The validity of the Montgomery–Aasberg depression rating scale as a screening tool for depression in later life

作者: Knut Engedal , Kari Kvaal , Maria Korsnes , Maria Lage Barca , Tom Borza

DOI: 10.1016/J.JAD.2012.02.042

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摘要: Abstract Background The aims of the study were to examine validity MADRS and compare it with Cornell Scale for Depression in Dementia (CSDD). Methods We included 140 patients without dementia, mean age 81.5 (sd 7.7) years. Trained psychiatric nurses interviewed all them using MADRS. In addition, 70 caregivers CSDD. A psychiatrist who had no access or CSDD results made a diagnosis depression according DSM-IV criteria major depression, ICD-10 was also applied assessed Results Twenty-two out DSM IV criteria, whereas 25 criteria. area under curve (auc) receiver operating characteristic analysis 0.86 (95% CI 0.79–0.93) best cut-off point 16/17 sensitivity 0.80 specificity 0.82. AUC 0.83 0.71–0.95). recommended score on 7/8 valid but not this study. Limitations diagnosed by only one psychiatrist, procedures two centres exactly same. Conclusions has good discriminating power detect elderly persons should be preferred use dementia.

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