Tip sheet 6 the geriatric depression scale gds15 what is the gds. Aged care assessment geriatric depression scale gds. Short form is a 15question screening tool for depression in older adults that takes five to. A score greater than five on the shortform, or 10 on the longform, indicates the possibility of at least mild depression. Results of the geriatric depression scale explained the. Therefore, it taps the affective and behavioral symptoms of depression and excludes most symptoms that may be confused with somatic disease e. Postintervention assessment according to the geriatric depression scale gds, cts depressive symptoms decreased from 8 to 6 although still indicating likelihood of depression. Geriatric depression scale test short form available at.
Australian chinese version of the geriatric depression scale. Validation of the short form of the geriatric depression scale in the geriatric outpatient clinic at the hospital nacional cayetano heredia. Be sure to record the answers in the appropriate spaces positions 0 through 4. Identifying geriatric patients at risk for suicide and depression ryan c. Items 26 through 30 are used to help clinicians identify areas of concern for the respondent. A score 5 points should warrant a followup comprehensive assessment. Depression is underrecognized in older adults, especially those with chronic conditions such as heart disease and arthritis.
Geriatric depression scale short form gdssf psychiatry. The questions are translated into arabic and greek. Geriatric depression scale long form neurosciencecme. It can be used within a wide range of settings, and can be used with those that have a medical illness or those with mild to moderate cognitive impairment. Choose the best answer for how you felt over the past week. The geriatric depression scale gds was designed specifically to screen for depression in geriatric populations. How to use 15item screening tool used to identify depression in older adults used with healthy, medically ill and mild to moderately cognitively impaired adults extensively used in community, acute and longterm care settings easy to administer and score same yesno format as the lf takes 57 minutes to administer public domain many languages the gdssf is a subset of 15 questions. Minicog brief screening tool for cognitive impairment. The aim of this populationbased study was to investigate the usefulness of the geriatric depression scale 15item version gds15 to assess depressive symptoms among very old people with differing levels of cognitive function. Each of the 30 questions has a yesno answer, with the scoring dependent on the answer given.
Geriatric depression scale content and scoring verywell mind. Do you prefer to stay at home rather than going out and doing new things. There are four trigger questions that often alert a practitioner to. Ii, center for epidemiologic studies depression scale, geriatric depression scale, hospital anxiety and depression scale, and patient health questionnaire. The geriatric depression scale see appendix a was developed specifically for use with older adults and contains 30 items. The clinician interviews the residents caregiver on each of the 19 items of the scale.
Geriatric depression scale short form geriatric assessment tool kit. Jerome a yesavage geriatric depression scale psychopharmacology bulletin 1988 24. How to use 15item screening tool used to identify depression in older adults. This code was created in response to the affordable care acts federal mandate to. Link to downloads of the geriatric depression scale in english and other. The questionnaire can guide further clinical interviews and when used this way has been found very acceptable to clients. Yesavage and colleagues in 1982 that is used to identify symptoms of depression in older adults. Psychometric properties of the geriatric anxiety inventory. The geriatric depression scale, short form gds15 is a widelyused depression rating scale for elderly adults. Hamilton depression rating scale hamd or hdrs determine severity of depression geriatric depression scale a questionnaire to screen for depression in geriatric populations gad7 anxiety scale screen for generalized anxiety disorder short michigan alcoholism screening test geriatric version the smastg assess for problem alcohol drinking in.
Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. Geriatric depression scale an overview sciencedirect. Summary of representative clinical depression screening tools. What is the geriatric depression scale and why is it. According to the geriatric depression scale gds, ct received a score of 8 out of a possible 15 points indicating likelihood of depression. Later versions retain only the most discriminating questions. Geriatric depression scale30 long version ahrq academy. The geriatric depression scale can help determine if an aging person has problems with depression. Geriatric depression scale an overview sciencedirect topics. Geriatric depression scale gds short form choose the best answer for how you have felt over the past week. Each of the 30 questions has a yesno answer, with the scoring dependent on.
Do you think that most people are better off than you are. Geriatric examination tool kit geriatric assessment tool kit. Hall is a medical intern, johns hopkins universitysinai hospital program in internal medicine, baltimore, md. Cornell scale for depression in dementia csdd scoring system. Answers indicating depression are in bold and italicized. Geriatric depression scale gds life event checklist. Depression assessments such as the 4item geriatric depression. Geriatric depression scale gds30 yesavage ja, brink tl, rose tl, lum o, huang v, adey mb, leirer vo. Depression assessments such as the 4item geriatric depression scale are easy and quick to. The geriatric depression scale gds is a screening test originally developed by j. Please answer the security question below and click continue. It has been designed for the assessment of depressive symptomatology in elderly people and excludes any questions relating to the physical symptoms of depression common in old age. The tool, originally consisting of 30 items, has been modified to variations with either 15 or 5 items gds15 and gds5, respectively to be better received by elderly patients. The gds long form is a brief, 30item questionnaire in which.
Greenberg, phdc, msn, gnpbc, hartford institute for geriatric nursing, nyu college of nursing why. The gds long form is a brief, 30item questionnaire in which participants. Cornell scale for depression in dementia the scale is designed as a screening tool and is not diagnostic 2 steps. No score should be given if symptoms result from physical disability or illness. The geriatric depression scale gds 15 point version is a depression assessment tool specifically designed for older people. Using a standard statistical protocol, a reliable and valid geriatric depression scale 15nepali was developed with an adequate internal consistency and an optimal balance between. Identifying geriatric patients at risk for suicide and. Hamilton depression rating scale hdrs please complete the scale based on a structured interview instructions. Psychometric properties of the geriatric anxiety scale in communitydwelling, clinical, and medical samples of older adults dissertation directed by professor daniel l. Total score greater than five indicates probably depression.
Depression is common in late life, affecting nearly 5 million of the 31 million americans aged 65 and older with clinically significant. Depression is common in late life, affecting nearly 5 million of the 31 million americans aged 65 and older with clinically significant depressive symptoms reaching % in older adults aged 80. It contains 30 forcedchoice yes or no questions, a format that is helpful for individuals with cognitive dysfunction. The gds short form 15 questions has been derived from the 30 question version. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. The scale is a 30item, selfreport instrument that uses a yesno format. Geriatric depression scale gds scoring instructions instructions. Segal this study examined the psychometric properties of the geriatric anxiety scale gas. Each item is scored 0 to 1 for a total score range of 0 to 30. Tariq sh, tumosa n, chibnall jt, perry mh 3rd, morley je. While studies suggest good internal consistency and convergent validity, divergent validity from measures of depression are weak. Scores of 04 are considered normal, depending on age, education, and complaints 58 indicate mild depression. Greenberg, phd, rn, gnpbc, hartford institute for geriatric nursing, new york university rory meyers college of nursing why.
Geriatric depression scale short form with 4 questions. This tip sheet provides guidance on administering the geriatric depression scale gds 15 point version, a depression assessment tool specifically designed for older people. A spanish version of the geriatric depression scale in. Shah a, herbert r, lewis s, mahendran r, platt j, bhattacharyya b. Psychometric properties of the geriatric anxiety scale in.
The assessment is a selfreported tool with yesno answers. Development and validation of a geriatric depression screening scale. However, its much more important than getting the simple results of a test. Geriatric depression scale about dementia pathways. Left untreated, depression may progress and have dramatic effects on overall health. Geriatric depression scale long form score calculator. Australian chinese version of the geriatric depression. A score of 5 points is suggestive of depression and warrants a followup interview. Be sure to record the answers in the appropriate spaces positions 0. The geriatric depression scale gds is specifically designed to screen and measure depression in older adults. Although differing sensitivities and specificities have been obtained across studies, for clinical purposes a score 5 points is suggestive of depression and should warrent a followup interview.
A psychiatric evaluation is the next step to assessing the severity of the persons depression so that treatment options can be discussed. Geriatric depression scale short form english scoring. The geriatric depression scale gds is a 30item selfreport assessment used to identify depression in the elderly. The 10item montgomeryasberg depression rating scale madrs measures severity of depression in individuals 18 years and older. Feasibility of gds15 was evaluated as the proportion of people who completed the scale.
Yesavage and colleagues in 1982 that is used to identify symptoms of. Screening for depression among acutely ill geriatric inpatients with a short geriatric depression scale. Aug 11, 2014 the geriatric anxiety inventory is a 20item geriatric specific measure of anxiety severity. This short form of the gds was developed in 1986 by sheikh and yesavage. Geriatric depression scale the geriatric depression scale gds is a selfreport scale designed to be simple to administer and not to require the skills of a trained interviewer yesavage et al, 1983. The original geriatric depression scale gds was a 30item questionnaire timeconsuming and challenging for some patients and staff. It targets a population with many risk factors for depression, and depression affects them differently than it does younger people. Usefulness of the geriatric depression scale 15item version. Where a score of more than five is indicated, a more.
Have you dropped many of your activities and interests. This score is not consistent with a depressive status, however, there should be some concerns raised in regard to the mental health of the patient and further assessment is required. Use of the gds for the screening and detection of depression among. The geriatric depression scale gds is a brief, convenient, and effective 30item selfreport screening measure for depression among older adults. The geriatric depression scale is a useful tool for assessing the mental health of older people. Geriatric depression scale short form see associated document. The scale is an adaptation of the hamilton depression rating scale and has a greater sensitivity to change over time. Depression is more common in those with multiple chronic conditions. The purpose of this study was to establish the sensitivity of a spanish translation of the 15item geriatric depression scale gdss in a sample of 41 elderly mexicanamerican psychiatric patients with a diagnosis of depressive disorders. It might be useful for persons across the adult lifespan, but more. Short form is a 15question screening tool for depression in older adults that takes five to seven minutes to complete and can be filled out by the patient or administered by a provider with minimal training in its use. Clinical cutoffs have been developed that vary across studies due to the small clinical samples used. Comparison of the saint louis university mental status examination and the minimental state examination for detecting dementia and mild neurocognitive disordera pilot study. Geriatric depression scale as a ommunity screening instrument for elderly hinese immigrants.
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