Detection of depression in elderly hospitalized patients in emergency wards in France using the CES-D and the mini-GDS: preliminary experiences

Int J Geriatr Psychiatry. 1999 May;14(5):373-8. doi: 10.1002/(sici)1099-1166(199905)14:5<373::aid-gps923>3.0.co;2-s.

Abstract

Objective: The purpose of this study was to evaluate the mini-GDS and the CES-D as instruments to detect depression in elderly hospitalized patients in emergency wards in France.

Methods: The CES-D was used on two cohorts of 60 non-cognitively impaired patients aged 70 or more. The mini-GDS was also used on the second of the two cohorts administered by a medical intern. These ratings were compared with a diagnosis of depressive disorder by ICD-10 criteria.

Results: The study population had a high (58%) prevalence of depression and a low level of active psychiatric referral. Mini-GDS and CES-D scores were well correlated (0.72, p < 0.001); the mini-GDS, with a cutoff score of 1, gave optimum sensitivity (88%) and specificity (63%).

Conclusion: The use of the mini-GDS may aid the detection of depression in patients in emergency wards.

MeSH terms

  • Aged / statistics & numerical data*
  • Aged, 80 and over
  • Cohort Studies
  • Comorbidity
  • Depression / diagnosis*
  • Depression / epidemiology*
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • France / epidemiology
  • Geriatric Assessment*
  • Humans
  • Male
  • Prevalence
  • Psychiatric Status Rating Scales / standards*
  • Referral and Consultation / statistics & numerical data
  • Sensitivity and Specificity