A clinically feasible short version of the 15-item geriatric depression scale extracted using item response theory in a sample of adults aged 85 years and older

Johansson, Sanna; Lövheim, Hugo; Gustafson, Yngve; Niklasson, Johan

doi:10.1080/13607863.2021.1881759

Cited by 9 publications

(9 citation statements)

References 18 publications

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“…GDS item 9 ("Do you prefer to stay at home rather than going out and doing new things?") have, in previous studies, shown low results for item 9 in various analyses (31,32), indicating that this item measures something other than depression or that it is just not relevant among very old adults. Item 10 ("Do you feel you have more problems with your memory than most?")…”

Section: Internal Reliabilitymentioning

confidence: 89%

Validity and test-retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults

Snellman,

Hörnsten,

Olofsson

et al. 2023

Preprint

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Background: The Geriatric Depression Scale (GDS) has shown good validity and reliability, but few studies have examined the GDS among very old adults or the Swedish translation. Objectives: Evaluate the validity and reliability of the Swedish version of GDS-15 among very old adults. Methods: In the Umeå85+/GErontological Regional DAtabase (GERDA) study, 387 participants were assessed with both the GDS-15 and the Montgomery-Åsberg Depression Rating Scale (MADRS). The mean age was 91 years. Concurrent validity between the scales was calculated using Spearman's correlation. We used the Diagnostic and Statistical Manual of Mental Disorders (DSM) V symptom criteria for depression based on MADRS item scores to define depression. We calculated Area Under the Curve (AUC) and found an optimal cut off. A convenience sample with 60 individuals was used to calculate test-retest reliability with Cohen’s kappa and Intraclass Correlation Coefficient (ICC). Results: Spearman's correlation coefficients between total scores for GDS-15 and MADRS were 0.60. Cronbach's alpha for the whole scale was 0.73. The AUC was 0.90 for distinguishing major depression, and the recommended cut off of ≥ 5 showed a sensitivity of 95.2% and specificity of 65.8%. The test-retest showed that Cohen’s kappa was substantial (0.71) and the ICC was excellent (0.95). Conclusions: The Swedish version of the GDS-15 showed good validity and reliability among very old adults. The generally recommended cut-off of ≥ 5 seems reasonable to use with the Swedish version and among very old adults.

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Section: Internal Reliabilitymentioning

confidence: 89%

Validity and test-retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults

Snellman,

Hörnsten,

Olofsson

et al. 2023

Preprint

Self Cite

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“…Its diagnostic performance for depression in older populations has also received recognition. 43 , 44 Participants were asked four questions: “Do you feel satisfied with your life?” (yes/no, 0/1), “Do you often feel empty?” (yes/no, 1/0), “Do you often feel that something bad is about to happen?” (yes/no, 1/0), and “Do you feel happy most of the time?” (yes/no, 0/1). An impairment in the psychological domain was defined as a score of 2 or more out of 4.…”

Section: Methodsmentioning

confidence: 99%

Intrinsic Capacity Declines with Elevated Homocysteine in Community-Dwelling Chinese Older Adults

Lin¹,

Wang²,

Zheng³

et al. 2022

CIA

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Purpose Intrinsic capacity (IC) reflects the overall health status of older adults and has great public health significance. But few studies described the related biomarkers for IC. The aim of this study was to investigate the association between homocysteine (Hcy) and IC in older adults. Participants and Methods This cross-sectional study included 1927 community-dwelling Chinese older adults aged 60–98 years from May 2020 to December 2020. Data were collected through interviews, physical examinations, and laboratory tests. IC involved five domains of cognition, locomotion, sensory, vitality, and psychology evaluated by the Mini-cog scale, 4-m walk test, self-reported visual and hearing conditions, MNA-SF scale, and GDS-4 scale, respectively. The score of each domain dichotomized as 0 (normal) and 1 (impaired) was added together to an IC total score. Low IC was defined as a score of 3–5, and high IC as 0–2. Hcy was measured by a two-reagent enzymatic assay. A restricted cubic spline regression model was used to explore the non-linear relationship between Hcy and low IC. Results Hcy was higher in the low IC group than in the high IC group. Restricted cubic spline analysis revealed a J-shaped nonlinear association between Hcy and low IC. The risk of IC decline was slowly decreased until 8.53 µmol/L of Hcy (OR=0.753, 95% CI=0.520–1.091, P=0.132), and increased with elevations of per 5 µmol/L Hcy afterwards (OR=1.176, 95% CI=1.059–1.327, P=0.005). Among the five domains of IC, Hcy had ORs of 1.116 (1.009–1.247) for cognition impairment, 1.167 (1.055–1.305) for vitality, and 1.160 (1.034–1.303) for psychology per 5 µmol/L increase in Hcy above the change point. Additional sensitivity analysis also demonstrated the nonlinear association between Hcy and low IC. Conclusion Hcy had a J-shaped association with low IC. Higher Hcy (Hcy ≥8.53µmol/L) might provide clinical implications for early identifying the risk of low IC.

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“…Donde los ítems 3, 8, 12 y 13 de la GDS-15 diferenciaron mejor los niveles de síntomas depresivos de los encuestados correspondientes al valor de corte de la GDS-15 de ≥5, independientemente de la edad o el sexo, y por lo tanto comprenden la versión corta propuesta de la escala (GDS-4 GERDA). Para la identificación de personas con depresión (puntaje total de GDS-15 ≥ 5), el GDS-4 GERDA con un puntaje de corte de ≥2 tuvo una sensibilidad del 92,9 % y una especificidad del 85,0 % (Johansson et al, 2021).…”

Section: Conclusionesunclassified

Propiedades psicométricas de la escala de depresión geriátrica: revisión sistemática

Calle

Coronel

2023

CCD

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Introducción. La depresión es el trastorno mental más común entre los adultos mayores y una de las afecciones más incapacitantes en todo el mundo. Objetivo. Revisar en la evidencia científica sobre las propiedades psicométricas de la escala de depresión geriátrica. Metodología. Se realizó un estudio documental de revisión sistemática de bibliografía. Con respecto a las estrategias de búsqueda, se trabajó con la biblioteca de la Universidad Católica de Cuenca, se utilizaron las bases de datos Scopus, Pubmed y Web of Science, desde el año 2017 al 2021en idioma inglés y español. Lo cual permitió obtener un total de 14 artículos que fueron analizados minuciosamente. Resultados. La escala Geriatric Depression Scale (GDS) tiene propiedades psicométricas adecuadas, fiables y válidas para evaluar los conocimientos sobre la depresión geriátrica, aportando así para los estudiantes, profesión de la salud, debido a que es un instrumento de tamizaje breve y de fácil aplicación, ampliamente utilizado en la clínica y la investigación para detectar síntomas depresivos en los adultos mayores que puede brindar una confiabilidad de un diagnóstico adecuado. Conclusión. Se concluye que la GDS es un instrumento fiable para aplicar en la población de adultos mayores. Área de la ciencia: Enfermería, Gestión de cuidado.

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A clinically feasible short version of the 15-item geriatric depression scale extracted using item response theory in a sample of adults aged 85 years and older

Abstract: Niklasson (2021): A clinically feasible short version of the 15-item geriatric depression scale extracted using item response theory in a sample of adults aged 85 years and older, Aging & Mental Health,

Cited by 9 publications

References 18 publications

Validity and test-retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults

Validity and test-retest reliability of the Swedish version of the Geriatric Depression Scale among very old adults

Intrinsic Capacity Declines with Elevated Homocysteine in Community-Dwelling Chinese Older Adults

Propiedades psicométricas de la escala de depresión geriátrica: revisión sistemática

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