Detection of depression in elderly hospitalized patients in emergency wards in France using the CES-D and the mini-GDS: preliminary experiences
✍ Scribed by Jean-Pierre Clement; Eric Fray; Sandrine Paycin; Jean-Marie Leger; Jean-François Therme; Daniel Dumont
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 194 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0885-6230
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✦ Synopsis
Objective. The purpose of this study was to evaluate the mini-GDS and the CES-D as instruments to detect depression in elderly hospitalized patients in emergency wards in France.
Methods. The CES-D was used on two cohorts of 60 non-cognitively impaired patients aged 70 or more. The mini-GDS was also used on the second of the two cohorts administered by a medical intern. These ratings were compared with a diagnosis of depressive disorder by ICD-10 criteria.
Results. The study population had a high (58%) prevalence of depression and a low level of active psychiatric referral. Mini-GDS and CES-D scores were well correlated (0.72, p 5 0.001); the mini-GDS, with a cuto score of 1, gave optimum sensitivity (88%) and speci®city (63%).
Conclusion. The use of the mini-GDS may aid the detection of depression in patients in emergency wards.