Screening for Depression in the Older Adult
- 9 August 1999
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Internal Medicine
- Vol. 159 (15), 1701-4
- https://doi.org/10.1001/archinte.159.15.1701
Abstract
The Center for Epidemiological Studies Depression Scale (CES-D) has been widely used in studies of late-life depression. While the CES-D is convenient to use in most settings, it can present problems for elderly respondents who may find the response format confusing, the questions emotionally stressful, and the time to complete burdensome. A briefer 10-item version has been proposed, but there are few data on its properties as a screening instrument. The 10-item CES-D was administered in 2 studies. In study 1, a stratified sample of middle-aged depressed patients (n = 40) and comparison controls (n = 43) were administered the CES-D to determine an optimal cutoff score. In study 2, the accuracy of the CES-D optimal cutoff score was tested in a sample of adults older than 60 years (n = 68). Major depression diagnoses were derived from the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition, with consensus diagnoses using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Reliability statistics with the 10-item CES-D were found to be comparable to those reported for the original CES-D. Using an optimal cutoff score of 4 in study 1, the sensitivity of the 10-item CES-D was 97%; specificity, 84%; and positive predictive value, 85%. In the study 2 sample of older adults, the sensitivity of the CES-D was 100%; specificity, 93%; and positive predictive value, 38%. The 10-item CES-D has excellent properties for use as a screening instrument for the identification of major depression in older adults.Keywords
This publication has 9 references indexed in Scilit:
- Computerized Depression Screening and AwarenessCommunity Mental Health Journal, 1998
- Depression and cognitive decline after coronary artery bypass graftingThe Lancet, 1997
- The utility of the Center for Epidemiological Studies-Depression Scale in older primary care patientsAging & Mental Health, 1997
- Longitudinal Analysis of the Association between Depressive Symptomatology and Cognitive DeteriorationAmerican Journal of Epidemiology, 1996
- Case-Finding Instruments for Depression in Primary Care SettingsAnnals of Internal Medicine, 1995
- Two Shorter Forms of the CES-D Depression Symptoms IndexJournal of Aging and Health, 1993
- Epidemiology of depression in primary careGeneral Hospital Psychiatry, 1992
- 6/Use of the Center for Epidemiological Studies-Depression Scale with Older AdultsClinical Gerontologist, 1986
- An Inventory for Measuring DepressionArchives of General Psychiatry, 1961