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]] used to screen depressive symptoms among older adults.  Created by Yesavage et al. in 1983, it is now one of the most widely-used self-report measures for depression.   <ref>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]] used to screen depressive symptoms among older adults.  Created by Yesavage et al. in 1983, it is now one of the most widely-used self-report measures for depression. <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>  
 
Originally, this screening tool has 30 items, but several shorter versions were also developed:
 
* GDS 15
* GDS 10
* GDS 4 


== Intended Population ==
== Intended Population ==
The screening tool is intended for the geriatric population (aged 60 years or more). It can be used for both healthy and medically ill older adults.
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.


== Method of Use  ==
== Method of Use  ==
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Instructions:
Instructions:
Scoring:


== Reference<br>  ==
== Reference<br>  ==
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=== Validity  ===
=== Validity  ===
In a 2020 systematic review and meta-analysis, all versions of GDS were found to be useful for determining depression among older adults:<ref name=":0" />
{| class="wikitable"
|+
!GDS version
!Sensitivity
!Specificity
|-
|GDS 30
|82%
|76%
|-
|GDS 15
|86%
|79%
|-
|GDS 10
|87%
|75%
|-
|GDS 4
|74%
|71%
|}
GDS 30
th specificity of 71 %. All the four forms of GDS belonged to right lower quadrant of LR scatter-gram indicating neither confirmation nor exclusion.


=== Responsiveness  ===
=== Responsiveness  ===

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Objective[edit | edit source]

The Geriatric Depression Scale (GDS) is a patient-reported outcome measure used to screen depressive symptoms among older adults. Created by Yesavage et al. in 1983, it is now one of the most widely-used self-report measures for depression. [1][2]

Originally, this screening tool has 30 items, but several shorter versions were also developed:

  • GDS 15
  • GDS 10
  • 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.

Method of Use[edit | edit source]

Equipment required: Questionnaire and pen

Instructions:

Scoring:

Reference
[edit | edit source]

Evidence[edit | edit source]

Reliability[edit | edit source]

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%

GDS 30

th specificity of 71 %. All the four forms of GDS belonged to right lower quadrant of LR scatter-gram indicating neither confirmation nor exclusion.

Responsiveness[edit | edit source]

Miscellaneous
[edit | edit source]

Links[edit | edit source]

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.