Reliability of the Brazilian version of the geriatric depression scale (GDS) short form
Reliability of the Brazilian version of the geriatric depression scale (GDS) short form
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DOI：
10.1590/s0004-282x1999000300013
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发表时间：
1999-06-01
影响因子：
1.4
通讯作者：
Almeida, SA
中科院分区：
文献类型：
--
作者：
Almeida, OP;Almeida, SA
抑郁症是老年人常见的健康问题，尽管在临床实践中检测此类病例通常很困难。抑郁症评定量表的系统使用可能会增加老年人抑郁症的诊断率。本研究旨在评估简易版老年抑郁量表（GDS）的重测信度。1998年2月至5月期间，在圣保罗圣卡萨精神卫生部老年人门诊（UNID）连续招募了64名60岁或以上的患者进行研究。根据ICD-10，所有受试者均符合抑郁障碍（当前或缓解中）的诊断标准，并且简易精神状态评分大于10。他们在48至72小时内用GDS-15进行了两次评估。51例患者完成了两项评估。用Kappa统计评价单个项目评分之间的一致性。Kappa系数在0.04 ~ 0.49之间，表明各项目间存在较大的变异。根据配对Wilcoxon（z=1.60，p=0.109）、斯皮尔曼相关系数（rho=0.86，p=0.109）、
Depression is a frequent health problem in old age, although the detection of such cases in clinical practice is often difficult. The systematic use of depression rating scales may increase diagnostic rates of depression amongst the elderly. This study aimed to assess the test-retest reliability of short versions of the Geriatric Depression Scale (GDS) with 1, 4, 10, and 15 items. Sixty-four consecutive patients aged 60 or over attending the outpatient clinic for the elderly (UNID) at the Department of Mental Health of Santa Casa of Sao Paulo were recruited for the study between February and May 1998. All subjects fulfilled criteria for the diagnosis of a depressive disorder (current or in remission) according to ICD-10, and had Mini Mental State scores greater than 10. They were evaluated twice in 48 to 72 hours with the GDS-15. Fifty-one patients completed both assessments. Agreement between scores for individual items was evaluated with Kappa statistic. Kappa coefficients ranged from 0.04 to 0.49, indicating that there was much variation within individual items. Total GDS-15 scores were reasonably stable, as assessed by paired Wilcoxon (z=1.60, p=0.109), Spearman correlation coefficient (rho=0.86, p