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Development and validation of the geriatric depression inventory in Chinese culture

Published online by Cambridge University Press:  23 February 2015

Zhijuan Xie ,
Xiaozhen Lv ,
Yongdong Hu ,
Wanxin Ma ,
Hengge Xie ,
Kai Lin ,
Xin Yu  and
Huali Wang
Zhijuan Xie
Affiliation:
Clinical Research Division, Peking University Institute of Mental Health (Sixth Hospital), Beijing 100191, P. R. China Key Laboratory for Mental Health (Peking University), Ministry of Health, Beijing100191, P. R. China
Xiaozhen Lv
Affiliation:
Clinical Research Division, Peking University Institute of Mental Health (Sixth Hospital), Beijing 100191, P. R. China Key Laboratory for Mental Health (Peking University), Ministry of Health, Beijing100191, P. R. China
Yongdong Hu
Affiliation:
Department of Psychological Medicine, Chaoyang Hospital, Capital Medical University, Beijing, P. R. China
Wanxin Ma
Affiliation:
Department of Geriatric Psychiatry, Chaoyang District Third Hospital, Beijing 100025, P. R. China
Hengge Xie
Affiliation:
Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing 100875, P. R. China
Kai Lin
Affiliation:
Key Laboratory for Mental Health (Peking University), Ministry of Health, Beijing100191, P. R. China Psychogeriatric Unit, Peking University Institute of Mental Health, Beijing 100191, P. R. China
Xin Yu
Affiliation:
Clinical Research Division, Peking University Institute of Mental Health (Sixth Hospital), Beijing 100191, P. R. China Key Laboratory for Mental Health (Peking University), Ministry of Health, Beijing100191, P. R. China Psychogeriatric Unit, Peking University Institute of Mental Health, Beijing 100191, P. R. China
Huali Wang*
Affiliation:
Clinical Research Division, Peking University Institute of Mental Health (Sixth Hospital), Beijing 100191, P. R. China Key Laboratory for Mental Health (Peking University), Ministry of Health, Beijing100191, P. R. China Psychogeriatric Unit, Peking University Institute of Mental Health, Beijing 100191, P. R. China
*
Correspondence should be addressed to: Huali Wang, Clinical Research Division, Peking University Institute of Mental Health, No. 51 Huayuanbei Road, Beijing 100191, P. R. China. Phone: +86-10-82801983; Fax: +86-10-62011769. Email: [email protected].
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Abstract

Background:

Depression among older adults is under-recognized either in the community or in general hospitals in Chinese culture. This study aimed to develop a culturally appropriate screening instrument for late-life depression in the non-psychiatric settings and to test its reliability and validity for a diagnosis of depression.

Methods:

Using a Delphi method, we developed a geriatric depression inventory (GDI), consisting of 12 core symptoms of depressive disorder in old age. We investigated its reliability and validity on 89 patients with late-life depression and 249 non-depression controls. Both self-report (GDI-SR) and physician-interview (GDI-RI) versions were assessed.

Results:

Cronbach's α coefficient was 0.843 for GDI-SR and 0.880 for GDI-RI. Both GDI-SR and GDI-RI showed good concurrent validity with the 15-item Geriatric Depression Scale (GDS-15) (GDI-SR: r = 0.750, p < 0.001; GDI-RI: r = 0.733, p < 0.001). The area under the curve of the receiver operating characteristic (ROC) was 0.938 for GDI-SR and 0.961 for GDI-RI, suggesting good to excellent discrimination of depression versus non-depression. Using a cut-off of three items endorsed, sensitivity and specificity were 92.1% and 81.9% for GDI-SR, and 93.3% and 87.1% for GDI-RI.

Conclusions:

The GDI, either based on self-report or rater interview, is a reliable and valid instrument for the detection of depression among older adults in non-psychiatric medical settings in Chinese culture.

Keywords

depressionold agescreeningsensitivityspecificity
Type
Research Article
Information
International Psychogeriatrics , Volume 27 , Issue 9 , September 2015 , pp. 1505 - 1511
Copyright
Copyright © International Psychogeriatric Association 2015 

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References

Blazer, D. G. (2003). Depression in late life: review and commentary. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 58, 249–265.Google Scholar
Brink, T. L. et al. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–43.CrossRefGoogle Scholar
Carleton, R. N. et al. (2013). The center for epidemiologic studies depression scale: a review with a theoretical and empirical examination of item content and factor structure. PLoS One, 8, e58067.Google Scholar
Christensen, H. et al. (1999). Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychological Medicine, 29, 325–339.CrossRefGoogle ScholarPubMed
Gallo, J. J., Anthony, J. C. and Muthen, B. O. (1994). Age differences in the symptoms of depression: a latent trait analysis. Journal of Gerontology, 49, P251–P264.CrossRefGoogle ScholarPubMed
Galvin, J. E. et al. (2005). The AD8: a brief informant interview to detect dementia. Neurology, 65, 559–564.CrossRefGoogle ScholarPubMed
Hammond, M. F. (2004). Doctors’ and nurses’ observations on the geriatric depression rating scale. Age and Ageing, 33, 189–192.Google Scholar
Harman, J. S., Schulberg, H. C., Mulsant, B. H. and Reynolds, C. F. 3rd. (2001). The effect of patient and visit characteristics on diagnosis of depression in primary care. Journal of Family Practice, 50, 1068.Google Scholar
He, X. Y., Xiao, S. Y. and Zhang, D. X. (2008). Reliability and validity of the Chinese version of geriatric depression scale: a study in a population of Chinese rural community-dwelling elderly. Chinese Mental Health Journal, 16, 473–475.Google Scholar
Hegeman, J. M., Kok, R. M., van der Mast, R. C. and Giltay, E. J. (2012). Phenomenology of depression in older compared with younger adults: meta-analysis. British Journal of Psychiatry, 200, 275–281.CrossRefGoogle ScholarPubMed
Kim, G., DeCoster, J., Huang, C. H. and Bryant, A. N. (2013). A meta-analysis of the factor structure of the geriatric depression scale (GDS): the effects of language. International Psychogeriatrics, 25, 71–81.CrossRefGoogle ScholarPubMed
Kleinman, A. (2004). Culture and depression. New England Journal of Medicine, 351, 951–953.Google Scholar
Knauper, B. and Wittchen, H. U. (1994). Diagnosing major depression in the elderly: evidence for response bias in standardized diagnostic interviews? Journal of Psychiatric Research, 28, 147–164.Google Scholar
Kramer, D., Allgaier, A. K., Fejtkova, S., Mergl, R. and Hegerl, U. (2009). Depression in nursing homes: prevalence, recognition, and treatment. International Journal of Psychiatry in Medicine, 39, 345–358.Google Scholar
Li, T. et al. (2012). The reliability and validity of Chinese version of AD8. Chinese Journal of Internal Medicine, 51, 777–780.Google Scholar
Liu, P. (1999). The geriatric depression scale. Chinese Mental Health Journal, 13 (Suppl.), 217–219.Google Scholar
Lv, Y. L., Wu, A. Q., Li, M. and Liu, J. N. (2004). The clinical phenomenological characteristics of depression in late life. Journal of Clinical Psychological Medicine, 13, 328–330.Google Scholar
Mitchell, A. J., Bird, V., Rizzo, M. and Meader, N. (2010). Diagnostic validity and added value of the geriatric depression scale for depression in primary care: a meta-analysis of GDS30 and GDS15. Journal of Affective Disorders, 125, 10–17.Google Scholar
Mulsant, B. H. and Ganguli, M. (1999). Epidemiology and diagnosis of depression in late life. Journal of Clinical Psychiatry, 60 (Suppl. 20), 9–15.Google ScholarPubMed
Parker, G., Gladstone, G. and Chee, K. T. (2001). Depression in the planet's largest ethnic group: the Chinese. American Journal of Psychiatry, 158, 857–864.Google Scholar
Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.Google Scholar
Small, G. W. (2009). Differential diagnoses and assessment of depression in elderly patients. Journal of Clinical Psychiatry, 70, e47.Google Scholar
Unutzer, J. (2002). Diagnosis and treatment of older adults with depression in primary care. Biological Psychiatry, 52, 285–292.Google Scholar
Wong, R., Wu, R., Guo, C., Lam, J. K. and Snowden, L. R. (2012). Culturally sensitive depression assessment for Chinese American immigrants: development of a comprehensive measure and a screening scale using an item response approach. Asian American Journal of Psychology, 3, 230–253.Google Scholar
Xie, Z. J., Lin, K., Lv, X. Z., Wang, H. L. and YU, X. (2013). The Delphi survey of the core symptoms of depressive disorder in the elderly. Chinese Mental Health Journal, 27, 729–733.Google Scholar
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