NDLI: Accuracy of three depression screening scales to diagnose major depressive episodes in older adults without neurocognitive disorders

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Accuracy of three depression screening scales to diagnose major depressive episodes in older adults without neurocognitive disorders

Content Provider	Paperity
Author	Leandro, F. Malloy-diniz Dias, Natalia S. Nascimento, Kenia K. Pereira, Kelly S. Costa, Mônica V. Diniz, Maissa F. Diniz, Breno S.
Abstract	Objective:To determine the sensitivity and specificity of three depression screening scales to diagnose major depressive episodes in the elderly.Methods:Participants (n=129, 88% female) answered a semi-structured psychiatric interview (Mini International Neuropsychiatric Interview) to determine the diagnosis of major depressive disorder. After this, depressive symptoms in depressed and non-depressed subjects were assessed by independent administration of the 15-item Geriatric Depression Scale (GDS-15), Patient Health Questionnaire-9 (PHQ-9), and 17-item Hamilton Rating Scale for Depression (HDRS-17).Results:Patients with major depression and controls did not differ in age and gender distribution. The sensitivity and specificity of all scales to identify a major depressive episode in older adults were ≥ 90%. There were no significant differences between the areas under the curve for PHQ-9 vs. HDRS-17 (z = 1.2, p = 0.2), PHQ-9 vs. GDS-15 (z = 0.26, p = 0.8), or HDRS-17 vs. GDS-15 (z = 1.2, p = 0.2).Conclusion:This study provides evidence supporting the use of PHQ-9 and GDS-15, both of which are simple to administer and easy to interpret, to diagnose major depressive episodes in older adults without neurocognitive disorders.Keywords : Late-life depression; diagnosis; screening; geriatric assessment.
Starting Page	154
Ending Page	156
File Format	HTM / HTML
ISSN	15164446
DOI	10.1590/1516-4446-2015-1818
Issue Number	2
Journal	Brazilian Journal of Psychiatry
Volume Number	38
e-ISSN	1809452X
Language	English
Publisher	AssociaÃ§Ã£o Brasileira de Psiquiatria (ABP)
Publisher Date	2016-01-06
Access Restriction	Open
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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