Cornell Scale for Depression in Dementia: Study of Residents in a Northern Thai Long-Term Care Home

Article

关键词: KOREAN VERSION;    OLDER-ADULTS;    VALIDITY;    RELIABILITY;    MINI;    PREVALENCE;    FACILITIES;    PSYCHIATRY;    DISORDERS;   

DOI  :  10.4306/pi.2013.10.4.359

来源: SCIE

【 摘 要 】

Objective This study aimed to analyse the validity of the Thai version of the Cornell Scale for Depression in Dementia (CSDD) when using DSM-IV criteria. Methods A cross-sectional study was carried out of 84 elderly residents in a residential care home setting in Thailand. The participarits went through a comprehensive geriatric assessment which included a Mini-Mental State Examination, a Mini-International Neuropsychiatric Interview (MINI) and use of the CSDD tool. A ROC analysis was performed in order to test the validity of the CSDD as against the DSM-IV when used by the MINI. Results ROC analysis revealed a better score for those areas found under the curve for the CSDD-as against the DSM-IV criteria (0.96). With a cut-off score of >6, the CSDD yielded the highest sensitivity score (100%), plus produced a specificity of 81% and a negative predictive value of 100%. It also had a positive predictive value of 69%. The validity of the CSDD was found to be better for the,group experiencing cognitive impairment than with the non-cognitive impairment group in terms of the agreement of CSDD items between patients and caregivers. The CSDD yielded a high internal consistency (Cronbach's alpha=0.87). Conclusion CSDD is a valid tool to use for identifying depressive disorders among Thai LTC home residents - those experiencing and those not experiencing cognitive impairment.

【 授权许可】

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