Performance of the Geriatric Depression Scale-15 with Older Adults Aged over 65 Years: An Updated Review 2000-2019
- Authors
- Park, Seong-Hi; Kwak, Mi-Jeong
- Issue Date
- 15-Mar-2021
- Publisher
- Haworth Press Inc.
- Keywords
- Depression; aged; mass screening; sensitivity and specificity; systematic review
- Citation
- Clinical Gerontologist, v.44, no.2, pp 83 - 96
- Pages
- 14
- Journal Title
- Clinical Gerontologist
- Volume
- 44
- Number
- 2
- Start Page
- 83
- End Page
- 96
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/1984
- DOI
- 10.1080/07317115.2020.1839992
- ISSN
- 0731-7115
1545-2301
- Abstract
- Objectives This up-to-date systematic review and meta-analysis aimed to examine the predictive validity of the Geriatric Depression Scale-15 (GDS-15) for screening depression in older adults aged over 65 years. Methods Electronic searches were performed on the MEDLINE, EMBASE, CINAHL, and PsycINFO database using the following keywords: depression, depressive disorder, major, geriatric depression scale, and geriatric depression scale short. The Quality Assessment of Diagnostic Accuracy Studies-2 was applied to assess the risk of bias in diagnostic studies. Results Thirty-one studies that included 8,897 older adults were analyzed. The pooled sensitivity of the GDS-15 was 0.80 (95% CI:0.78 to 0.82), its pooled specificity was 0.79 (95% CI:0.78 to 0.80), the area under the curve (AUC) was 0.89 (SE = 0.01) and the Q* value was 0.82 (SE = 0.01). The subgroup analysis revealed that the pooled sensitivity and specificity of the GDS-15 were higher in older adults with normal cognitive function than in those with cognitive impairment. Conclusions These finding suggest that the GDS-15 may be more accurate for screening depression in older adults with normal cognitive function. Clinical implications The utility the GDS-15 may be restricted because its diagnostic accuracy is slightly lower among older adults with cognitive impairment.
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