Center on Aging, University of Iowa, Iowa City, Iowa 50011, USA.
J Am Geriatr Soc. 2012 Feb;60(2):238-42. doi: 10.1111/j.1532-5415.2011.03828.x. Epub 2012 Jan 27.
To examine age differences on specific items and subscales of the Geriatric Depression Scale (GDS).
Specific items, subscales, and total score on the GDS of three age groups were compared.
Community-dwelling older adults.
One hundred thirty-nine centenarians were compared with 93 octogenarians and 91 sexagenarians.
GDS scores.
Results indicated age group differences in overall depression score and in withdrawal-apathy-vigor (WAV), cognitive impairment, and hopelessness subscale scores. Significant age group differences were also obtained for 12 of the 30 items. Centenarians rated higher on all subscales, but there was no difference in dysphoric mood and worry.
It is important to distinguish different dimensions of depression when assessing very old populations because some of the questions on the GDS are associated with fatigue, mild cognitive decline, and decline in physical functioning, which increase with aging. Future research should revisit the concept of depression in very late life.
探讨老年抑郁量表（GDS）特定项目和子量表在不同年龄段的差异。
比较了三个年龄组的 GDS 的特定项目、子量表和总分。
社区居住的老年人。
将 139 名百岁老人与 93 名 80 岁老人和 91 名 60 岁老人进行比较。
GDS 评分。
结果表明，总体抑郁评分以及退缩-冷漠-活力（WAV）、认知障碍和绝望子量表评分存在年龄组差异。30 个项目中有 12 个项目也存在显著的年龄组差异。百岁老人在所有子量表上的评分都较高，但在抑郁情绪和担忧方面没有差异。
在评估非常老年人群时，区分不同维度的抑郁非常重要，因为 GDS 中的一些问题与疲劳、轻度认知衰退和身体功能下降有关，这些问题随着年龄的增长而增加。未来的研究应该重新审视非常晚期生命中的抑郁概念。
