A Review of Screening Accuracy for Geriatric Depression in Primary Care
Public Deposited- Last Modified
- January 13, 2020
- Creator
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Watson, Lea C., MD
- Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
- Abstract
- OBJECTIVE: To determine the accuracy of depression screening instruments for older adults in the primary care setting. METHODS: Systematic review: databases employed were MEDLINE (search dates 1966-2001), and the Cochrane database on depression, anxiety and neurosis. We also searched the second Guide to Clinical Preventive Services, the 1993 AHCPR Clinical Practice Guideline on Depression and recent systematic reviews. Hand-checking of bibliographies and extensive peer review were also used to identify potential articles. Our pre-defined search strategy targeted only studies of adults aged 65 or greater in primary care or community settings, including long-term care. Articles were included in this review if they reported original data and tested depression screening instruments against a criterion standard, yielding sensitivity and specificity. MAIN RESULTS: Seventeen articles met criteria and are included in this review, representing nine different screening instruments. The most commonly evaluated were the Geriatric Depression Scale, 30 and 15-item versions, the Center for Epidemiologic Studies-Depression scale, and the Self-Care D. There were minimal differences in the favorable performance of these three instruments, which had sensitivities ranging from 74-100% and specificities ranging from 53-98%. CONCLUSIONS: Accurate and feasible screening instruments are available for detecting late-life depression in primary care. More research is needed to determine the accuracy of depression screening instruments in demented individuals, and in those with subthreshold depressive disorders.
- Date of publication
- May 2002
- DOI
- Resource type
- Rights statement
- In Copyright
- Note
- Paper type: Research or research design
- Track: HC&P
- Advisor
- Garrett, Joanne
- Degree
- Master of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill
- Graduation year
- 2002
- Language
- Deposit record
- 564d1737-ca9b-4211-9c3e-c1926665c3df
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