Exploring the screening capacity of the European Portuguese version of the 15-item Geriatric Depression Scale

• João L. Alves Apóstolo ^[1] ; Elzbieta M. Bobrowicz-Campos ^[1] ; Ivo A. Carvalho dos Reis ^[2] ; Susana Justo Henriques ^[3] ; Carla A. Veiga Correia ^[4]
  1. [1] Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal
  2. [2] ARS Centro, Alfarelos, Portugal
  3. [3] Associação de Solidariedade Social de Ribeira de Fráguas, Albergaria Velha, Portugal
  4. [4] ARS Centro, Coimbra, Portugal

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• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 23, Nº. 2, 2018, págs. 99-107
• Idioma: inglés
• DOI: 10.5944/rppc.vol.23.num.2.2018.21050
• Títulos paralelos:
  • Exploración de la capacidad de screening de la versión europea portuguesa de la Geriatric Depression Scale de 15 items
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• Resumen
  • español

    El objetivo del estudio fue comparar la capacidad de cribado de la versión europea portuguesa de la Geriatric Depression Scale de 15 ítems (GDS-15) respecto a los criterios del DSM-5 en relación con el trastorno depresivo mayor. El estudio fue multicéntrico e incluyó 139 ancianos (23 con diagnóstico de depresión) reclutados en un contexto de atención primaria. La sensibilidad y la especificidad para diferentes puntos de corte fueron obtenidas a través de curvas ROC. La relación de sensibilidad y especificidad reveló ser mejor en el punto de corte ≥ 4.5, resultante en sensibilidad del 95.7% y especificidad del 52.6%.

    Después de excluirse del análisis de los datos los participantes sin educación formal, el punto de corte óptimo permaneció sin cambios. La versión europea portuguesa de la escala GDS-15 es una herramienta efectiva para el screening de la depresión en ancianos. Se necesitan más estudios para verificar si hay otros factores que puedan influir en el rendimiento de la escala.

  • English

    The aim of this study was to analyze the screening performance of the European Portuguese version of the 15-item Geriatric Depression Scale (GDS-15) against DSM-5 diagnostic criteria for major depressive episode. The study was multicentre and involved 139 older adults recruited in the context of primary healthcare. Twenty-three participants were diagnosed with clinical depression.

    Sensitivity and specificity for different cut-off points were determined based on ROC curve analyses. The cut-off point ≥ 4.5 provided optimal sensitivity (95.7%) and specificity (52.6%) rates. After exclusion from the analysis of illiterate participants’ data, the optimal cut-off point remained unchanged. The European Portuguese version of GDS-15 is an effective tool for depression screening in older adults. Further studies are needed to verify if there are factors, other than formal education, that may influence the scale’s performance.

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