Universität zu Köln

Heidenblut, Sonja and Zank, Susanne (2020). Screening for Depression in Old Age With Very Short Instruments: The DIA-S4 Compared to the GDS5 and GDS4. Gerontol. Geriatr. Med., 6. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 2333-7214

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Abstract

Purpose of the Study: This article presents a short form of the Depression in old Age Scale with four items (DIA-S4). The diagnostic accuracy of the DIA-S4 was tested and compared to short forms of the Geriatric Depression Scale (GDS5, GDS4). Methods: Using the Montgomery and Asberg Depression Rating Scale (MADRS) as gold standard, the scales were validated with a sample of N = 331 geriatric inpatients. Results: The DIA-S4 had an internal consistency of .70, the GDS5 of .55, and the GDS4 of .58. The test efficiency considering ROC analyses for the DIAS-4 was AUC = .86, for the GDS5 AUC = .78, and for the GDS4 AUC = .74. The best cut-off score for the DIA-S4 was 1.5 with a sensitivity of 87% and a specificity of 68%, for the GDS4 1.5 with a sensitivity of 58% and a specificity of 81%, and for the GDS5 1.5 with a sensitivity of 88% and a specificity of 49%. Conclusion: Based on the data of this study, the DIA-S4 shows better psychometrical qualities than the GDS5 and the GDS4. It can be used as a very short screening scale for depression in old age in research and clinical practice.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Heidenblut, Sonja UNSPECIFIED UNSPECIFIED UNSPECIFIED Zank, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-309782
DOI:	10.1177/2333721420981328
Journal or Publication Title:	Gerontol. Geriatr. Med.
Volume:	6
Date:	2020
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	2333-7214
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Heilpädagogik und Rehabilitation > Zentrum für Heilpädagogische Gerontologie
Subjects:	Social sciences Education Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language MINI-MENTAL-STATE; RATING-SCALES; HEALTH; PREVALENCE; VALIDATION; VALIDITY; RELIABILITY; VERSIONS; HAMILTON English Geriatrics & Gerontology English
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/30978