在老年人群中，康奈尔痴呆抑郁量表或老年抑郁量表哪个更适合用于筛查抑郁？

Which of the Cornell Scale for Depression in Dementia or the Geriatric Depression Scale is more useful to screen for depression in older adults?

机构信息

School of Nursing, Soonchunhyang University, 22 Soonchunhyang-ro, Sinchang-myen, Asan-si, Chungcheongnam-do 31538, Republic of Korea.

出版信息

Asian J Psychiatr. 2022 Jun;72:103147. doi: 10.1016/j.ajp.2022.103147. Epub 2022 May 4.

DOI:10.1016/j.ajp.2022.103147

PMID:35533539

Abstract

BACKGROUND

Depression in older adults is a major disorder that can be triggering, exacerbating, or co-occurring with dementia symptoms.

AIM

This study compared the diagnostic accuracy of the Cornell Scale for Depression in Dementia (CSDD) and the Geriatric Depression Scale (GDS), a depression screening tool developed for older adults.

METHODS

Electronic searches were performed on the MEDLINE, EMBASE, CINAHL, and PsycINFO databases using the following keywords: dementia, depression, and CSDD.

RESULTS

The pooled sensitivity of the CSDD and the GDS was 0.89 and 0.82, the pooled specificity was 0.88 and 0.85, and the summary receiver operating characteristic (SROC) curve was 0.94 and 0.91, respectively. In the subgroup analysis, the CSDD had the highest accuracy in the pooled sensitivity of 0.91, the pooled specificity of 0.87, and the sROC curve of 0.95 in the dementia group, and the GDS was the best in the non-dementia group at 0.88, 0.82, and 0.93, respectively.

CONCLUSIONS

The CSDD showed high diagnostic accuracy in older adults with dementia, and the GDS in older adults without dementia.

摘要

背景

老年人抑郁症是一种主要障碍，可能会引发、加重或与痴呆症状同时发生。

目的

本研究比较了专为老年人设计的痴呆症抑郁量表（CSDD）和老年抑郁量表（GDS）这两种抑郁筛查工具的诊断准确性。

方法

使用以下关键词在 MEDLINE、EMBASE、CINAHL 和 PsycINFO 数据库上进行电子检索：痴呆、抑郁和 CSDD。

结果

CSDD 和 GDS 的合并敏感性分别为 0.89 和 0.82，合并特异性分别为 0.88 和 0.85，综合受试者工作特征（SROC）曲线分别为 0.94 和 0.91。在亚组分析中，CSDD 在痴呆组的合并敏感性为 0.91、合并特异性为 0.87 和 SROC 曲线为 0.95，具有最高的准确性，而 GDS 在非痴呆组的准确性最高，分别为 0.88、0.82 和 0.93。