Adaptation of the Geriatric Depression Scale in Spain

Izal, María; Montorio, Ignacio

doi:10.1300/j018v13n02_07

Cited by 43 publications

(27 citation statements)

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“…The overall discrimination of the ten-item GDS was 0.86 for identifying clinical major or minor depression among nursing home patients, with sensitivity rates of 75-86% and specificity rates of 70-77% for the optimal cut-off score of 4 or higher (Shah et al 1996;Jongenelis et al 2005). Although the ten-item GDS has not been validated for Spanish population, translation and adaption of longer 15-and 30-item versions to the Spanish language were straightforward and showed similar psychometric properties to those of the original questionnaires (Izal & Montorio, 1993;Martínez de la Iglesia et al 2002). (See supplementary material.…”

Section: Baseline Data Collectionmentioning

confidence: 96%

Association of detected depression and undetected depressive symptoms with long-term mortality in a cohort of institutionalised older people

Damián

Pastor-Barriuso

Valderrama-Gama

et al. 2016

Epidemiol Psychiatr Sci

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Background. Studies on depression and mortality in nursing homes have shown inconclusive findings, and none has studied the role of detection. We sought to measure the association of depression with long-term all-cause mortality in institutionalised older people and evaluate a potential modification in the association by its detection status.Methods. We selected a stratified cluster sample of 591 residents aged 75 years or older (mean age 84.5 years) living in residential and nursing homes of Madrid, Spain, who were free of severe cognitive impairment at the 1998-1999 baseline interview. Mortality was ascertained until age 105 years or September 2013 (median/maximum follow-up 4.8/15.2 years) through linkage to the Spanish National Death Index. Detected depression was defined at baseline as a physician's diagnosis or antidepressant use, undetected depression as significant depressive symptoms (score of 4 or higher on the ten-item version of the Geriatric Depression Scale) without documented diagnosis or treatment, and no depression as the absence of diagnosis, treatment, and symptoms. Constant and age-dependent hazard ratios for mortality comparing detected and undetected depression with no depression were estimated using Cox models, and absolute years of life gained and lost using Weibull models.Results. The baseline prevalences of detected and undetected depression were 25.9 and 18.8%, respectively. A total of 499 participants died during 3575 person-years of follow-up. In models adjusted for age, sex, type of facility, number of chronic conditions, and functional dependency, overall depression was not associated with long-term all-cause mortality (hazard ratio 0.87, 95% confidence interval (CI): 0.70-1.08). However, compared with no depression, detected depression showed lower mortality (hazard ratio 0.63, 95% CI: 0.46-0.86), while undetected depression registered higher, not statistically significant, mortality (hazard ratio 1.35, 95% CI: 0.98-1.86). The median life expectancy increased by 1.8 years (95% CI: −3.1 to 6.7 years) in residents with detected depression and decreased by 6.3 years (95% CI: 2.6-10.1 years) in those undetected. Results were more marked in women than men and they were robust to the exclusion of antidepressants from the definition of depression and also to the use of a stricter cut-off for the presence of depressive symptoms.Conclusions. The long-term mortality risk associated with depression in nursing homes depends on its detection status, with better prognosis in residents with detected depression and worse in those undetected. The absolute impact of undetected depressive symptoms in terms of life expectancy can be prominent.

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Section: Baseline Data Collectionmentioning

confidence: 96%

Association of detected depression and undetected depressive symptoms with long-term mortality in a cohort of institutionalised older people

Damián

Pastor-Barriuso

Valderrama-Gama

et al. 2016

Epidemiol Psychiatr Sci

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“…La escala GDS original consta de 30 items (22) y está traducida y adaptada al castellano (23,24). Sin embargo, debido a la dificultad por parte de los pacientes mayores de soportar exploraciones prolongadas y al escaso tiempo disponible en la asistencia diaria, se han desarrollado y validado versiones más cortas ( de 4, 5, 10 y 15 items) con rangos similares en sensibilidad y especificidad (25).…”

Section: Materials Y Métodosunclassified

Detección y prevalencia de trastornos depresivos geriátricos en atención primaria

Cruz¹,

Primo²

2004

Rev. Asoc. Esp. Neuropsiq.

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“…Las variables predictivas para este estudio global fueron: el grupo de pertenencia (residencias [1] y comunidad [2]), sexo (varón [1] y mujer [2]), la edad cronológica en años, cuantitativa y en categorías de 60 a 64 años [1], 65 a 69 años [2], 70 a 74 años [3], 75 a 79 años [4], 80 a 84 años [5] y 85 o más años [6]; la clase social (16) variable cuantitativa; también será tratada como variable cualitativa en categorías con cinco valores: muy alta [1]; alta [2]; media [3]; baja [4] y muy baja [5] y deterioro cognitivo (17), variable cuantitativa discreta y cualitativa para los sujetos intactos o con deterioro ausente [1] y con deterioro cognitivo leve [2].…”

Section: Diseño Variables Y Condiciones De Controlunclassified

“…Escala de Depresión Geriátrica (GDS) (1), adaptada y validada a la población española por Izal y Montorio (4,5). Esta prueba ha demostrado una gran utilidad para la evaluación de la sintomatología depresiva en el anciano.…”

Section: Instrumentosunclassified

“…En nuestro ámbito científico la versión de la GDS más fiel a la original fue la presentada por Izal y Montorio (4). Posteriormente estos autores (5) validan la escala con un grupo de personas de la comunidad (hogares de pensionistas) y otro entre los usuarios de una unidad de día, ratificando la idoneidad del punto de corte en 14 o más respuestas significativas para indicar la presencia de sintomatología depresiva.…”

Section: Introductionunclassified

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Propiedades psicométricas de la escala geriátrica de depresión (GDS): análisis procedente de cuatro investigaciones

Rodríguez‐Testal

Valdés

Benítez

2003

Revista Española de Geriatría y Gerontología

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Adaptation of the Geriatric Depression Scale in Spain

Cited by 43 publications

References 0 publications

Association of detected depression and undetected depressive symptoms with long-term mortality in a cohort of institutionalised older people

Association of detected depression and undetected depressive symptoms with long-term mortality in a cohort of institutionalised older people

Detección y prevalencia de trastornos depresivos geriátricos en atención primaria

Propiedades psicométricas de la escala geriátrica de depresión (GDS): análisis procedente de cuatro investigaciones

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