Screening of depressive symptoms in young-old hemodialysis patients

Relationship between beck depression inventory and 15-item geriatric depression scale

Mauro Giordano, Paolo Tirelli, Tiziana Ciarambino, Antonio Gambardella, Nicola Ferrara, Giuseppe Signoriello, Giuseppe Paolisso, Michele Varricchio

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aims: We studied the relationship between the Beck Depression Inventory (BDI) and the 15-item Geriatric Depression Scale (GDS-15) in young-old hemodialysis and hospitalized patients in order to evaluate the possible usefulness of GDS-15 in hemodialysis patients. Methods: Thirty-one hospitalized and 31 young-old hemodialysis patients aged 65-74 (young-old) were enrolled in the study. Comprehensive geriatric assessment (Mini Mental State Examination (MMSE), BDI, GDS-15, Cumulative Illness Rating Scale (CIRS) and Activities of Daily Living (ADL)) was made for all patients. The internal consistency between BDI and GDS-15 was evaluated with Cronbach's α coefficient. Sensitivity, specificity and receiver operating characteristic (ROC) curves for GDS-15 were determined using BDI as the standard. Results: In the hospitalized group, the prevalence of depressive symptoms, as evaluated by BDI (≥14) and GDS-15 (≥6), were 29 and 32%, respectively. In the hemodialysis group, the prevalence of depressive symptoms, as evaluated by BDI and GDS-15, were 61 and 58%, respectively. A significantly positive correlation between the BDI and GDS-15 was found in hospitalized (r = 0.808; p <0.001), hemodialysis (r = 0.692; p <0.001) and both patient groups together (r = 0.777; p <0.001). The area under the ROC curve was 0.99 in the hospitalized and 0.95 in the hemodialysis groups. The ROC curves indicate a best effectiveness cutoff point (balancing sensitivity and specificity) of ≥6 for GDS-15 compared to BDI. Conclusions: The GDS-15 could be a useful instrument for evaluating depressive symptoms in young-old hemodialysis patients.

Original languageEnglish
JournalNephron - Clinical Practice
Volume106
Issue number4
DOIs
Publication statusPublished - Jul 2007

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Geriatrics
Renal Dialysis
Depression
Equipment and Supplies
ROC Curve
Geriatric Assessment
Sensitivity and Specificity
Activities of Daily Living

Keywords

  • Beck Depression Inventory
  • Depression
  • Geriatric Depression Scale, 15-item
  • Hemodialysis

ASJC Scopus subject areas

  • Nephrology

Cite this

Screening of depressive symptoms in young-old hemodialysis patients : Relationship between beck depression inventory and 15-item geriatric depression scale. / Giordano, Mauro; Tirelli, Paolo; Ciarambino, Tiziana; Gambardella, Antonio; Ferrara, Nicola; Signoriello, Giuseppe; Paolisso, Giuseppe; Varricchio, Michele.

In: Nephron - Clinical Practice, Vol. 106, No. 4, 07.2007.

Research output: Contribution to journalArticle

Giordano, Mauro ; Tirelli, Paolo ; Ciarambino, Tiziana ; Gambardella, Antonio ; Ferrara, Nicola ; Signoriello, Giuseppe ; Paolisso, Giuseppe ; Varricchio, Michele. / Screening of depressive symptoms in young-old hemodialysis patients : Relationship between beck depression inventory and 15-item geriatric depression scale. In: Nephron - Clinical Practice. 2007 ; Vol. 106, No. 4.
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title = "Screening of depressive symptoms in young-old hemodialysis patients: Relationship between beck depression inventory and 15-item geriatric depression scale",
abstract = "Aims: We studied the relationship between the Beck Depression Inventory (BDI) and the 15-item Geriatric Depression Scale (GDS-15) in young-old hemodialysis and hospitalized patients in order to evaluate the possible usefulness of GDS-15 in hemodialysis patients. Methods: Thirty-one hospitalized and 31 young-old hemodialysis patients aged 65-74 (young-old) were enrolled in the study. Comprehensive geriatric assessment (Mini Mental State Examination (MMSE), BDI, GDS-15, Cumulative Illness Rating Scale (CIRS) and Activities of Daily Living (ADL)) was made for all patients. The internal consistency between BDI and GDS-15 was evaluated with Cronbach's α coefficient. Sensitivity, specificity and receiver operating characteristic (ROC) curves for GDS-15 were determined using BDI as the standard. Results: In the hospitalized group, the prevalence of depressive symptoms, as evaluated by BDI (≥14) and GDS-15 (≥6), were 29 and 32{\%}, respectively. In the hemodialysis group, the prevalence of depressive symptoms, as evaluated by BDI and GDS-15, were 61 and 58{\%}, respectively. A significantly positive correlation between the BDI and GDS-15 was found in hospitalized (r = 0.808; p <0.001), hemodialysis (r = 0.692; p <0.001) and both patient groups together (r = 0.777; p <0.001). The area under the ROC curve was 0.99 in the hospitalized and 0.95 in the hemodialysis groups. The ROC curves indicate a best effectiveness cutoff point (balancing sensitivity and specificity) of ≥6 for GDS-15 compared to BDI. Conclusions: The GDS-15 could be a useful instrument for evaluating depressive symptoms in young-old hemodialysis patients.",
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T1 - Screening of depressive symptoms in young-old hemodialysis patients

T2 - Relationship between beck depression inventory and 15-item geriatric depression scale

AU - Giordano, Mauro

AU - Tirelli, Paolo

AU - Ciarambino, Tiziana

AU - Gambardella, Antonio

AU - Ferrara, Nicola

AU - Signoriello, Giuseppe

AU - Paolisso, Giuseppe

AU - Varricchio, Michele

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Y1 - 2007/7

N2 - Aims: We studied the relationship between the Beck Depression Inventory (BDI) and the 15-item Geriatric Depression Scale (GDS-15) in young-old hemodialysis and hospitalized patients in order to evaluate the possible usefulness of GDS-15 in hemodialysis patients. Methods: Thirty-one hospitalized and 31 young-old hemodialysis patients aged 65-74 (young-old) were enrolled in the study. Comprehensive geriatric assessment (Mini Mental State Examination (MMSE), BDI, GDS-15, Cumulative Illness Rating Scale (CIRS) and Activities of Daily Living (ADL)) was made for all patients. The internal consistency between BDI and GDS-15 was evaluated with Cronbach's α coefficient. Sensitivity, specificity and receiver operating characteristic (ROC) curves for GDS-15 were determined using BDI as the standard. Results: In the hospitalized group, the prevalence of depressive symptoms, as evaluated by BDI (≥14) and GDS-15 (≥6), were 29 and 32%, respectively. In the hemodialysis group, the prevalence of depressive symptoms, as evaluated by BDI and GDS-15, were 61 and 58%, respectively. A significantly positive correlation between the BDI and GDS-15 was found in hospitalized (r = 0.808; p <0.001), hemodialysis (r = 0.692; p <0.001) and both patient groups together (r = 0.777; p <0.001). The area under the ROC curve was 0.99 in the hospitalized and 0.95 in the hemodialysis groups. The ROC curves indicate a best effectiveness cutoff point (balancing sensitivity and specificity) of ≥6 for GDS-15 compared to BDI. Conclusions: The GDS-15 could be a useful instrument for evaluating depressive symptoms in young-old hemodialysis patients.

AB - Aims: We studied the relationship between the Beck Depression Inventory (BDI) and the 15-item Geriatric Depression Scale (GDS-15) in young-old hemodialysis and hospitalized patients in order to evaluate the possible usefulness of GDS-15 in hemodialysis patients. Methods: Thirty-one hospitalized and 31 young-old hemodialysis patients aged 65-74 (young-old) were enrolled in the study. Comprehensive geriatric assessment (Mini Mental State Examination (MMSE), BDI, GDS-15, Cumulative Illness Rating Scale (CIRS) and Activities of Daily Living (ADL)) was made for all patients. The internal consistency between BDI and GDS-15 was evaluated with Cronbach's α coefficient. Sensitivity, specificity and receiver operating characteristic (ROC) curves for GDS-15 were determined using BDI as the standard. Results: In the hospitalized group, the prevalence of depressive symptoms, as evaluated by BDI (≥14) and GDS-15 (≥6), were 29 and 32%, respectively. In the hemodialysis group, the prevalence of depressive symptoms, as evaluated by BDI and GDS-15, were 61 and 58%, respectively. A significantly positive correlation between the BDI and GDS-15 was found in hospitalized (r = 0.808; p <0.001), hemodialysis (r = 0.692; p <0.001) and both patient groups together (r = 0.777; p <0.001). The area under the ROC curve was 0.99 in the hospitalized and 0.95 in the hemodialysis groups. The ROC curves indicate a best effectiveness cutoff point (balancing sensitivity and specificity) of ≥6 for GDS-15 compared to BDI. Conclusions: The GDS-15 could be a useful instrument for evaluating depressive symptoms in young-old hemodialysis patients.

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KW - Depression

KW - Geriatric Depression Scale, 15-item

KW - Hemodialysis

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