Self-report depression screening measures for older Hispanic/Latin American adults: A PRISMA systematic review.
Self-report depression screening measures for older Hispanic/Latin American adults: A PRISMA systematic review.
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DOI：
10.1016/j.jad.2021.06.049
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发表时间：
2021-11-01
影响因子：
6.6
通讯作者：
Medina LD
中科院分区：
文献类型：
--
作者：
Lopez AO;Martinez MN;Garcia JM;Kunik ME;Medina LD
由于文化特征对症状表达和表现的影响，对西班牙裔/拉丁美洲 (H/L) 老年人（抑郁症高危人群）的抑郁症状评估是细致入微的。对于针对这一人群使用的可用措施的心理测量特性知之甚少。我们对可用的抑郁症评估工具进行了两阶段的系统审查。我们首先确定了专为成人使用的自我报告措施。然后，我们确定了一些研究，其中至少一项此类措施被用于较早的 H/L，并报告了所使用措施的心理测量特性。仅确定了 3 个可用于较旧 H/L 的度量：BDI、GDS 和 CES-D。然而，很少有数据支持 BDI 的有效性，而且 CES-D 在跨文化群体中也并非始终有效。 GDS 被认为是合适的，尽管其性能因种族/民族、国籍和截止分数而异。 CES-D 和 GDS 还根据研究环境（研究与临床）和目标人群（住院精神病患者与社区居民）展示了不同的心理测量特性。符合纳入我们综述标准的文章数量很少，并且纳入的少数研究样本之间存在差异。目前可用的自我报告抑郁症筛查措施在老年 H/L 中具有可接受的适用性，但其效用可能会根据其预期用途而有所不同。当针对不同的老年人时，修改后的截止分数可能有助于最大限度地发挥这些措施的效用。
Assessing depression symptoms in Hispanic/Latin American (H/Ls) older adults, a group at high risk for depression, is nuanced due to the influence of cultural characteristics in symptom expression and manifestation. Little is known about the psychometric properties of available measures when used with this population. We conducted a two-stage systematic review of available depression assessment tools. We first identified self-report measures designed for use with adults. We then identified studies where at least one of such measures was used in older H/Ls that reported psychometric properties for the measure(s) used. Only 3 measures were identified for use with older H/Ls: the BDI, GDS, and CES-D. However, few data were found to support the validity of the BDI, and the CES-D was not consistently valid across cultural groups. The GDS was found appropriate, though its performance varied based on race/ethnicity, nationality, and cutoff scores. The CES-D and GDS also demonstrated varying psychometric properties based on study setting (research versus clinical) and target population (inpatient psychiatric patients versus community-dwelling individuals). The number of articles that met criteria for inclusion in our review was small, and there was variation among samples of the few studies included. Currently available self-report depression screening measures have acceptable applicability among older H/Ls, but their utility may vary based on their intended use. Modified cutoff scores may be beneficial in maximizing the utility of these measures when given to diverse older adults.
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影响因子：
7.4
作者：
Uher, Rudolf;Perlis, Roy H.;Placentino, Anna;Dernovsek, Mojca Zvezdana;Henigsberg, Neven;Mors, Ole;Maier, Wolfgang;McGuffin, Peter;Farmer, Anne
通讯作者：
Farmer, Anne
影响因子：
2.3
作者：
GATEWOODCOLWELL, G;KACZMAREK, M;AMES, MH
通讯作者：
AMES, MH
影响因子：
6.9
作者：
Hickie, I;Scott, E;Wilhelm, K
通讯作者：
Wilhelm, K
DOI：
10.1093/geronj/43.1.p24
发表时间：
1988-01-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
MAHARD, RE
通讯作者：
MAHARD, RE
影响因子：
120.7
作者：
Bruce, ML;Ten Have, TR;Alexopoulos, GS
通讯作者：
Alexopoulos, GS