The center for epidemiological studies depression scale (CES-D) is an adequate screening instrument for depressive and anxiety disorders in a very old population living in residential homes

Els Dozeman, Digna J F van Schaik, Harm Van Marwijk, Max L Stek, Henriette E van der Horst, Aartjan T F Beekman

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVE: The CES-D is an instrument that is commonly used to screen for depression in community-based studies of the elderly, but the characteristics of the CES-D in a residential home population have not yet been studied. The aim of this study was to investigate the criterion validity and the predictive power of the CES-D for both depressive and anxiety disorders in a vulnerable, very old population living in residential homes.METHODS: Two hundred seventy seven residents were screened with the CES-D, and subsequently interviewed with a diagnostic instrument, the Mini International Neuropsychiatric Instrument (MINI). The sensitivity, specificity, and positive and negative predictive value of the CES-D were calculated by cross-tabulation at different cut-off scores. Receiver Operating Characteristics (ROC) curves were used to assess the optimal cut-off point for each disorder and to asses the predictive power of the instrument.RESULTS: In a residential home population the CES-D had satisfactory criterion validity for depressive disorders and for any combination of depressive and/or anxiety disorders. With a desired sensitivity of at least 80{\%}, the optimal cut-off scores varied between 18 and 22. The predictive power of the CES-D in this population was best for major depression and dysthymia (Area Under the Curve, AUC 0.87), closely followed by the score for any combination of depressive and/or anxiety disorder (AUC 0.86).CONCLUSION: The use of one single instrument to screen for both depression and anxiety disorders at the same time has obvious advantages in this very old population. The CES-D seems to be a suitable instrument for this purpose.
    Original languageEnglish
    Pages (from-to)239-246
    Number of pages8
    JournalInternational journal of geriatric psychiatry
    Volume26
    Issue number3
    DOIs
    Publication statusPublished - Mar 2010

    Keywords

    • 2010
    • 80 and over
    • Aged
    • Anxiety
    • Anxiety Disorders: diagnosis
    • Depressive Disorder
    • Depressive Disorder: diagnosis
    • Female
    • GENERAL-PRACTICE
    • Geriatric Assessment
    • Geriatric Assessment: methods
    • Humans
    • Male
    • Nursing Homes
    • Predictive Value of Tests
    • Psychiatric Status Rating Scales
    • Psychiatric Status Rating Scales: standards
    • ROC Curve
    • Reproducibility of Results
    • Sensitivity and Specificity
    • VALIDITY
    • anxiety disorders
    • criterion validity
    • depression
    • elderly people
    • intervention
    • late life depression
    • methods
    • netherlands
    • oldest old
    • oldest-old
    • predictive power
    • prevalence
    • primary care
    • sample
    • screening
    • symptomatology
    • validation

    Fingerprint

    Dive into the research topics of 'The center for epidemiological studies depression scale (CES-D) is an adequate screening instrument for depressive and anxiety disorders in a very old population living in residential homes'. Together they form a unique fingerprint.

    Cite this