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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