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Screening for depression in the elderly : a study on misclassification by screening instruments and improvement of scale performance
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 149605
Author(s) Papassotiropoulos, A; Heun, R
Author(s) at UniBasel Papassotiropoulos, Andreas
Year 1999
Title Screening for depression in the elderly : a study on misclassification by screening instruments and improvement of scale performance
Journal Progress in neuro-psychopharmacology & biological psychiatry
Volume 23
Number 3
Pages / Article-Number 431-46
Keywords CES-D, depression, elderly, GHQ-12, misclassification, screening
Abstract

1. The study compares the psychometric performance of the CES-D and the GHQ-12 in a sample of elderly community residents. Misclassification rates of the questionnaires were analyzed and suggestions for improvement of scale performance are made. 2. 287 subjects out of the general population aged 60-99 years were personally interviewed with standardized diagnostic tools and completed both the GHQ-12 and the CES-D. Best-estimate diagnoses served as standards for receiver operating characteristics (ROC) analysis. 3. Both the GHQ-12 and the CES-D discriminated well between depressive and nondepressive subjects (AUROC = 0.794 and AUROC = 0.782, respectively). The amount of false positive results was high for both questionnaires (GHQ-12: 80.6%, CES-D: 90.1%). Increasing age led to more false positive results on the GHQ-12, whereas the CES-D yielded more false positive results in subjects living in an old age residence or together with family members when compared to those living together with their spouse. 4. The GHQ-12 and the CES-D were valid screening instruments for depression in a community sample of elderly subjects. However, both questionnaires yielded a considerable proportion of false positive results. Elevation of the cut-off score may reduce the misclassification rate of the GHQ-12 but not that of the CES-D.

Publisher Pergamon Press
ISSN/ISBN 0364-7722
edoc-URL http://edoc.unibas.ch/dok/A5257227
Full Text on edoc No
Digital Object Identifier DOI 10.1016/S0278-5846(99)00007-X
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/10378228
ISI-Number WOS:000080358600006
Document type (ISI) Journal Article
 
   

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03/05/2024