利用最小数据集筛查机构养老的中国老年男性中的抑郁症状：我们需要一种新的工具。
Screening depression among institutionalized older Chinese men by minimum data set: we need a new instrument.
机构信息
Division of Neurology and Division of Geriatric Medicine, Department of Internal Medicine, Geriatric Medicine Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
出版信息
J Geriatr Psychiatry Neurol. 2011 Dec;24(4):179-83. doi: 10.1177/0891988709335795. Epub 2009 Jun 1.
OBJECTIVE
To compare the effectiveness of the Minimum Data Set-based Depression Rating Scale (MDS-DRS) and Geriatric Depression Scale (GDS) in screening depression among older institutionalized Chinese men living in Taiwan.
METHOD
MDS Nursing Home 2.1 Chinese version, Mini-Mental State Examination (MMSE), and short form Geriatric Depression Scale (GDS-15) were used among elderly residents in Banciao Veterans Home. Screening results of MDS-DRS and GDS-15, and relationship between 16 MDS Mood and Anxiety symptoms and depression were evaluated.
RESULTS
The prevalence of depression defined by MDS-DRS and GDS were 0.2% and 8.7%, respectively. Multiple logistic regression disclosed that E1a (OR: 12.9, 95% CI: 2.8-58.8, p = 0.001), E1k (OR: 15.6, 95% CI: 5.6-43.5, p < 0.001), and E1l (OR: 22.2, 95% CI: 6.1-83.3, p < 0.001) were all independent associative factors for GDS-defined depression but only explained 51.9% of all depressive subjects.
CONCLUSIONS
The effectiveness of MDS-DRS is limited, and a new MDS-based depression screening instrument is needed.
目的
比较基于最低数据集合的抑郁评定量表（MDS-DRS）和老年抑郁量表（GDS）在筛查台湾地区老年机构居住的中国男性抑郁的有效性。
方法
在板桥区荣民之家使用 MDS 疗养院 2.1 中文版、简易精神状态检查（MMSE）和简短老年抑郁量表（GDS-15）对老年居民进行评估。评估 MDS-DRS 和 GDS-15 的筛查结果，以及 16 个 MDS 情绪和焦虑症状与抑郁之间的关系。
结果
MDS-DRS 和 GDS 定义的抑郁患病率分别为 0.2%和 8.7%。多因素逻辑回归显示，E1a（OR：12.9，95%CI：2.8-58.8，p=0.001）、E1k（OR：15.6，95%CI：5.6-43.5，p<0.001）和 E1l（OR：22.2，95%CI：6.1-83.3，p<0.001）均为 GDS 定义的抑郁的独立相关因素，但仅解释了所有抑郁患者的 51.9%。
结论
MDS-DRS 的有效性有限，需要一种新的基于 MDS 的抑郁筛查工具。
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