Psychometric evaluation of a brief geriatric depression screen

Lelito, R H; Palumbo, Laura; Hanley, M

doi:10.1080/13607860120080350

Cited by 14 publications

(11 citation statements)

References 24 publications

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“…The GDS Short Form (GDS-SF) consists of 15 items extracted from the GDS. Lelito et al (2001) found the short form to be as effective as the original form in identifying depression (14). Studies show a high correlation between the long and short form ( r = 0.91, p <.01) (12).…”

Section: Objectivesmentioning

confidence: 99%

Comparing Patient-Reported Outcomes Measure Information System Depression Scale with Legacy Depression Measures in a Community Sample of Older Adults with Varying Levels of Cognitive Functioning

Levin

Aebi

Smyth

et al. 2015

The American Journal of Geriatric Psychiatry

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Objectives This study evaluated the utility of Patient-Reported Outcomes Measure Information System Depression Scale (PROMIS-8a) compared to selected “Legacy” depression scales including Montgomery-Asberg Depression Rating Scale (MADRS), Geriatric Depression Scale (GDS), and GDS-Short Form (GDS-SF). Additionally, the measures’ properties were assessed across levels of cognitive functioning. Methods This cross-sectional analysis was extracted from a prospective cohort study. PROMIS-8a and Legacy depression measures were administered to individuals aged ≥70 grouped by cognitive status based on the Saint Louis University Mental Status Examination. McNemar tests were run to determine if measures categorized the absence or presence of depression differently and item analysis evaluated classification discrepancies. Results Sample mean age was 78, the majority was female (71%), Caucasian (79%), with at least a high-school education (89%). The percentage of individuals with at least mild depression was similar across measures (20.7% PROMIS-8a; 19.0% MADRS; 17.9% GDS; 13.9% GDS-SF). PROMIS-8a total score correlated moderately with MADRS (r=.56, df=295, p<.01), GDS (r=.68, df=291, p<.01), and GDS-SF (r=.60, df=291, p<.01) and predictive validity of the measures was similar. There were no significant mean differences on depression measures by cognitive status. Conclusions While all measures identified a similar percent of depressed individuals, the classification differed by measure. Item analysis showed that PROMIS-8a was more likely to identify feelings of dysphoria, and the MADRS and GDS were more likely to identify physiological aspects of depression. Given the brevity and ease of administration of the PROMIS-8a, it appears to be a useful depression screen for community-dwelling older adults.

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Section: Objectivesmentioning

confidence: 99%

Comparing Patient-Reported Outcomes Measure Information System Depression Scale with Legacy Depression Measures in a Community Sample of Older Adults with Varying Levels of Cognitive Functioning

Levin

Aebi

Smyth

et al. 2015

The American Journal of Geriatric Psychiatry

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“…Depressive Symptoms. Depressive symptoms were measured using the Geriatric Depression Scale (GDS; 30-item scale; Lelito, Palumbo, & Hanley, 2001). The tool was initially validated in adults ³55 yr old recruited from housing projects or senior centers or hospitalized for depression in one U.S city.…”

Section: Methodsmentioning

confidence: 99%

Effect of Life Review Writing on Depressive Symptoms in Older Adults: A Randomized Controlled Trial

Chippendale

Bear‐Lehman

2012

The American Journal of Occupational Therapy

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OBJECTIVE. We examined the effects of engaging in the occupation-based intervention of life review through writing on expressed depressive symptoms as measured with the Geriatric Depression Scale in older adults residing in senior residences. METHOD. The study design was a randomized controlled trial that took place in four senior residences in New York City. Forty-five participants (23 treatment, 22 wait-list control) ≥65 yr old participated in the 8-wk, once-weekly autobiographical writing workshop, Share Your Life Story (Sierpina, 2002). RESULTS. Depressive symptoms were significantly less prevalent for the treatment group than for the control group after the 8-wk life review program (repeated-measures analysis of variance p = .03). CONCLUSION. The results suggest that the Share Your Life Story writing workshop is an effective occupation-based intervention for occupational therapists to use with older adults who reside in senior residences.

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“…Given the popularity of the GDS as a screening instrument for depression (e.g., Gerrard et al, 1998;Lelito, Palumbo, & Hanley, 2001), it is important to conduct an investigation into this issue. We frame this question as whether inclusion of the six WAV items on the GDS, which make up 20% of this 30-item scale, would influence the diagnostic outcome of the GDS.…”

Section: Introductionmentioning

confidence: 99%

Withdrawal, apathy and lack of vigor in late life depression: Factorial validity and relationship to diagnosis

Cheng¹,

Chan²

2007

Aging & Mental Health

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Withdrawal, apathy and lack of vigor (WAV) describe a pattern of lack of vitality and dropping of interests and activities in later life, which may or may not indicate depression. This study examines (a) whether the Geriatric Depression Scale (GDS) contains a measure of this symptom cluster, and if so, (b) whether the presence of WAV leads to more false positive predictions by the GDS. A total of 444 Chinese older persons responded to the GDS and the Mini-Mental State Examination (MMSE), and were independently assessed by psychiatrists for depression and other diagnoses. Confirmatory factor analysis showed that six WAV symptoms formed a distinct cluster on the GDS. WAV was positively correlated with age and MMSE but most other symptom clusters measured on the GDS were not. Nonetheless, the ROC curves were essentially the same, regardless of whether the WAV items were included or not. Further analysis revealed that the optimal cutoff for the GDS without WAV produced fewer false positives, but also missed more true cases, than the full scale. The extent to which false positives become an issue depends on the specific threshold chosen (which entails a tradeoff with sensitivity) rather than the presence of WAV items.

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Psychometric evaluation of a brief geriatric depression screen

Cited by 14 publications

References 24 publications

Comparing Patient-Reported Outcomes Measure Information System Depression Scale with Legacy Depression Measures in a Community Sample of Older Adults with Varying Levels of Cognitive Functioning

Comparing Patient-Reported Outcomes Measure Information System Depression Scale with Legacy Depression Measures in a Community Sample of Older Adults with Varying Levels of Cognitive Functioning

Effect of Life Review Writing on Depressive Symptoms in Older Adults: A Randomized Controlled Trial

Withdrawal, apathy and lack of vigor in late life depression: Factorial validity and relationship to diagnosis

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