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Affective disorders in the new millennium
Published in Stephen Curran, John P Wattis, Practical Management of Affective Disorders in Older People, 2018
Screening is generally more effective in high risk populations. The geriatric depression scale (GDS) is most widely used for this purpose. It has been validated in a variety of settings, cultures and languages65 and a number of short forms have been developed.66–68 The BASDEC9,69 is a simple card-sort test which has been validated in an inpatient geriatric population. It has a potential advantage in that the questions are repeated in different languages on the reverse of the card but it has not been validated across cultures or different languages. The EBAS-DEP70 is a related scale. As even five questions from the GDS appear reasonably sensitive and specific at least in a setting with a high prevalence (46%) of depression,68 it may be that the value of these scales is as much in prompting clinicians always to ask about depression as in their intrinsic psychometric properties. Certainly, one study has shown that systematising the information already gathered when patients are admitted to acute geriatric inpatient care can potentially result in higher detection rates.71
Functional Assessment and Measures
Published in K. Rao Poduri, Geriatric Rehabilitation, 2017
Geriatric depression scale (GDS)57: The GDS takes 5–10 minutes to administer and is free. It avoids issues related to physical symptoms and asks questions requiring only a “yes” or “no” answer. It assesses depression and suicide ideation in elderly individuals.
Development of palliative medicine in the United Kingdom and Ireland
Published in Eduardo Bruera, Irene Higginson, Charles F von Gunten, Tatsuya Morita, Textbook of Palliative Medicine and Supportive Care, 2015
When depression is suspected, search for underlying medical causes may be warranted as this can be easily reversible. Such conditions like thyroid disorders, dementia, anemia, diabetes, or substance abuse must be ruled out. Screening for depression is important as it impacts treatment plan and health-care utilization and overall quality of life. Screening tools commonly used in geriatric patients are the Geriatric Depression Scale, Cornell Scale for Depression in Dementia, Center for Epidemiologic Studies of Depression Scale (CES-D), and Patient Health Questionnaire 9. The two-item scale (PHQ-2) is a sensitive screening tool and is easy to perform. Patients can be asked the following two questions: during the previous 2 weeks, have you often been bothered by feeling down, depressed, or hopeless; and have you often been bothered by
Identifying vulnerable older adults at risk for functional decline in cardiac care wards: time to shift the paradigm
Published in Acta Clinica Belgica, 2023
Anthony Jeuris, Bastiaan Van Grootven, Lisa Geyskens, Koen Milisen, Johan Flamaing, Mieke Deschodt
The presence of following geriatric syndromes were assessed at admission: ADL impairment, cognitive impairment, mobility impairment, depression, fall history and loss of appetite. ADL impairment was defined as an impairment in at least one of the six items of the Katz index of ADL. Cognitive impairment was measured with the Mini-Cog that assesses clock drawing (2 points) and three word recall abilities (3 points) [29]. A patient was considered cognitively impaired if the total Mini-Cog scores was below 3 points. Mobility impairment was measured using the item ‘mobility’ of the Katz Index. Patients who were partially dependent (i.e. in need of any kind of support such as a walking aid, another person or even furniture) or fully dependent (i.e. bedridden) were considered to have a mobility impairment. Depression was defined as a score 3 or more on the ten-item Geriatric Depression Scale [30]. Fall history in the past six months and loss of appetite were self-report questions upon hospital admission.
Association between sucrose and fiber intake and symptoms of depression in older people
Published in Nutritional Neuroscience, 2022
Zuzanna Chrzastek, Agnieszka Guligowska, Malgorzata Piglowska, Bartlomiej Soltysik, Tomasz Kostka
The presence of symptoms of depression was assessed with the 15-item Geriatric Depression Scale (GDS). GDS is the most commonly used self-report test for problems with depression in older adults [28]. It has 15 questions describing the well-being of the patient. Questions are in easy-to-understand yes/no format. The maximum score possible is 15, with scores of 5 and less indicating no problems with depression. The higher the score of GDS the greater the symptoms severity [29]. Participants, completed the GDS scale by themselves without third parties involved. Patients were divided into 2 subgroups according to the GDS score. Group A with no symptoms of depression (0–5 points) – in which 612 patients were recorded (445 females and 167 males). Group B with the presence of symptoms of depression (>5 points) consisted of 201 patients (147 females and 54 males). The division into groups by sex was used due to the differences in physiology, preferred diet, nutritional and caloric demand, as well as differences in the frequency and mechanisms of developing depression between women and men [30,31].
Swallowing-related quality of life among oral-feeding Chinese patients with Parkinson’s disease – a preliminary study using Chinese SWAL-QOL
Published in Disability and Rehabilitation, 2022
Hiu Fung Chan, Manwa Lawrence Ng, HyangHee Kim, Deog Young Kim
The 15-item Geriatric Depression Scale [20] is a commonly used self-report assessment for the screening of depression among older adults. It is brief, non-somatically focused, and can be either observer- or self-administered. Scores cover a range of 0–15, with higher scores indicating more severe depression. Although the 15-item Geriatric Depression Scale was originally developed and validated in the elderly population, preliminary evidence showed that it has high sensitivity and specificity for ages below 65 in individuals with PD [21]. In the present study, participants were asked to complete a validated GDS-C after they filled out C-SWAL-QOL. There was no time limit imposed to complete the questionnaires. Later results were dichotomized into depressed and non-depressed groups using a cutoff of 5, as suggested by previous study [22].