Screening for depression in elderly primary care patients. A comparison of the Center for Epidemiologic Studies-Depression Scale and the Geriatric Depression Scale

Lyness, Jeffrey M.

doi:10.1001/archinte.157.4.449

Cited by 366 publications

(353 citation statements)

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“…While the highest possible sensitivity and specificity are preferable, these values are impressive for a brief seven-item instrument evaluating multiple dimensions of distress with a specificity similar to that of other commonly used instruments designed to screen for only a single dimension of distress. [24][25][26][27][28][29][30][31] The exact PWBI score (0-7) is even more useful at the individual level, where the post-test probability of an individual physician having low mental QOL can be reduced to < 1 % or raised to > 75 %.…”

Section: Discussionmentioning

confidence: 99%

Utility of a Brief Screening Tool to Identify Physicians in Distress

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Utility of a Brief Screening Tool to Identify Physicians in Distress

et al. 2012

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“…Instruments commonly used to collect data on utilities include the EuroQol-EQ-5D (Brooks 1996;Langelaan et al 2007;van Hout et al 2012;Butt et al 2013), the SF-6D (Espallargues et al 2005;Butt et al 2013), the Geriatric Depression Scale (Lyness et al 1997) and other rating scale questionnaires. Health utilities typically are estimated from time trade-off (Weinstein et al 2009) or standard gamble methods (Drummond et al 1987), or from one of several stated-preference methods (e.g., discrete choice (Kessels et al 2011), pairwise comparison (Bradley & Terry 1952), best-worst scaling (Flynn et al 2007), or iterative bidding games (Brookshire & Crocker) ).…”

Section: Precismentioning

confidence: 99%

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

Macedo

Ramos

Hernández-Moreno

et al. 2017

Acta Ophthalmologica

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PurposeGeneric instruments to assess health utilities can be used to express the burden of health problems in widely used indexes. That is in contrast with what can be obtained with condition-specific instruments, outcomes are very specific and difficult to compare across conditions. The purpose of this study was to assess health and visual outcomes and its determinants in patients with visual impairment (VI) using the EQ-5D-3L and the Activity-inventory (AI). MethodsParticipants were recruited in different hospitals during the PCVIP-study. A total of 134 patients with acuity 0.30 logMAR or less in the better eye were interviewed. The AI includes 46 goals split between three objectives: social functioning, recreation and daily living, was used to measure visual ability. The EQ-5D consists of five questions covering one domain each and was used to provide a measure of health states. Responses to each domain were combined to produce a single individual index.ResultsThe AI and the EQ-5D-3L showed enough discriminatory power between VI levels (p<.001) and their results were strongly correlated r(134)=.825, (p<.001). Explanatory factors for visual ability were level of VI in better eye, age and gender, R 2 =.43, (p<.001). Explanatory factors for the EQ-5D-3L were level of VI in the better eye, comorbidities and gender, R 2 =.36, (p<.001). ConclusionsOur results showed that the EQ-5D-3L is useful when characterizing the burden of VI and to compute, when necessary, quality-adjusted-life-years (QALY) changes due to VI. However, is important to consider that the EQ-5D-3L uses a coarse response scale, assesses a limited spectrum of domains and is influenced by comorbidities. This might limit its responsiveness to small changes in visual ability.

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“…The psychometric properties reported here therefore need to be verified when the scales are administered independently. In addition, the effectiveness that these short forms of the GDS (van Marwijk et al, 1993;D'Ath et al, 1994;Lyness et al, 1997;Arthur et al, 1999;Molloy et al, 2006) have shown in screening for depression …”

Section: Geriatric Depression Scale In Palliative Carementioning

confidence: 99%

The geriatric depression scale in palliative care

Crawford

Robinson

2008

Pall Supp Care

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Objective: This research examined the psychometric properties of previously published short forms of the Geriatric Depression Scale (GDS) in patients receiving palliative care. It also uses the full form of the GDS to examine the prevalence of nonsomatic symptoms of depression in palliative patients.Method: Participants were 84 patients with advanced cancer attending palliative care outpatient clinics. Scores for short forms of the GDS were derived from administering the original 30-item scale. Patients also completed the single item numerical analogue scale for depression from the Edmonton Symptom Assessment System and parallel numerical analogue scales for will-to-live and hope. A subset of the sample completed the measures twice. Short forms were judged on the extent to which they captured information gained from the full scale and their internal consistency, test -retest reliability, convergent and concurrent validity, and their distribution of scores.Results: Overall, five short forms showed good psychometric properties at both visits. Two of these forms were very brief. Some nonsomatic symptoms assessed on the full GDS were reported with high frequency. However, few individuals reported a large number of symptoms. At both visits, patients identified as likely to have severe depression gave different responses from other patients on most items on the GDS-30.Significance of results: Several short forms of the GDS may be appropriate for use in palliative care. Patients identified as likely to have severe depression showed many of the same symptoms that characterise depression in other geriatric populations.

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Screening for depression in elderly primary care patients. A comparison of the Center for Epidemiologic Studies-Depression Scale and the Geriatric Depression Scale

Abstract: The CES-D and the GDS have excellent properties for use as screening instruments for major depression in older primary care patients. Because the GDS's yes or no format may ease administration, primary care clinicians should consider its routine use in their practices.

Cited by 366 publications

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Utility of a Brief Screening Tool to Identify Physicians in Distress

Utility of a Brief Screening Tool to Identify Physicians in Distress

Visual and health outcomes, measured with the activity inventory and the EQ‐5D, in visual impairment

The geriatric depression scale in palliative care

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