A psychiatric evaluation is the next step to assessing the severity of the persons depression so that treatment options can be discussed. Geriatric depression scale short form with 4 questions. Identifying geriatric patients at risk for suicide and. Results of the geriatric depression scale explained the. Geriatric depression scale gds life event checklist. The geriatric depression scale gds 15 point version is a depression assessment tool specifically designed for older people. Minicog brief screening tool for cognitive impairment.
This code was created in response to the affordable care acts federal mandate to. The assessment is a selfreported tool with yesno answers. Tariq sh, tumosa n, chibnall jt, perry mh 3rd, morley je. The geriatric depression scale can help determine if an aging person has problems with depression. Each item is scored 0 to 1 for a total score range of 0 to 30. Later versions retain only the most discriminating questions. What is the geriatric depression scale and why is it. Geriatric depression scale content and scoring verywell mind.
Psychometric properties of the geriatric anxiety inventory. Short form is a 15question screening tool for depression in older adults that takes five to. It contains 30 forcedchoice yes or no questions, a format that is helpful for individuals with cognitive dysfunction. Left untreated, depression may progress and have dramatic effects on overall health.
Using a standard statistical protocol, a reliable and valid geriatric depression scale 15nepali was developed with an adequate internal consistency and an optimal balance between. Postintervention assessment according to the geriatric depression scale gds, cts depressive symptoms decreased from 8 to 6 although still indicating likelihood of depression. Do you prefer to stay at home rather than going out and doing new things. Yesavage and colleagues in 1982 that is used to identify symptoms of. Be sure to record the answers in the appropriate spaces positions 0 through 4. The clinician interviews the residents caregiver on each of the 19 items of the scale. Geriatric depression scale test short form available at. A spanish version of the geriatric depression scale in. Each of the 30 questions has a yesno answer, with the scoring dependent on.
Depression assessments such as the 4item geriatric depression. Aged care assessment geriatric depression scale gds. It can be used within a wide range of settings, and can be used with those that have a medical illness or those with mild to moderate cognitive impairment. Each of the 30 questions has a yesno answer, with the scoring dependent on the answer given. Hamilton depression rating scale hamd or hdrs determine severity of depression geriatric depression scale a questionnaire to screen for depression in geriatric populations gad7 anxiety scale screen for generalized anxiety disorder short michigan alcoholism screening test geriatric version the smastg assess for problem alcohol drinking in. Be sure to record the answers in the appropriate spaces positions 0. Depression is common in late life, affecting nearly 5 million of the 31 million americans aged 65 and older with clinically significant. The geriatric depression scale gds is a screening test originally developed by j. Total score greater than five indicates probably depression. The questionnaire can guide further clinical interviews and when used this way has been found very acceptable to clients.
Please answer the security question below and click continue. Geriatric depression scale as a ommunity screening instrument for elderly hinese immigrants. Geriatric depression scale short form english scoring. The tool, originally consisting of 30 items, has been modified to variations with either 15 or 5 items gds15 and gds5, respectively to be better received by elderly patients. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week.
Hall is a medical intern, johns hopkins universitysinai hospital program in internal medicine, baltimore, md. Validation of the short form of the geriatric depression scale in the geriatric outpatient clinic at the hospital nacional cayetano heredia. Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale. Cornell scale for depression in dementia the scale is designed as a screening tool and is not diagnostic 2 steps. The aim of this populationbased study was to investigate the usefulness of the geriatric depression scale 15item version gds15 to assess depressive symptoms among very old people with differing levels of cognitive function. Choose the best answer for how you felt over the past week. According to the geriatric depression scale gds, ct received a score of 8 out of a possible 15 points indicating likelihood of depression. Geriatric depression scale short form geriatric assessment tool kit. Jerome a yesavage geriatric depression scale psychopharmacology bulletin 1988 24.
Geriatric depression scale gds scoring instructions instructions. The questions are translated into arabic and greek. The purpose of this study was to establish the sensitivity of a spanish translation of the 15item geriatric depression scale gdss in a sample of 41 elderly mexicanamerican psychiatric patients with a diagnosis of depressive disorders. Geriatric depression scale30 long version ahrq academy. The geriatric depression scale gds is a 30item selfreport assessment used to identify depression in the elderly. Psychometric properties of the geriatric anxiety scale in. Greenberg, phdc, msn, gnpbc, hartford institute for geriatric nursing, nyu college of nursing why. Do you think that most people are better off than you are. Geriatric depression scale an overview sciencedirect. Items 26 through 30 are used to help clinicians identify areas of concern for the respondent. A score greater than five on the shortform, or 10 on the longform, indicates the possibility of at least mild depression.
Greenberg, phd, rn, gnpbc, hartford institute for geriatric nursing, new york university rory meyers college of nursing why. The geriatric depression scale gds is a brief, convenient, and effective 30item selfreport screening measure for depression among older adults. The scale is an adaptation of the hamilton depression rating scale and has a greater sensitivity to change over time. Summary of representative clinical depression screening tools. Geriatric depression scale an overview sciencedirect topics. No score should be given if symptoms result from physical disability or illness. Answers indicating depression are in bold and italicized. The geriatric depression scale, short form gds15 is a widelyused depression rating scale for elderly adults. However, its much more important than getting the simple results of a test. Geriatric depression scale gds30 yesavage ja, brink tl, rose tl, lum o, huang v, adey mb, leirer vo. Identifying geriatric patients at risk for suicide and depression ryan c. A score of 5 points is suggestive of depression and warrants a followup interview.
Geriatric depression scale gds short form choose the best answer for how you have felt over the past week. Depression is more common in those with multiple chronic conditions. This score is not consistent with a depressive status, however, there should be some concerns raised in regard to the mental health of the patient and further assessment is required. Australian chinese version of the geriatric depression. The geriatric depression scale see appendix a was developed specifically for use with older adults and contains 30 items. Geriatric depression scale long form score calculator.
Yesavage and colleagues in 1982 that is used to identify symptoms of depression in older adults. Usefulness of the geriatric depression scale 15item version. Use of the gds for the screening and detection of depression among. How to use 15item screening tool used to identify depression in older adults. The geriatric depression scale gds was designed specifically to screen for depression in geriatric populations. Geriatric depression scale short form gdssf psychiatry. Therefore, it taps the affective and behavioral symptoms of depression and excludes most symptoms that may be confused with somatic disease e. Link to downloads of the geriatric depression scale in english and other. The geriatric depression scale gds is specifically designed to screen and measure depression in older adults. Have you dropped many of your activities and interests. It might be useful for persons across the adult lifespan, but more.
Geriatric examination tool kit geriatric assessment tool kit. This short form of the gds was developed in 1986 by sheikh and yesavage. Short form is a 15question screening tool for depression in older adults that takes five to seven minutes to complete and can be filled out by the patient or administered by a provider with minimal training in its use. There are four trigger questions that often alert a practitioner to. A score 5 points should warrant a followup comprehensive assessment. Hamilton depression rating scale hdrs please complete the scale based on a structured interview instructions. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. Psychometric properties of the geriatric anxiety scale in communitydwelling, clinical, and medical samples of older adults dissertation directed by professor daniel l. The gds long form is a brief, 30item questionnaire in which participants. Tip sheet 6 the geriatric depression scale gds15 what is the gds.
While studies suggest good internal consistency and convergent validity, divergent validity from measures of depression are weak. Comparison of the saint louis university mental status examination and the minimental state examination for detecting dementia and mild neurocognitive disordera pilot study. It has been designed for the assessment of depressive symptomatology in elderly people and excludes any questions relating to the physical symptoms of depression common in old age. The gds long form is a brief, 30item questionnaire in which. Geriatric depression scale long form neurosciencecme. Feasibility of gds15 was evaluated as the proportion of people who completed the scale. The scale is a 30item, selfreport instrument that uses a yesno format. How to use 15item screening tool used to identify depression in older adults used with healthy, medically ill and mild to moderately cognitively impaired adults extensively used in community, acute and longterm care settings easy to administer and score same yesno format as the lf takes 57 minutes to administer public domain many languages the gdssf is a subset of 15 questions. Where a score of more than five is indicated, a more. Segal this study examined the psychometric properties of the geriatric anxiety scale gas. It targets a population with many risk factors for depression, and depression affects them differently than it does younger people.
Aug 11, 2014 the geriatric anxiety inventory is a 20item geriatric specific measure of anxiety severity. Geriatric depression scale short form see associated document. Scores of 04 are considered normal, depending on age, education, and complaints 58 indicate mild depression. Depression assessments such as the 4item geriatric depression scale are easy and quick to.
Depression is underrecognized in older adults, especially those with chronic conditions such as heart disease and arthritis. Usefulness of the geriatric depression scale 15item. Development and validation of a geriatric depression screening scale. Ii, center for epidemiologic studies depression scale, geriatric depression scale, hospital anxiety and depression scale, and patient health questionnaire. Australian chinese version of the geriatric depression scale. Shah a, herbert r, lewis s, mahendran r, platt j, bhattacharyya b. The gds short form 15 questions has been derived from the 30 question version. Cornell scale for depression in dementia csdd scoring system. Although differing sensitivities and specificities have been obtained across studies, for clinical purposes a score 5 points is suggestive of depression and should warrent a followup interview. The original geriatric depression scale gds was a 30item questionnaire timeconsuming and challenging for some patients and staff. Clinical cutoffs have been developed that vary across studies due to the small clinical samples used.
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