Validity of the Brazilian version of the Geriatric Depression Scale (GDS) among primary care patients

Castelo, Milena Sampaio; Coelho-Filho, João Macedo; Carvalho, André F.; Lima, José Wellington Oliveira; Noleto, Jamile Coelho Soares; Ribeiro, Kersia Gomes; Siqueira-Neto, José Ibiapina

doi:10.1017/s1041610209991219

Cited by 74 publications

(76 citation statements)

References 22 publications

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“…The prevalence of depression in the elderly assisted by the FHS in Dourados was 34.4%, a result similar to those of studies conducted in Fortaleza (CE) (34.2%) (11) and Goiânia (GO) (35.1%) (17) .…”

Section: Discussionsupporting

confidence: 81%

“…The first question requires special attention, because when it is answered negatively, it present a high positive predictive value for depression (11) .…”

Section: Discussionmentioning

confidence: 99%

“…There are few studies on the factorial structure of the Scale (9)(10)(11)(12) . The factorial structure analysis of the GDS allows to detect whether the elderly present low selfesteem, lack of energy, anxiety, loss of enthusiasm and hope (apathy) or social isolation, and determine whether the results may be generalized.…”

Section: Introductionmentioning

confidence: 99%

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Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica

2012

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Objectives: To verify the factor structure of the Geriatric Depression Scale of 15 items (GDS 15) in a sample of elderly people assisted by the Family Health Strategy, to describe their social profile, and to analyze the responses to items on the Scale. Methods: A cross-sectional study interviewing 503 elderly assisted by the Family Health Strategy, in Dourados, MS (Brazil). To analyze the responses of the GDS 15, we used the Mantel-Haenzsel chi-square test (p <0.05) was used. A factor analysis, internal consistency and generalization of the results for the population was performed. Results: Of the 503 elderly interviwed, 69.0% were women, 53.1% were illiterate, 53.7% were 70 years or older, and 34.4% presented depression. Factor analysis identified four factors (apathy, hopelessness, lack of motivation, and isolation). The structure of the GDS 15 did not prove appropriate for the generalizability of results. Conclusion: Among elderly patients with depression, apathy and isolation predominated. Health care teams must promote physical, recreational and cultural activities to minimize this situation. Further research is needed, especially to analyze the factorial structure. Keywords: Depression; Signs and symptoms; Aged; Family health; Factor analysis, statistical RESUMOObjetivos: Verificar a estrutura fatorial da Escala de Depressão Geriátrica de 15 itens em uma amostra de idosos assistidos pela Estratégia Saú-de da Família, descrever o perfil social e analisar as respostas aos itens da Escala de Depressão Geriátrica. Métodos: Estudo de delineamento transversal com 503 idosos assistidos pela Estratégia Saúde da Família, em Dourados, MS. Para analisar as respostas da EDG 15, utilizou-se o teste de Qui-quadrado de Mantel-Haenzsel (p <0,05). A análise fatorial, a consistência interna e a generalidade dos resultados para a população foram realizadas. Resultados: Dos 503 idosos pesquisados 69,0% eram mulheres, 53,1% não letrados, 53,7% tinham 70 anos ou mais e 34,4% apresentavam depressão. A análise fatorial identificou quatro fatores (apatia, desesperança, desmotivação e isolamento). A estrutura da EDG 15 não se mostrou apropriada para a generalização de resultados. Conclusão: Dentre os idosos com depressão, predominaram a apatia e o isolamento. Cabe às equipes de saúde promover atividades físicas, recreativas e culturais para minimizar esse quadro. Novas pesquisas serão necessárias, sobretudo para análise da estrutura fatorial. Descritores: Depressão; Sinais e sintomas; Idoso; Saúde da família; Análise fatorial RESUMEN Objetivos: Verificar la estructura factorial de la Escala de Depresión Geriátrica de 15 items en una muestra de ancianos asistidos por la Estrategia Salud de la Familia, describir el perfil social y analizar las respuestas a los ítems de la Escala de Depresión Geriátrica. Métodos: Estudio de delineamiento transversal realizado con 503 ancianos entrevistados y 503 asistidos por la Estrategia Salud de la Familia, en Dourados, MS (Brasil). Para analizar las respuestas de la EDG 15, se utilizó la ...

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Section: Discussionsupporting

confidence: 81%

“…The first question requires special attention, because when it is answered negatively, it present a high positive predictive value for depression (11) .…”

Section: Discussionmentioning

confidence: 99%

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Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica

2012

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“…In fact, several abbreviated or short form versions of the GDS scales have been proposed (for a detailed review see Pocklington et al, 2016), but many of them include at least one item with DIF. For example, one or both DIF items (i.e., item 6 and item 10) were included in the various 10-item versions of the GDS (Castelo et al, 2010;D'Ath et al, 1994;Izal et al, 2010) as well as in the 4-item versions proposed by D 'Ath et al (1994) and Allgaier et al (2013). Finally, other brief versions -consisting of 4 items (Almeida and Almeida, 1999), 5 items (Hoyl et al, 1999;Italian version: Rinaldi et al, 2003), and 7 items (Broekman et al, 2011)-were derived from the GDS-15 excluding item 6 and item 10, but their equivalent functioning across different cognitive functioning groups was not tested when the subset of items is used as a stand-alone instrument.…”

Section: Discussionmentioning

confidence: 99%

Does the 15-item Geriatric Depression Scale function differently in old people with different levels of cognitive functioning?

Chiesi

Primi

Pigliautile

et al. 2018

Journal of Affective Disorders

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A B S T R A C TBackground: The 15-item version of the Geriatric Depression Scale (GDS-15) is widely employed to screen depression among elderly but little is known about the scale functioning in cognitively impaired individuals when compared to normal ones. The aim of the current study is to investigate Differential Item Functioning (DIF) across groups of older people that differ in terms of cognitive functioning applying Item Response Theory (IRT)-based analyses. Methods: Data from an Italian multi-centric clinical-based study on cognitive impairment and dementia in old people were employed (N = 1903; Age: M = 77.33, SD = 7.05, 62% women). All the participants underwent a comprehensive evaluation (including clinical examination, laboratory screening, neuroimaging, and cognitive and behavioral assessments) and they were assigned to three different groups on the basis of their cognitive functioning (normal, mild cognitive impairment, cognitive impairment) Results: Two items showed uniform DIF but their differential functioning does not propagate to the GDS-15 total scores in such a way that a differential interpretation is needed Limitations: Whereas an advantage of the study is the large sample size, the relatively small size of the mild cognitive impairment group might reduce the stability of the present results Conclusions: Since a screening tool for elderly is intended to apply to everyone in the target population, the current findings support the clinical utility of the GDS-15 as screening tool for depression.

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“…Such limitation is justifiable since that GDS-15 presents good sensitivity and specificity when compared to clinical interviews based on the DSM-IV criteria (29) . Moreover, the cognitive performance was measured with a brief neuropsychological exam which did not encompass all cognitive functions, such as cognitive flexibility.…”

Section: Discussionmentioning

confidence: 99%

Depressive signs and cognitive performance in patients with a right hemisphere stroke

Oliveira

Pagliarin

Calvette

et al. 2015

CoDAS

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Purpose: This study investigated the influence of suggestive signs of depression (SSD) in right-hemisphere brain-damaged (RHD) patients following a stroke on their cognitive performance measured by a brief neuropsychological assessment battery. Methods: Forty-two adults with RHD after a single episode of stroke and 84 matched controls participated in this study. They were assessed by means of the Geriatric Depression Scale and by Brief Neuropsychological Assessment Battery NEUPSILIN. Results: Almost half of the patients showed SSD. The RHD group with SSD (RHD+) showed poorer performance in at least one task among all evaluated cognitive domains (concentrated attention, visual perception, working memory, episodic verbal memory and semantic memory, auditory and written language, constructional praxia and verbal fluency). Conclusion: The association of depression and RHD seems to enhance the occurrence and the severity of cognitive déficits. A brief neuropsychological assessment can be useful to identify cognitive impairment caused by this neuropsychiatric disorder.

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Validity of the Brazilian version of the Geriatric Depression Scale (GDS) among primary care patients

Abstract: The GDS-30, GDS-15, GDS-10 and GDS-4 proved to be good screening instruments for depression in primary care clinics in Brazil, whereas the GDS-1 failed to perform adequately.

Cited by 74 publications

References 22 publications

Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica

Sintomas depressivos em idosos: análise dos itens da Escala de Depressão Geriátrica

Does the 15-item Geriatric Depression Scale function differently in old people with different levels of cognitive functioning?

Depressive signs and cognitive performance in patients with a right hemisphere stroke

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