Faculty of Pharmacy, Lebanese University, Beirut, Lebanon.
Faculty of Pharmacy, Saint-Joseph University, Beirut, Lebanon.
Psychopathology. 2018;51(3):177-185. doi: 10.1159/000486830. Epub 2018 Mar 13.
BACKGROUND/AIM: Although the rates of depression and anxiety disorders have been shown to be higher in older people, especially those living in institutional settings, most of this population remains undiagnosed and untreated. The objective is to translate the full-scale Geriatric Depression Scale (30 items, GDS) into Arabic for use in elderly patients in Lebanon, to check its validity and reproducibility in comparison to the original version of the questionnaire, and assess the risk factors associated with depression in the Lebanese geriatric population.
This case-control study was conducted between June and August 2016 and included 500 patients aged more than 60 years (250 living inside and 250 outside a nursing home).
Strongly positive correlations (p < 0.001 for all items of the scale) were found between each item of the scale and the total scale. The mean inter-item correlation for our scale was 0.51, higher than that of the original scale (0.36), with an excellent internal consistency (Cronbach α = 0.901). Living in a nursing home, stress, anxiety, being married, age, and the primary level of education would significantly increase depression (β = 2.211, β = 0.223, β = 0.041, β = 0.902, β = 0.118, and β = 3.533, respectively). A normal nutritional status and a university level of education would significantly decrease depression (β = -0.732; β = -1.961).
The Arabic version of the GDS can be used to estimate the severity of depression in the Lebanese elderly population. Periodic screening for anxiety, nutritional status, and stress is also recommended among geriatric people living in Lebanon.
背景/目的：尽管老年人（尤其是居住在机构环境中的老年人）中抑郁和焦虑障碍的发生率较高，但大多数患者未被诊断和治疗。本研究旨在将全面的老年抑郁量表（30 项，GDS）翻译成阿拉伯语，以便在黎巴嫩的老年患者中使用，以检查其与原始问卷版本的有效性和可重复性，并评估与黎巴嫩老年人群抑郁相关的风险因素。
这项病例对照研究于 2016 年 6 月至 8 月进行，共纳入 500 名年龄在 60 岁以上的患者（250 名居住在养老院内部，250 名居住在养老院外部）。
各条目与量表总分之间存在很强的正相关（所有条目的 p 值均＜0.001）。我们量表的平均条目间相关性为 0.51，高于原始量表（0.36），具有很好的内部一致性（Cronbach α = 0.901）。居住在养老院、压力、焦虑、已婚、年龄和小学教育程度会显著增加抑郁的风险（β = 2.211、β = 0.223、β = 0.041、β = 0.902、β = 0.118 和 β = 3.533）。正常营养状态和大学教育程度会显著降低抑郁的风险（β = -0.732；β = -1.961）。
阿拉伯语版 GDS 可用于评估黎巴嫩老年人群的抑郁严重程度。建议在黎巴嫩居住的老年人群中定期筛查焦虑、营养状况和压力。
