[老年抑郁量表5项和15项西班牙语版本在初级卫生保健机构老年受试者中的验证]

[Validation of 5 and 15 items Spanish version of the geriatric depression scale in elderly subjects in primary health care setting].

作者信息

Ortega Orcos R, Salinero Fort M A, Kazemzadeh Khajoui A, Vidal Aparicio S, de Dios del Valle R

机构信息

Centro de Salud Doctor Cirajas, Madrid.

出版信息

Rev Clin Esp. 2007 Dec;207(11):559-62. doi: 10.1157/13111585.

DOI:10.1157/13111585

PMID:18021644

Abstract

PURPOSE

Cross-sectional study to validate a Spanish version of the 5 and 15 items Geriatric Depression Scale (GDS 5 and 15) in a non-selected community dwelling older population, compared with the clinical diagnosis of depression (using DSM-IV criteria) as gold standard.

PATIENTS AND METHOD

A total of 301 subjects randomly selected from the >64 years old population served by a public Primary Care Center in Madrid were included. Severe cognitive impairment (MMSE < 20/30), severe hearing impairment and denial to participate were exclusion criteria. A descriptive and a screening study were performed.

RESULTS

The prevalence of depression in this population was 14.6%. The 5- item GDS had a sensitivity of 0.864 (0.762-0.965), specificity of 0.856 (0.813-0.899), PPV 0.507 (0.394-0.62), NPV 0.973 (0.952-0.994), and positive likelihood ratio 6 (4.34-8.26). The 15-item GDS had a sensitivity of 0.818 (0.704-0.932), specificity of 0.977 (0.958-0.995), PPV 0.857 (0.751-0.963), NPV 0.969 (0.948-0.99), and positive likelihood ratio 35.03 (28.76-40.77).

CONCLUSIONS

GDS-5 may be useful screening test for depression in non selected elderly patients in primary care. It has better sensitivity than GDS-15 and similar area under curve.

摘要

目的

进行横断面研究，在未经过挑选的社区老年人群中验证西班牙语版的5项和15项老年抑郁量表（GDS 5和GDS 15），并将抑郁症的临床诊断（采用DSM-IV标准）作为金标准进行比较。

患者与方法

纳入了从马德里一家公立初级保健中心服务的64岁以上人群中随机选取的301名受试者。排除标准包括严重认知障碍（MMSE<20/30）、严重听力障碍以及拒绝参与。进行了描述性研究和筛查研究。

结果

该人群中抑郁症的患病率为14.6%。5项GDS的灵敏度为0.864（0.762 - 0.965），特异度为0.856（0.813 - 0.899），阳性预测值为0.507（0.394 - 0.62），阴性预测值为0.973（0.952 - 0.994），阳性似然比为6（4.34 - 8.26）。15项GDS的灵敏度为0.818（0.704 - 0.932），特异度为0.977（0.958 - 0.995），阳性预测值为0.857（0.751 - 0.963），阴性预测值为0.969（0.948 - 0.99），阳性似然比为35.03（28.76 - 40.77）。