Literature DB >> 19039433

Usefulness of two instruments in assessing depression among elderly Mexicans in population studies and for primary care.

Sergio Sánchez-García1, Teresa Juárez-Cedillo, José Juan García-González, Claudia Espinel-Bermúdez, Joseph J Gallo, Fernando A Wagner, Felipe Vázquez-Estupiñán, Carmen García-Peña.   

Abstract

OBJECTIVE: To determine the psychometric qualities of the CES-DR and GDS scales in the elderly and compare them to clinical psychiatric diagnoses.
MATERIAL AND METHODS: The first phase consisted of home interviews for determining the psychometric qualities of the GDS and CES-DR scales. In the second phase, psychiatrists conducted diagnostic interviews. The sample consisted of 534 participants older than 60 years of age insured by the Mexican Institute of Social Security.
RESULTS: First phase: Cronbach's alpha for the GDS was 0.87 and 0.86 for CES-DR. The GDS factorial analysis found eight factors that could explain 53.5% of the total variance and nine factors that explained 57.9% in the CES-DR. Second phase: Compared to the psychiatric diagnoses, CES-DR reported a sensitivity of 82% and a specificity of 49.2%; GDS reported 53.8% sensitivity and 78.9% specificity.
CONCLUSIONS: CES-DR and GDS scales have high reliability and adequate validity but the CES-DR reports higher sensitivity.

Entities:  

Mesh:

Year:  2008        PMID: 19039433     DOI: 10.1590/s0036-36342008000600005

Source DB:  PubMed          Journal:  Salud Publica Mex        ISSN: 0036-3634


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