Validation of the Korean Version of the Depression in Old Age Scale and Comparison with Other Depression Screening Questionnaires Used in Elderly Patients in Medical Settings
- Authors
- Jung, Young-Eun; Kim, Moon-Doo; Bahk, Won-Myong; Woo, Young Sup; Nam, Beomwoo; Seo, Jeong Seok; Jang, Sae-Heon; Sung, Hyung-Mo; Shim, In Hee; Yoon, Bo-Hyun; Kim, Ji Sun; Kwon, Young-Joon
- Issue Date
- Aug-2019
- Publisher
- 대한정신약물학회
- Keywords
- Depression in Old Age Scale (DIA-S); Korean; Elderly; Depressive disorder; Validation
- Citation
- Clinical Psychopharmacology and Neuroscience, v.17, no.3, pp 369 - 376
- Pages
- 8
- Journal Title
- Clinical Psychopharmacology and Neuroscience
- Volume
- 17
- Number
- 3
- Start Page
- 369
- End Page
- 376
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/4354
- DOI
- 10.9758/cpn.2019.17.3.369
- ISSN
- 1738-1088
2093-4327
- Abstract
- Objective: The Depression in Old Age Scale (DIA-S) is a new screening tool for assessing depression in the elderly. The primary aims of this study were to describe the validation of the Korean version of the DIA-S (K-DIA-S) and to compare its validity with that of other depression screening questionnaires used in elderly outpatients in medical settings. Methods: A total of 385 elderly outpatients completed the K-DIA-S and underwent the Mini International Neuropsychiatric Interview to diagnose depressive disorders. Other measures included the 15-item short form of the Geriatric Depression Scale (SGDS), the 9-item depression module of the Patient Health Questionnaire (PHQ-9), and the Montgomery-Asberg Depression Rating Scale (MADRS). Reliability and validity tests, an optimal cutoff point estimate, and receiver operating characteristic curve analysis were performed to investigate the diagnostic validity of the K-DIA-S. Areas under the curves (AUCs) for the K-DIA-S, SGDS, and PHQ-9 were compared statistically. Results: The K-DIA-S showed good internal consistency and strong correlations with the SGDS (r = 0.853), PHQ-9 (r = 0.739), and MADRS (r = 0.772). The cut-off point of the K-DIA-S that can be recommended for screening depressive symptoms was a score of 4. For "any depressive disorder", the AUC (standard error) for the K-DIA-S was 0.896 (0.015), which was significantly larger than that for the PHQ-9 (p = 0.033). Conclusion: The present findings suggest that the K-DIA-S has good psychometric properties and is a valid and reliable tool for assessing depressive symptoms in elderly populations and medically ill patients.
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Collections - College of Medicine > Department of Psychiatry > 1. Journal Articles
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