Screening Tests for Depression in Older Black vs. White Patients

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
F M BakerCynthia Wiley

Abstract

Thirty-nine psychiatric patients age 50 and older with diagnoses of depression participated in a study of the reliability of screening instruments in the identification of depression. All patients had a diagnosis of affective disorder confirmed by a SCID interview. Forty-nine percent of the depressed patients were black, 51% were 70-92 years old, 77% were women, and 51% were widowed. When the Center for Epidemiologic Studies-Depression Scale (CES-D) was administered to these depressed patients, its sensitivity in black patients was 71% and in white patients was 85%. The sensitivity of the Geriatric Depression Scale (GDS) was 53% in black patients and 65% in white patients. The CES-D was significantly better than the GDS in the identification of depressive symptoms in this sample. These data suggest that the CES-D and the GDS may not be equally effective in identifying depression among older American black and white patients. Further studies with larger samples of SCID-diagnosed, depressed, older black and white patients are needed to confirm these findings.

Citations

May 19, 2009·Western Journal of Nursing Research·Juliette M ShellmanNnewka Hewitt
Jul 1, 1996·Journal of Geriatric Psychiatry and Neurology·F M BakerS Wong
Sep 16, 2005·International Journal of Geriatric Psychiatry·Lisa M Brown, John A Schinka
Jul 27, 2010·Journal of Gerontological Social Work·Kathryn Betts Adams, Amy Restorick Roberts
Jul 2, 2010·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Juliette Shellman, Melissa Mokel
Jul 14, 2004·International Journal of Aging & Human Development·Nathan S ConsedineArlene R King

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