The center for epidemiological studies depression scale (CES-D) is an adequate screening instrument for depressive and anxiety disorders in a very old population living in residential homes

International Journal of Geriatric Psychiatry
Els DozemanAartjan T F Beekman

Abstract

The CES-D is an instrument that is commonly used to screen for depression in community-based studies of the elderly, but the characteristics of the CES-D in a residential home population have not yet been studied. The aim of this study was to investigate the criterion validity and the predictive power of the CES-D for both depressive and anxiety disorders in a vulnerable, very old population living in residential homes. Two hundred seventy seven residents were screened with the CES-D, and subsequently interviewed with a diagnostic instrument, the Mini International Neuropsychiatric Instrument (MINI). The sensitivity, specificity, and positive and negative predictive value of the CES-D were calculated by cross-tabulation at different cut-off scores. Receiver Operating Characteristics (ROC) curves were used to assess the optimal cut-off point for each disorder and to asses the predictive power of the instrument. In a residential home population the CES-D had satisfactory criterion validity for depressive disorders and for any combination of depressive and/or anxiety disorders. With a desired sensitivity of at least 80%, the optimal cut-off scores varied between 18 and 22. The predictive power of the CES-D in this population was b...Continue Reading

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Citations

Jan 10, 2013·BMC Medical Ethics·Aisling M Sheehan, Hannah McGee
May 27, 2015·International Journal of Older People Nursing·Barbara Resnick, Elizabeth Galik
Oct 8, 2015·Asian Journal of Psychiatry·Seyed Kazem MalakoutiMozhdeh Saeedkhani
Sep 12, 2015·International Journal of Hygiene and Environmental Health·Joris YzermansIrene Van Kamp
Mar 19, 2014·Child Abuse & Neglect·Katherine L Musliner, Jonathan B Singer
Sep 3, 2016·International Psychogeriatrics·Michael BerkJ J McNeil
May 21, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jeanne S MandelblattTim Ahles
Jun 22, 2018·Dementia and Geriatric Cognitive Disorders Extra·Taiki KambeToru Kinoshita
Nov 14, 2019·Behavioural and Cognitive Psychotherapy·Tatiana Tairi
Jun 17, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Irena IlicSandra Sipetic Grujicic
Jul 25, 2019·Journal of Neuroengineering and Rehabilitation·Federica TamburellaMarco Molinari

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