Validation of Five Short Versions of the Geriatric Depression Scale in the Elder Population in Taiwan

於台灣老年族群使用五種簡短型老年憂鬱量表之可行性

金韋志(Wei-Chih Chin) ； 劉嘉逸(Chia-Yih Liu) ； 李晉邦(Chin-Pang Lee) ； 朱俊霖(Chun-Lin Chu)

《台灣精神醫學》 28卷3期 (2014/09) Pp. 156-163+ii

摘要

目的：檢視五種不同的簡短型老年憂鬱量表在台灣老年人之可行性。方法：我們使用並分析過去流行病學研究之資料，總計388位個案，並比較GDS-15、兩種GDS-5以及兩種GDS-4。結果：檢視的五種簡短型老年憂鬱量表之間皆具良好相關性，其中GDS-15具有最高的area under ROC curve（AUC=0.828），其次為GDS-5（Molloy et al. 2006）（AUC = 0.816）、GDS-5（Hoyl et al. 1999）（AUC = 0.816），再其次為GDS-4（D'Ath et al. 1994）（AUC = 0.756）、GDS-4（van Marwiik et al.1995）（AUC = 0.741）。結論：此五種簡短型老年憂鬱量表皆可用於台灣老年人憂鬱症之篩檢。

關鍵字

老年憂鬱 ； 敏感性 ； 特異性 ； 台灣人

並列摘要

Objectives: The objective of the present study was to examine the feasibility of the use of five different versions of 4-items and 5-items Geriatric Depression Scale short form in the ethnic Chinese elderly population in Taiwan. Methods: We used the data bank from our previous epidemiological study. We used the data of 388 subjects and compared the scores of GDS-15, two GDS-5, and two GDS-4. Results: All of the GDS short forms showed good correlations to each other. GDS- 15 showed the highest area under receiver operating characteristic curve (AUC=0.828), followed by GDS-5 (2006 Molloy et al.'s version) (AUC=0.816), GDS-5 (1999 Hoyl et al.'s version) (AUC=0.816), GDS-4 (1994 D'Ath et al.'s version ) (AUC=0.756), and GDS-4 (1995 van Marwijk et al.'s version ) (AUC=0.741). Conclusions: All versions of short form GDS can be used in screening major depressive episode among older Taiwanese adults.

並列關鍵字

geriatric depression ； DSM ； sensitivity ； specifi city ； Taiwanese

參考文獻

Allen, J,Annells, M(2009).A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts.J Clinl Nurs.18,949-59.

Yesavage, JA,Brink, TL,Rose, TL(1982).Development and validation of a geriatric depression screening scale: A preliminary report.J Psychiat Res.17,37-49.

Sheikh, JI,Yesavage, JA(1986).Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version.Clinl Gerontol.5,165-73.

Almeida, OP,Almeida, SA(1999).Short versions of the Geriatric Depression Scale: A validity for the diagnosis of a major depressive episode according to ICD-10 and DMS-IV.Int J Geriat Psychiatry.14,858-65.

Castelo, MS,Coelho-Filho, JM,Carvalho, AF(2010).Validity of the Brazilian version of the Geriatric Depression Scale (GDS) among primary care patients.Int Psychogeriatr.22,109-13.