J Korean Geriatr Psychiatry.  2009 Jun;13(1):32-37.

Comparing Various Short-form Geriatric Depression Scales in Elderly Psychiatric Patients in Korea

Affiliations
  • 1Department of Psychiatry, College of Medicine, Inha University, Incheon, Korea. jnbae@inha.ac.kr
  • 2Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea.

Abstract


OBJECTIVES
The purpose of this study is to evaluate the diagnostic validity of the three published short Geriatric Depression Scales and to identify a valid and reliable alternative to the Korean version of the Geriatric Depression Scale (GDS-K) and short form Geriatric Depression Scales (SGDS-K).
METHODS
All subjects were registered elderly psychiatric patients who first visited the Geriatric Psychiatry Clinic of Seoul National University Hospital in Seoul between April 1996 and May 1999. The GDS-K, SGDS-K, Hoyl GDS-5, D'Ath GDS-4, van Marwijk GDS-4 were administered. Receiver operating characteristics (ROC) curve analysis performed to investigate the diagnostic validity of the Hoyl GDS-5, D'Ath GDS-4, and van Marwijk GDS-4.
RESULTS
The best trade-off between sensitivity and specificity was achieved with a Hoyl GDS-5 score of 3 (sensitivity:0.7258, specificity:0.7717), a D'Ath GDS-4 score of 3 (sensitivity:0.5968, specificity:0.7391), and a van Marwijk GDS-4 score of 3 (sensitivity:0.6613, specificity:0.7391). The area under the ROC curves of each diagnostic tool were calculated into the Hoyl GDS-5 of 0.8198, the D'Ath GDS-4 of 0.7525, and the van Marwijk GDS-4 of 0.7528.
CONCLUSION
The Hoyl GDS-5 may be utilized in screening for major depression among the elderly psychiatric patients in Korea.

Keyword

The Hoyl GDS-5; The D'Ath GDS-4; The van Marwijk GDS-4; Korean elderly; Major depression
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