Heidenblut Sonja, Zank Susanne
Chair of Rehabilitative Gerontology, University of Cologne, Cologne, Germany.
Gerontol Geriatr Med. 2020 Dec 10;6:2333721420981328. doi: 10.1177/2333721420981328. eCollection 2020 Jan-Dec.
This article presents a short form of the Depression in old Age Scale with four items (DIA-S4). The diagnostic accuracy of the DIA-S4 was tested and compared to short forms of the Geriatric Depression Scale (GDS5, GDS4). Using the Montgomery and Asberg Depression Rating Scale (MADRS) as gold standard, the scales were validated with a sample of = 331 geriatric inpatients. The DIA-S4 had an internal consistency of .70, the GDS5 of .55, and the GDS4 of .58. The test efficiency considering ROC analyses for the DIAS-4 was AUC = .86, for the GDS5 AUC = .78, and for the GDS4 AUC = .74. The best cut-off score for the DIA-S4 was 1.5 with a sensitivity of 87% and a specificity of 68%, for the GDS4 1.5 with a sensitivity of 58% and a specificity of 81%, and for the GDS5 1.5 with a sensitivity of 88% and a specificity of 49%. Based on the data of this study, the DIA-S4 shows better psychometrical qualities than the GDS5 and the GDS4. It can be used as a very short screening scale for depression in old age in research and clinical practice.
本文介绍了一种包含四个条目的老年抑郁量表简版（DIA - S4）。对DIA - S4的诊断准确性进行了测试，并与老年抑郁量表简版（GDS5、GDS4）进行了比较。以蒙哥马利和阿斯伯格抑郁评定量表（MADRS）作为金标准，在331名老年住院患者样本中对这些量表进行了验证。DIA - S4的内部一致性为0.70，GDS5为0.55，GDS4为0.58。考虑到对DIAS - 4进行ROC分析的测试效率，其AUC = 0.86，GDS5的AUC = 0.78，GDS4的AUC = 0.74。DIA - S4的最佳截断分数为1.5，敏感性为87%，特异性为68%；GDS4为1.5，敏感性为58%，特异性为81%；GDS5为1.5，敏感性为88%，特异性为49%。基于本研究的数据，DIA - S4在心理测量学质量上优于GDS5和GDS4。它可作为研究和临床实践中用于老年抑郁的非常简短的筛查量表。
