Measuring depression in nursing home residents with the MDS and GDS: An observational psychometric study

被引：67

作者：

Koehler M. ^{[1
]}

Rabinowitz T. ^{[2
]}

Hirdes J. ^{[3
]}

Stones M. ^{[4
]}

Carpenter G.I. ^{[5
]}

Fries B.E. ^{[6
]}

Morris J.N. ^{[7
]}

Jones R.N. ^{[7
,8
]}

机构：

[1] New Hanover Regional Medical Center, Wilmington, NC 28401

[2] University of Vermont, College of Medicine, Fletcher Allen Health Care, Burlington, VT 05401-1473

[3] Dept. Hlth. Studs. and Gerontology, University of Waterloo, Waterloo

[4] Department of Psychology, Lakehead University, Thunder Bay, Ont.

[5] University of Kent, Canterbury, Center for Health Service Studies, George Allen Wing, Kent

[6] University of Michigan, Institute of Gerontology, Ann Arbor, MI 48109-2007

[7] Research and Training Institute, Hebrew Rehab. Ctr. for Aged, Boston, MA 02131

[8] Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

来源：

BMC Geriatrics | / 5卷 / 1期

关键词：

Internal Consistency Reliability; Nursing Home Resident; Geriatric Depression Scale; Depression Diagnosis; Substitution Rule;

D O I：

10.1186/1471-2318-5-1

中图分类号：

学科分类号：

摘要：

Background: The objective of this study was to examine the Minimum Data Set (MDS) and Geriatric Depression Scale (GDS) as measures of depression among nursing home residents. Methods: The data for this study were baseline, pre-intervention assessment data from a research study involving nine nursing homes and 704 residents in Massachusetts. Trained research nurses assessed residents using the MDS and the GDS 15-item version. Demographic, psychiatric, and cognitive data were obtained using the MDS. Level of depression was operationalized as: (1) a sum of the MDS Depression items; (2) the MDS Depression Rating Scale; (3) the 15-item GDS; and (4) the five-item GDS. We compared missing data, floor effects, means, internal consistency reliability, scale score correlation, and ability to identify residents with conspicuous depression (chart diagnosis or use of antidepressant) across cognitive impairment strata. Results: The GDS and MDS Depression scales were uncorrelated. Nevertheless, both MDS and GDS measures demonstrated adequate internal consistency reliability. The MDS suggested greater depression among those with cognitive impairment, whereas the GDS suggested a more severe depression among those with better cognitive functioning. The GDS was limited by missing data; the DRS by a larger floor effect. The DRS was more strongly correlated with conspicuous depression, but only among those with cognitive impairment. Conclusions: The MDS Depression items and GDS identify different elements of depression. This may be due to differences in the manifest symptom content and/or the self-report nature of the GDS versus the observer-rated MDS. Our findings suggest that the GDS and the MDS are not interchangeable measures of depression. © 2005 Koehler et al; licensee BioMed Central Ltd.

引用

共 19 条

[1]

Jones R.N., Marcantonio E.M., Rabinowitz T., Prevalence and correlates of recognized depression in U.S. nursing homes, J Am Geriatr Soc, 51, pp. 1404-1409, (2003)

[2]

Yesavage J.A., Brink T.L., Rose T.L., Lum O., Huang V., Adey M., Leirer V.O., Development and validation of a geriatric depression screening scale: A preliminary report, J Psychiatr Res, 17, pp. 37-49, (1982)

[3]

Sheikh J.I., Yesavage J., Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version, Clin Gerontol, 5, (1986)

[4]

Sutcliffe C., Cordingley L., Burns A., Mozley C.G., Bagley H., Huxley P., Challis D., A new version of the geriatric depression scale for nursing and residential home populations: The geriatric depression scale (residential) (GDS-12R), Int Psychogeriatr, 12, pp. 173-181, (2000)

[5]

Hoyl M.T., Alessi C.A., Harker J.O., Josephson K.R., Pietruszka F.M., Koelfgen M., Mervis J.R., Fitten L.J., Rubenstein L.Z., Development and testing of a five-item version of the Geriatric Depression Scale, J Am Geriatr Soc, 47, pp. 873-878, (1999)

[6]

Morris J.N., Bernabei R., Ikegami N., Gilgen R., Frijters D., Hirdes J.P., Fries B.E., Steel K., Carpenter I., DuPasquier J.N., Henrard J.C., RAI-Home Care (RAI-HC)(C) Assessment Manual for Version 2.0, (1999)

[7]

Burrows A.B., Morris J.N., Simon S.E., Hirdes J.P., Phillips C., Development of a minimum data set-based depression rating scale for use in nursing homes, Age Ageing, 29, pp. 165-172, (2000)

[8]

Morris J.N., Fiatarone M., Kiely D.K., Belleville-Taylor P., Murphy K., Littlehale S., Ooi W.L., O'Neill E., Doyle N., Nursing rehabilitation and exercise strategies in the nursing home, J Gerontol A Biol Sci Med Sci, 54, (1999)

[9]

Yesavage J.A., Geriatric Depression Scale, Psychopharmacol Bull, 24, pp. 709-711, (1988)

[10]

Long Term Care Resident Assessment Instrument User's Manual Version 2.0, (1995)

← 1 2 →