Detection of depression in primary care: comparison of two self-administered scales

Int J Geriatr Psychiatry. 1997 Jan;12(1):35-7. doi: 10.1002/(sici)1099-1166(199701)12:1<35::aid-gps447>3.0.co;2-h.

Abstract

Two self-rated questionnaires, SELFCARE (D) and Hospital Anxiety Depression (HAD) Scale, were compared in relation to their efficacy in detecting depression in 72 elderly patients attending general practitioners at a health centre in Liverpool, England. The sensitivity, specificity and overall misclassification rates of both the scales were assessed against a diagnosis arrived at by using a standardized interview schedule, Geriatric Mental State (community version), and a computerized diagnostic scheme, AGECAT. In this preliminary study, SELFCARE (D) was found to be superior to HAD as a screening instrument for depression in the elderly population in primary care.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bias
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / prevention & control
  • Diagnosis, Computer-Assisted
  • Female
  • Geriatric Assessment*
  • Humans
  • Interview, Psychological
  • Male
  • Mass Screening / standards*
  • Primary Health Care*
  • Psychiatric Status Rating Scales / standards*
  • Reproducibility of Results
  • Sensitivity and Specificity