Karin Fröjdh1, Anders Håkansson, Ingvar Karlsson. 1. Research and Development Unit for Primary Health Care, Vårdcentralen Kronoparken, Karlstad, Sweden. karin.frojdh@liv.se
Abstract
OBJECTIVE: No depression rating scale has yet been designed to identify all clinically important depressive states in elderly. Therefore, this study investigated the Hopkins Symptom Checklist-25 (HSCL-25), a self-rating scale for depression, to see if it was a sensitive indicator of major, minor and subsyndromal depression. METHODS: Structured interviews of 37 people with a high depressive score and an age and sex matched control group comprised of 37 persons with a low depressive score in HSCL-25, in order to compare the HSCL-25 ratings with the Montgomery-Asberg-Depression Rating Scale (MADRS) as well as with the criteria for major, minor and subsyndromal depression. RESULTS: The sensitivity for identifying any depression was 94% and the specificity was 94% for HSCL-25 compared to the diagnostic criteria for depressive disorders. CONCLUSIONS: HSCL-25 is a sensitive case-finder of any depressive disorder and may be useful in general practice and for screening studies of depression in elderly people. Copyright 2004 John Wiley & Sons, Ltd.
OBJECTIVE: No depression rating scale has yet been designed to identify all clinically important depressive states in elderly. Therefore, this study investigated the Hopkins Symptom Checklist-25 (HSCL-25), a self-rating scale for depression, to see if it was a sensitive indicator of major, minor and subsyndromal depression. METHODS: Structured interviews of 37 people with a high depressive score and an age and sex matched control group comprised of 37 persons with a low depressive score in HSCL-25, in order to compare the HSCL-25 ratings with the Montgomery-Asberg-Depression Rating Scale (MADRS) as well as with the criteria for major, minor and subsyndromal depression. RESULTS: The sensitivity for identifying any depression was 94% and the specificity was 94% for HSCL-25 compared to the diagnostic criteria for depressive disorders. CONCLUSIONS:HSCL-25 is a sensitive case-finder of any depressive disorder and may be useful in general practice and for screening studies of depression in elderly people. Copyright 2004 John Wiley & Sons, Ltd.
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