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Screening Tests for Depression in Older Black vs. White Patients

 

作者: F. Baker,   Susan Velli,   Juli Friedman,   Cynthia Wiley,  

 

期刊: American Journal of Geriatric Psychiatry  (OVID Available online 1995)
卷期: Volume 3, issue 1  

页码: 43-51

 

ISSN:1064-7481

 

年代: 1995

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Thirty-nine psychiatric patients age 50 and older with diagnoses of depression participated in a study of the reliability of screening instruments in the identification of depression. All patients had a diagnosis of affective disorder confirmed by a SCID interview. Forty-nine percent of the depressed patients were black, 51% were 70–92 years old, 77% were women, and 51% were widowed. When the Center for Epidemiologic Studies-Depression Scale (CES-D) was administered to these depressed patients, its sensitivity in black patients was 71% and in white patients was 85%. The sensitivity of the Geriatric Depression Scale (GDS) was 53% in black patients and 65% in white patients. The CES-D was significantly better than the GDS in the identification of depressive symptoms in this sample. These data suggest that the CES-D and the GDS may not be equally effective in identifying depression among older American black and white patients. Further studies with larger samples of SCID-diagnosed, depressed, older black and white patients are needed to confirm these findings.

 



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