Screening for depression: Clinical validation of geriatricians'diagnosis, the brief assessment schedule depression cards and the 5-item version of the symptom check list among non-demented geriatricinpatients
B. Loke
Bok Engelsk 1996
| Utgitt | 1996
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| Omfang | Side 461- 465
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| Opplysninger | In this study, two screening instruments for depression andgeriatricians' diagnosis were compared against the Geriatric MentalState Schedule (GMS), a standardized semi-structured psychiatricinterview. The Brief Assessment Schedule Depression Cards (BASDEC)achieved 91% sensitivity and 85% specificity using a cutoff score of7. Its receiver operating characteristics (ROC) had an area under thecurve (AUC) of 0.88, with 95% confidence intervals of 0.78 and 0.98.The 5-item version of the Symptom Check List (SCL-5) achieved 77%sensitivity and 74% specificity using a cutoff score of 10. Its AUCwas 0.77, with 95% confidence intervals of 0.63 and 0.90. The p-valueof the statistical difference between the two AUCs was 0.0554. Thegeriatricians' diagnosis had a kappa agreement coefficient of 0.39,sensitivity of 55% and specificity of 96%. They missed 45% ofdepressed patients. Routine screening with BASDEC would considerablyimprove the detection of depression. Even among those patients whodid not appear depressed to the geriatricians, BASDEC would detectone case in every 10 patients.
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