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学科主题: 精神卫生
题名:
Development and validation of the geriatric depression inventory in Chinese culture
作者: Xie, Zhijuan1,2; Lv, Xiaozhen1,2; Hu, Yongdong3; Ma, Wanxin4; Xie, Hengge5; Lin, Kai2,6; Yu, Xin1,2,6; Wang, Huali1,2,6
关键词: depression ; old age ; screening ; sensitivity ; specificity
刊名: INTERNATIONAL PSYCHOGERIATRICS
发表日期: 2015-09-01
DOI: 10.1017/S1041610215000162
卷: 27, 期:9, 页:1505-1511
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Social Sciences ; Science & Technology
类目[WOS]: Psychology, Clinical ; Geriatrics & Gerontology ; Gerontology ; Psychiatry ; Psychology
研究领域[WOS]: Psychology ; Geriatrics & Gerontology ; Psychiatry
关键词[WOS]: AGE-DIFFERENCES ; LATE-LIFE ; SCALE ; METAANALYSIS ; DIAGNOSIS ; SYMPTOMS ; ADULTS
英文摘要:

Background: Depression among older adults is under-recognized either in the community or in general hospitals in Chinese culture. This study aimed to develop a culturally appropriate screening instrument for late-life depression in the non-psychiatric settings and to test its reliability and validity for a diagnosis of depression.

Methods: Using a Delphi method, we developed a geriatric depression inventory (GDI), consisting of 12 core symptoms of depressive disorder in old age. We investigated its reliability and validity on 89 patients with late-life depression and 249 non-depression controls. Both self-report (GDI-SR) and physician-interview (GDI-RI) versions were assessed.

Results: Cronbach′s a coefficient was 0.843 for GDI-SR and 0.880 for GDI-RI. Both GDI-SR and GDI-RI showed good concurrent validity with the 15-item Geriatric Depression Scale (GDS-15) (GDI-SR: r = 0.750, p < 0.001; GDI-RI: r = 0.733, p < 0.001). The area under the curve of the receiver operating characteristic (ROC) was 0.938 for GDI-SR and 0.961 for GDI-RI, suggesting good to excellent discrimination of depression versus non-depression. Using a cut-off of three items endorsed, sensitivity and specificity were 92.1% and 81.9% for GDI-SR, and 93.3% and 87.1% for GDI-RI.

Conclusions: The GDI, either based on self-report or rater interview, is a reliable and valid instrument for the detection of depression among older adults in non-psychiatric medical settings in Chinese culture.

语种: 英语
所属项目编号: 2011-4024-02 ; L1222017 ; 1D43TW009081
项目资助者: Capital Special Health Development Research ; Natural Science Foundation of China ; National Institute of Mental Health ; Fogarty International Center Project
WOS记录号: WOS:000361384600010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57898
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.Peking Univ, Inst Mental Hlth, Div Clin Res, Hosp 6, Beijing 100191, Peoples R China
2.Peking Univ, Minist Hlth, Key Lab Mental Hlth, Beijing 100191, Peoples R China
3.Capital Med Univ, Chaoyang Hosp, Dept Psychol Med, Beijing, Peoples R China
4.Chaoyang Dist Third Hosp, Dept Geriatr Psychiat, Beijing 100025, Peoples R China
5.Chinese Peoples Liberat Army Gen Hosp, Dept Geriatr Neurol, Beijing 100875, Peoples R China
6.Peking Univ, Inst Mental Hlth, Psychogeriatr Unit, Beijing 100191, Peoples R China

Recommended Citation:
Xie, Zhijuan,Lv, Xiaozhen,Hu, Yongdong,et al. Development and validation of the geriatric depression inventory in Chinese culture[J]. INTERNATIONAL PSYCHOGERIATRICS,2015,27(9):1505-1511.
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