A Spanish version of the geriatric depression scale in Mexican-American elders

F. M. Baker, David V. Espino

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective. The purpose of this study was to establish the sensitivity of a Spanish translation of the 15-item Geriatric Depression Scale (GDS-S) in a sample of 41 elderly Mexican-American psychiatric patients with a diagnosis of depressive disorders. Method. Utilizing the reverse translation technique and bilingual Mexican-American psychiatrists as evaluators, patients with DSM-III-R diagnoses of affective disorder who were sequential admissions to an inpatient psychiatric unit were enrolled in the study. The GDS-S was administered by trained interviewers within 2-4 weeks of admission to 28 patients with major depressive disorder (MDD) and 13 patients with other depressive disorders (ODD). No other screening instruments for depressive symptoms were used. Results. Using the original cut-scores of GDS, the sensitivity was 39% in patients with MDD and 77% in patients with ODD. When a revised cut-score of 4 and above was identified reflective of depressive symptoms, the sensitivity improved to 75% for patients with MDD and 85% for patients with ODD. Because there were no true negatives, specificity was not determined. Conclusions. The GDS-S may have limited value in screening community-resident Mexican-American elders for depressive symptoms unless they have significant medical problems which limit their function and are associated with a dysthymic disorder. Screening instruments for depression which include neurovegetative or somatic items may be a better choice in this population.

Original languageEnglish (US)
Pages (from-to)21-25
Number of pages5
JournalInternational Journal of Geriatric Psychiatry
Volume12
Issue number1
DOIs
StatePublished - Jan 1997

Fingerprint

Geriatrics
Depression
Depressive Disorder
Major Depressive Disorder
Psychiatry
Dysthymic Disorder
Mood Disorders
Diagnostic and Statistical Manual of Mental Disorders
Inpatients
Interviews
Population

Keywords

  • Geriatric depression scale
  • Spanish
  • Survey

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

A Spanish version of the geriatric depression scale in Mexican-American elders. / Baker, F. M.; Espino, David V.

In: International Journal of Geriatric Psychiatry, Vol. 12, No. 1, 01.1997, p. 21-25.

Research output: Contribution to journalArticle

@article{d9c17a634eea49c8b75a0416ed57933e,
title = "A Spanish version of the geriatric depression scale in Mexican-American elders",
abstract = "Objective. The purpose of this study was to establish the sensitivity of a Spanish translation of the 15-item Geriatric Depression Scale (GDS-S) in a sample of 41 elderly Mexican-American psychiatric patients with a diagnosis of depressive disorders. Method. Utilizing the reverse translation technique and bilingual Mexican-American psychiatrists as evaluators, patients with DSM-III-R diagnoses of affective disorder who were sequential admissions to an inpatient psychiatric unit were enrolled in the study. The GDS-S was administered by trained interviewers within 2-4 weeks of admission to 28 patients with major depressive disorder (MDD) and 13 patients with other depressive disorders (ODD). No other screening instruments for depressive symptoms were used. Results. Using the original cut-scores of GDS, the sensitivity was 39{\%} in patients with MDD and 77{\%} in patients with ODD. When a revised cut-score of 4 and above was identified reflective of depressive symptoms, the sensitivity improved to 75{\%} for patients with MDD and 85{\%} for patients with ODD. Because there were no true negatives, specificity was not determined. Conclusions. The GDS-S may have limited value in screening community-resident Mexican-American elders for depressive symptoms unless they have significant medical problems which limit their function and are associated with a dysthymic disorder. Screening instruments for depression which include neurovegetative or somatic items may be a better choice in this population.",
keywords = "Geriatric depression scale, Spanish, Survey",
author = "Baker, {F. M.} and Espino, {David V.}",
year = "1997",
month = "1",
doi = "10.1002/(SICI)1099-1166(199701)12:1<21::AID-GPS444>3.0.CO;2-2",
language = "English (US)",
volume = "12",
pages = "21--25",
journal = "International Journal of Geriatric Psychiatry",
issn = "0885-6230",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

TY - JOUR

T1 - A Spanish version of the geriatric depression scale in Mexican-American elders

AU - Baker, F. M.

AU - Espino, David V.

PY - 1997/1

Y1 - 1997/1

N2 - Objective. The purpose of this study was to establish the sensitivity of a Spanish translation of the 15-item Geriatric Depression Scale (GDS-S) in a sample of 41 elderly Mexican-American psychiatric patients with a diagnosis of depressive disorders. Method. Utilizing the reverse translation technique and bilingual Mexican-American psychiatrists as evaluators, patients with DSM-III-R diagnoses of affective disorder who were sequential admissions to an inpatient psychiatric unit were enrolled in the study. The GDS-S was administered by trained interviewers within 2-4 weeks of admission to 28 patients with major depressive disorder (MDD) and 13 patients with other depressive disorders (ODD). No other screening instruments for depressive symptoms were used. Results. Using the original cut-scores of GDS, the sensitivity was 39% in patients with MDD and 77% in patients with ODD. When a revised cut-score of 4 and above was identified reflective of depressive symptoms, the sensitivity improved to 75% for patients with MDD and 85% for patients with ODD. Because there were no true negatives, specificity was not determined. Conclusions. The GDS-S may have limited value in screening community-resident Mexican-American elders for depressive symptoms unless they have significant medical problems which limit their function and are associated with a dysthymic disorder. Screening instruments for depression which include neurovegetative or somatic items may be a better choice in this population.

AB - Objective. The purpose of this study was to establish the sensitivity of a Spanish translation of the 15-item Geriatric Depression Scale (GDS-S) in a sample of 41 elderly Mexican-American psychiatric patients with a diagnosis of depressive disorders. Method. Utilizing the reverse translation technique and bilingual Mexican-American psychiatrists as evaluators, patients with DSM-III-R diagnoses of affective disorder who were sequential admissions to an inpatient psychiatric unit were enrolled in the study. The GDS-S was administered by trained interviewers within 2-4 weeks of admission to 28 patients with major depressive disorder (MDD) and 13 patients with other depressive disorders (ODD). No other screening instruments for depressive symptoms were used. Results. Using the original cut-scores of GDS, the sensitivity was 39% in patients with MDD and 77% in patients with ODD. When a revised cut-score of 4 and above was identified reflective of depressive symptoms, the sensitivity improved to 75% for patients with MDD and 85% for patients with ODD. Because there were no true negatives, specificity was not determined. Conclusions. The GDS-S may have limited value in screening community-resident Mexican-American elders for depressive symptoms unless they have significant medical problems which limit their function and are associated with a dysthymic disorder. Screening instruments for depression which include neurovegetative or somatic items may be a better choice in this population.

KW - Geriatric depression scale

KW - Spanish

KW - Survey

UR - http://www.scopus.com/inward/record.url?scp=0031023388&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031023388&partnerID=8YFLogxK

U2 - 10.1002/(SICI)1099-1166(199701)12:1<21::AID-GPS444>3.0.CO;2-2

DO - 10.1002/(SICI)1099-1166(199701)12:1<21::AID-GPS444>3.0.CO;2-2

M3 - Article

C2 - 9050419

AN - SCOPUS:0031023388

VL - 12

SP - 21

EP - 25

JO - International Journal of Geriatric Psychiatry

JF - International Journal of Geriatric Psychiatry

SN - 0885-6230

IS - 1

ER -