Geriatric Depression Scale: Difference between revisions

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== Objective ==
== Objective ==
The Geriatric Depression Scale (GDS) is a [[Patient Reported Outcome Measures (PROMs)|patient-reported outcome measure]] created by Yesavage et al. in 1982 to screen depressive symptoms among older adults.<ref name=":0">Krishnamoorthy Y, Rajaa S, Rehman T. [https://www.sciencedirect.com/science/article/abs/pii/S0167494319302456 Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: Systematic review and meta-analysis]. Archives of Gerontology and Geriatrics. 2020 Mar 1;87:104002.</ref><ref>Stone LE, Granier KL, Segal DL. [https://link.springer.com/referenceworkentry/10.1007/978-3-030-22009-9_736 Geriatric depression scale. In Encyclopedia of gerontology and population aging] 2022 May 24 (pp. 2112-2119). Cham: Springer International Publishing.</ref>  
The Geriatric Depression Scale (GDS) is a [[Patient Reported Outcome Measures (PROMs)|patient-reported outcome measure]] created by Yesavage et al. in 1982 to screen for depressive symptoms among older adults.<ref name=":0">Krishnamoorthy Y, Rajaa S, Rehman T. [https://www.sciencedirect.com/science/article/abs/pii/S0167494319302456 Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: Systematic review and meta-analysis]. Archives of Gerontology and Geriatrics. 2020 Mar 1;87:104002.</ref><ref>Stone LE, Granier KL, Segal DL. [https://link.springer.com/referenceworkentry/10.1007/978-3-030-22009-9_736 Geriatric depression scale. In Encyclopedia of gerontology and population aging] 2022 May 24 (pp. 2112-2119). Cham: Springer International Publishing.</ref> The GDS is a multidimensional, multidisciplinary diagnostic and therapeutic activity that helps find patients at risk of/with depression.<ref name=":1">Ju Y, Liu T, Zhang K, Lin X, Zheng E, Leng J. [https://www.frontiersin.org/articles/10.3389/fnagi.2022.936024/full The relationship between Comprehensive Geriatric Assessment parameters and depression in elderly patients.] Frontiers in Aging Neuroscience. 2022;14.Available: https://www.frontiersin.org/articles/10.3389/fnagi.2022.936024/full Accessed 26.4.2023</ref>


Originally, this screening tool has 30 items, but several shorter versions were also developed:  
[[Depression]] is a serious and prevalent  condition amongst [[Older People Introduction|older people]]. Depression in the elderly often overlooked and missed in assessment, delaying treatment and leading to possible harmful consequences. A robust tool that screens for depression can be an invaluable tool<ref name=":1" />.


* GDS 15  
Originally, this screening tool has 30 items, but several shorter versions were also developed: GDS 15, GDS 10 and GDS 4.
* GDS 10  
* GDS 4


== Intended Population ==
== Intended Population ==
The scale is intended for the geriatric population (aged 60 years or more). It can be used for healthy, medically ill, and cognitively impaired older adults.<ref>Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. [https://pubmed.ncbi.nlm.nih.gov/7183759/ Development and validation of a geriatric depression screening scale: a preliminary report.] Journal of psychiatric research. 1982 Jan 1;17(1):37-49.</ref>
The scale is intended for the geriatric population (aged 60 years or more). It can be used for healthy, medically ill, and [[Cognitive Impairments|cognitively impaired]] older adults.<ref>Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. [https://pubmed.ncbi.nlm.nih.gov/7183759/ Development and validation of a geriatric depression screening scale: a preliminary report.] Journal of psychiatric research. 1982 Jan 1;17(1):37-49.</ref>


== Method of Use  ==
== Method of Use  ==
Equipment required: Questionnaire and pen
'''Equipment required:''' Questionnaire and pen


Instructions: Choose between yes or no regarding how you felt over the past week
'''Instructions:''' Choose between yes or no regarding how you felt over the past week


'''Scoring:'''
'''Scoring:'''
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* 10 - 19 = Mild Depression   
* 10 - 19 = Mild Depression   
* 20 - 30 Severe Depression  
* 20 - 30 Severe Depression  


GDS 15
GDS 15
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* 9-11 = Moderate Depression
* 9-11 = Moderate Depression
* 12-15 = Severe Depression
* 12-15 = Severe Depression
{{#ev:youtube|QLuR2PZy4Og}}


== Evidence ==
== Evidence ==


=== Reliability  ===
=== Reliability  ===
* Studies reported GDS 30 and GDS 15 to have excellent internal consistency, both having Cronbach alpha coefficient of 0.92.<ref>Durmaz B, Soysal P, Ellidokuz H, Isik AT. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323561/ Validity and reliability of geriatric depression scale-15 (short form)] in Turkish older adults. North Clin Istanb. 2018 Sep 1;5(3):216-20.</ref><ref>Ertan FS, Ertan T, Kızıltan G, Uygucgil H. [https://jnnp.bmj.com/content/76/10/1445 Reliability and validity of the Geriatric Depression Scale in depression in Parkinson’s disease]. Journal of Neurology, Neurosurgery & Psychiatry. 2005 Oct 1;76(10):1445-7.</ref>
* Limited studies are found about GDS 10 and GDS 4. Further research is needed to establish the reliability of these shorter forms.


=== Validity  ===
=== Validity  ===
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|71%
|71%
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===  Links ===
===  Links ===
[https://integrationacademy.ahrq.gov/sites/default/files/2020-07/Update%20Geriatric%20Depression%20Scale-30.pdf GDS 30]
[https://integrationacademy.ahrq.gov/sites/default/files/2020-07/Update%20Geriatric%20Depression%20Scale-30.pdf GDS 30]
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<references />
<references />
[[Category:Outcome Measures]]
[[Category:Mental Health]]
[[Category:Mental Health - Outcome Measures]]
[[Category:Older People/Geriatrics]]
[[Category:Older People/Geriatrics - Outcome Measures]]

Latest revision as of 23:46, 2 December 2023

Objective[edit | edit source]

The Geriatric Depression Scale (GDS) is a patient-reported outcome measure created by Yesavage et al. in 1982 to screen for depressive symptoms among older adults.[1][2] The GDS is a multidimensional, multidisciplinary diagnostic and therapeutic activity that helps find patients at risk of/with depression.[3]

Depression is a serious and prevalent condition amongst older people. Depression in the elderly often overlooked and missed in assessment, delaying treatment and leading to possible harmful consequences. A robust tool that screens for depression can be an invaluable tool[3].

Originally, this screening tool has 30 items, but several shorter versions were also developed: GDS 15, GDS 10 and GDS 4.

Intended Population[edit | edit source]

The scale is intended for the geriatric population (aged 60 years or more). It can be used for healthy, medically ill, and cognitively impaired older adults.[4]

Method of Use[edit | edit source]

Equipment required: Questionnaire and pen

Instructions: Choose between yes or no regarding how you felt over the past week

Scoring:

GDS 30

  • 0 - 9 = Normal
  • 10 - 19 = Mild Depression
  • 20 - 30 Severe Depression


GDS 15

  • 0-4 = Normal
  • 5-8 = Mild Depression
  • 9-11 = Moderate Depression
  • 12-15 = Severe Depression

Evidence[edit | edit source]

Reliability[edit | edit source]

  • Studies reported GDS 30 and GDS 15 to have excellent internal consistency, both having Cronbach alpha coefficient of 0.92.[5][6]
  • Limited studies are found about GDS 10 and GDS 4. Further research is needed to establish the reliability of these shorter forms.

Validity[edit | edit source]

In a 2020 systematic review and meta-analysis, all versions of GDS were found to be useful for determining depression among older adults:[1]

GDS version Sensitivity Specificity
GDS 30 82% 76%
GDS 15 86% 79%
GDS 10 87% 75%
GDS 4 74% 71%

Links[edit | edit source]

GDS 30

GDS 15

References[edit | edit source]

  1. 1.0 1.1 Krishnamoorthy Y, Rajaa S, Rehman T. Diagnostic accuracy of various forms of geriatric depression scale for screening of depression among older adults: Systematic review and meta-analysis. Archives of Gerontology and Geriatrics. 2020 Mar 1;87:104002.
  2. Stone LE, Granier KL, Segal DL. Geriatric depression scale. In Encyclopedia of gerontology and population aging 2022 May 24 (pp. 2112-2119). Cham: Springer International Publishing.
  3. 3.0 3.1 Ju Y, Liu T, Zhang K, Lin X, Zheng E, Leng J. The relationship between Comprehensive Geriatric Assessment parameters and depression in elderly patients. Frontiers in Aging Neuroscience. 2022;14.Available: https://www.frontiersin.org/articles/10.3389/fnagi.2022.936024/full Accessed 26.4.2023
  4. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. Journal of psychiatric research. 1982 Jan 1;17(1):37-49.
  5. Durmaz B, Soysal P, Ellidokuz H, Isik AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb. 2018 Sep 1;5(3):216-20.
  6. Ertan FS, Ertan T, Kızıltan G, Uygucgil H. Reliability and validity of the Geriatric Depression Scale in depression in Parkinson’s disease. Journal of Neurology, Neurosurgery & Psychiatry. 2005 Oct 1;76(10):1445-7.