老年抑郁量表和患者健康问卷印地语版本在老年人中的心理测量学特性评估。
Evaluation of Psychometric Properties of Hindi Versions of Geriatric Depression Scale and Patient Health Questionnaire in Older Adults.
作者信息
Mehra Aseem, Agarwal Arun, Bashar Mohammad, Grover Sandeep
机构信息
Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Dept. of Community Medicine, Postgraduate institute of Medical Education and Research, Chandigarh, India.
出版信息
Indian J Psychol Med. 2021 Jul;43(4):319-324. doi: 10.1177/02537176211022159. Epub 2021 Jun 28.
BACKGROUND
A limited number of studies have evaluated the psychometric properties of rating scales used to assess depression in the older adults. The present study aimed to assess the validity of the Hindi Geriatric Depression Scale (GDS, 30, 15, 10, 5, 4, and 1 item version) and Hindi Patient Health Questionnaire (nine and two items version) in a group of older adults residing in a rural community.
METHODS
The psychometric properties of these scales were assessed against the diagnosis of depression a qualified psychiatrist made by using a semistructured interview.
RESULTS
Total 125 older adults were recruited from a rural community, with a mean age of 65.5 (SD: 6.4) years. The prevalence of depression was 36.8% as per the evaluation by the psychiatrist. When the agreement of different scales with the clinicians' diagnosis was evaluated, it was seen that sensitivity, specificity, and Cohen Kappa value of GDS-30 and 15 were better than the other scales used to assess depression. When the sensitivity and specificity were evaluated using newer cutoffs, the specificity and sensitivity of GDS-30 were more than that of other scales.
CONCLUSION
Hindi version of GDS-30 with a cutoff of 13 has excellent psychometric properties.
背景
仅有少数研究评估了用于评估老年人抑郁症的评定量表的心理测量特性。本研究旨在评估印地语版老年抑郁量表(GDS,30项、15项、10项、5项、4项和1项版本)和印地语版患者健康问卷(9项和2项版本)在一组居住在农村社区的老年人中的有效性。
方法
根据一位合格精神科医生通过半结构化访谈做出的抑郁症诊断,评估这些量表的心理测量特性。
结果
共从一个农村社区招募了125名老年人,平均年龄为65.5(标准差:6.4)岁。根据精神科医生的评估,抑郁症患病率为36.8%。当评估不同量表与临床医生诊断的一致性时,发现GDS - 30和15的敏感性、特异性和科恩卡帕值优于用于评估抑郁症的其他量表。当使用新的临界值评估敏感性和特异性时,GDS - 30的特异性和敏感性高于其他量表。
结论
临界值为13的印地语版GDS - 30具有出色的心理测量特性。