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 language | English |
|---|---|
| Journal | Nephron - Clinical Practice |
| Volume | 106 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 2007 |
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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 journal › Article
}
TY - JOUR
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
PY - 2007/7
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.
KW - Beck Depression Inventory
KW - Depression
KW - Geriatric Depression Scale, 15-item
KW - Hemodialysis
UR - http://www.scopus.com/inward/record.url?scp=34547453239&partnerID=8YFLogxK
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U2 - 10.1159/000104430
DO - 10.1159/000104430
M3 - Article
VL - 106
JO - Nephron - Experimental Nephrology
JF - Nephron - Experimental Nephrology
SN - 0028-2766
IS - 4
ER -