Screening for depression in low-vision elderly


B.W. Rovner
Bok Engelsk 1997
Utgitt
1997
Omfang
Side 955- 959
Opplysninger
Objective. To determine the sensitivity and specificity of theGeriatric Depression Scale (GDS) in older low-vision patients, and tocompare GDS scores with the diagnosis of major depression instatistical models examining the interrelationships of vision,depression and disability.Design. Cross-sectional survey.Participants, Community-residing older persons attending the low-vision clinic of Wills Eye Hospital, Philadelphia, PA, USA.Measurements. Geriatric Depression Scale, DSM-III-R Checklist forDepression, Community Disability Scale and Snellen Visual Acuity.Results, The sensitivity and specificity of the GDS (GDS = 11) were63% and 77%, respectively. A receiver operating characteristic curveshowed that the GDS's ability to discriminate patients with andwithout major depression was no better than chance. Although the GDSwas limited as a screen for major depression, it was useful instatistical models examining the interrelationships of vision,depression and disability.Conclusion. Depressive symptoms are common among elderly patientswith impaired vision attending a low-vision clinic. Although the GDSis unable to discriminate patients with and without major depressionin this population, it is valuable as a continuous measure ofdepressive symptomatology to examine the interrelationships ofvision, depression and disability. (C) 1997 John Wiley & Sons, Ltd.
Emner

Bibliotek som har denne