57.9% in the CES-DR. Second phase: Compared to the psychiatric diagnoses, CES-DR reported a sensitivity of 82% and a specificity of 49.2%; GDS reported 53.8% sensitivity and 78.9% specificity.
Conclusions. CES-DR and GDS scales have high reliability and adequate validity but the CES-DR reports higher sensitivity.
REFERENCES
Apfeldorf W, Alexopoulos G. Late-life Mood Disorders. In: Principles of geriatric medicine and gerontology. USA: McGraw Hill, 2003.
Beekman A, Copeland J, Prince M. Review of community prevalence of depression in later life. Br J Psychiatry 1999;174:307-311.
Wagner FA, Gallo JJ, Delva J. Depression in late life: a hidden public health problem for Mexico? Salud Publica de Mex 1999;41:189-202.
Reyes-Fraustro S. Population Ageing in the Mexican Institute of Social Security: economic and health policy implications. Mexico City: IMSSMexican Foundation for Health, 2001.
Bello M, Puentes-Rosas E, Medina-Mora, ME, Lozano, R. Prevalence and diagnosis of depression in Mexico. Salud Publica Mex 2005;47:S4-S11.
Bair M, Robinson R, Katon W, Kronke K. Depression and pain comorbidity: a literature review. Arch Intern Med 2003;163:2433-2445.
Beekman A, Penninx B, Deeg D, Beurs E, Geerlings S, Tilburg W. The impact of depression on the well-being, disability and use of services in older adults: a longitudinal perspective. Acta Psychiatr Scand 2002;105:20-27.
Mitchell AJ. Depression as a risk factor for later dementia: a robust relationship? Age and Aging 2005;34:207-209.
Lapid MI, Rummans TA. Evaluation and management of geriatric depression in primary care. Mayo Clin Proc 2003;78:1423-1429.
Himelhoch S, Weller WE, Wu AW, Anderson GF, Cooper LA. Chronic medical illness, depression, and use of acute medical services among Medicare beneficiaries. Med Care 2004;42:512-521.
Robins LN, Regier DA. Psychiatric Disorders in America: The Epidemiologic Catchment Area Study. New York: The Free Press, 1991.
Wang PS, Schneeweiss S, Brookhart MA, Glynn RJ, Mogun H, Patrick AR, et al. Suboptimal antidepressant use in the elderly. J Clin Psychopharmacol 2005;25:118-126.
Strothers HS 3rd, Rust G, Minor P, Fresh E, Druss B, Satcher D. Disparities in antidepressant treatment in Medicaid elderly diagnosed with depression. J Am Geriatr Soc 2005;53:456-61.
Remick RA. Diagnosis and management of depression in primary care: a clinical update and review. CMAJ 2002;167:1253-1260.
Tesar GE. Should primary care physicians screen for depression? Cleve Clin J Med 2003;70:488-490.
Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1997;1:385-401.
Eaton W, Muntaner C, Smith C. Revision of the Center for Epidemiologic Studies Depression (CES-D) Scale. Johns Hopkins University. Prevention Center. Baltimore: Johns Hopkins University, 1998.
Brink TL, Yesavage JA, Lum O, Heersema P, Adey M. Dement WC. Screening test for geriatric depression. Clin Gerontol 1982;1:37-44.
Yesavage JA, Brin TL, Rose TL, Lum O, Huang V, Adey M et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Geriatr Psychiatry Neurol 1983;17:37-49.
Nease DE Jr, Maloin JM. Depression screening: a practical strategy. J Fam Pract 2003; 52:118-126.
Reyes M, Soto AL, Milla JG, García A, Hubard L, Mendoza H, et al. Actualización de la Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D). Estudio piloto en una muestra geriátrica mexicana. Salud Mental 2003;26:59-68.
Fernandez-San Martin MI, Andrade C, Molina J, Munoz PE, Carretero B, Rodriguez M et al. Validation of the Spanish version of the geriatric depression scale (GDS) in primary care. Int J Geriatr Psychiatry 2002;17:279-287.
Reyes de Beaman S, Beaman P, García-Peña C, Vill, MA, Heres J, Córdova A, et al. Validation of a modified version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol. Cognition 2004;11:1-11.
Evans S, Katona C. Epidemiology of depressive symptoms in elderly primary care attenders. Dementia 1993;4:327-333.
Lyness JM, Noel TK, Cox C, King DA, Conwell Y, Caine ED. Screening for depression in elderly primary care patients. A comparison of the Center for Epidemiologic Studies-Depression Scale and the Geriatric Depression Scale. Arch Intern Med 1997;157:449-454.
Blank K, Gruman C, Robison JT. Case-finding for depression in elderly people: balancing ease of administration with validity in varied treatment settings. J Gerontol A Biol Sci Med Sci 2004;59:378-384.
Barry KL, Fleming MF, Manwell LB, Copeland LA, Appel S. Prevalence of and factors associated with current and lifetime depression in older adult primary care patients. Fam Med 1998;30:366-371.
Leung KK, Lue BH, Lee MB, Tang LY. Screening of depression in patients with chronic medical diseases in a primary care setting. Family Practice 1998;15:67-75.
Donabedian A. Aspects of medical care administration: Specifying requirements for health care. Cambridge, MA: Harvard University Press, 1973.
Kendell RE. Clinical validity. Psychol Med 1989;19:45-55.
Herrman H, Patrick DL, Diehr P, Martin ML, Fleck M, Simon GE, et al. Longitudinal investigation of depression outcomes in primary care in six countries: the LIDO study. Functional status, health services use and treatment of people with depressive symptoms. Psychol Med 2002; 32:889-902.
Regier DA, Narrow WE, Rae DS, Manderschied RW, Locke BZ, Goodwin FK. The de facto US mental and addictive disorders service system: Epidemiological Catchment Area prospective 1-year prevalence rates of disorders and services. Arch Gen Psychiat 1993:50:85-94.
Blazer D. Depression in the elderly. N Engl J Med 1989;320:164-166.
Sartorius N, Ustun TB, Costa e Silva JA, Goldberg D, Lecrubier Y, Ormel J, et al. An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on “Psychological Problems in General Health Care”. Arch Gen Psychiatry 1993;50: 819-824.
Sartorius N, Ustun TB, Lecrubier Y, Wittchen HU. Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care. Br J Psychiatry 1996:Suppl, 38-43.