Development of the EURO-D scale - a European Union initiative to compare symptoms of depression in 14 European centres

Department of Psychiatry, VU University Amsterdam, Amsterdamo, North Holland, Netherlands
The British Journal of Psychiatry (Impact Factor: 7.34). 05/1999; 174(4):330-8. DOI: 10.1192/bjp.174.4.330
Source: PubMed

ABSTRACT In an 11-country European collaboration, 14 population-based surveys included 21,724 subjects aged > or = 65 years. Most participating centres used the Geriatric Mental State (GMS), but other measures were also used.
To derive from these instruments a common depression symptoms scale, the EURO-D, to allow comparison of risk factor profiles between centres.
Common items were identified from the instruments. Algorithms for fitting items to GMS were derived by observation of item correspondence or expert opinion. The resulting 12-item scale was checked for internal consistency, criterion validity and uniformity of factor-analytic profile.
The EURO-D is internally consistent, capturing the essence of its parent instrument. A two-factor solution seemed appropriate: depression, tearfulness and wishing to die loaded on the first factor (affective suffering), and loss of interest, poor concentration and lack of enjoyment on the second (motivation).
The EURO-D scale should permit valid comparison of risk-factor associations between centres, even if between-centre variation remains difficult to attribute.

1 Follower
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In Europe, the demand for informal care is high and will increase because of the ageing population. Although caregiving is intended to contribute to the care recipient's health, its effects on the health of older European caregivers are not yet clear. This study explores the association between providing informal personal care and the caregivers' health. Data were used from the longitudinal cohort (2004-2009) of the Survey of Health, Ageing and Retirement in Europe (SHARE)(n=7858). Generalized estimating equations were used to explore the longitudinal association of informal care and the caregiver's health using poor self-rated health (less than good), poor mental health (EURO-D score for depression ≥4), and poor physical health (≥2 health complaints). Providing informal personal care was significantly associated with poor mental health (OR=1.23, 95%CI=1.04-1.47) and poor physical health (OR=1.18, 95%CI=1.01-1.38), after adjusting for various socio-demographic and health-related factors. No statistical significant association was found for self-rated health in the adjusted models. Providing informal personal care may negative influence the caregiver's mental and physical health. More awareness of the beneficial and detrimental effects of caregiving among policy makers is needed to make well-informed decisions concerning the growth of care demands in the ageing population. Copyright © 2014 American Health Foundation. Published by Elsevier Inc. All rights reserved.
    Preventive Medicine 11/2014; 70. DOI:10.1016/j.ypmed.2014.10.028 · 2.93 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Depression is one of the most prevalent mental disorders in later life. However, despite considerable research attention, great confusion remains regarding the association between ageing and depression. There is doubt as to whether a depression scale performs identically for different age groups and countries. Although measurement equivalence is a crucial prerequisite for valid comparisons across age groups and countries, it has not been established for the eight-item version of the Centre for Epidemiological Studies Depression Scale (CES-D8). Using multi-group confirmatory factor analysis, we assess configural, metric, and scalar measurement equivalence across two age groups (50-64 years of age and 65 or older) in eleven European countries, employing data from the Survey of Health, Ageing, and Retirement (SHARE). Results indicate that the construct of depression is comparable across age and country groups, allowing the substantive interpretation of correlates and mean levels of depressive symptoms.
    Social Science Research 07/2014; 46. DOI:10.1016/j.ssresearch.2014.02.006 · 1.27 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article presents an original qualitative research that helps understanding early prevention's representations in France. By analyzing three books published by the collective Pas de 0 de conduite pour les enfants de 3 ans, the authors introduce a reflection on the arguments raised by this predictive prevention's critical movement. The results highlight, on the one hand, the existence of a critical discursive line on public prevention policies, and the methodology used to study mental health's objects; and on the other hand, a political discursive line gathering some items of the collective positions about support and accompaniment of parenting and early childhood. The discussion focuses on the necessary elements for dialectic between professional clinical practices and public health practices.
    Annales Médico-psychologiques revue psychiatrique 01/2014; DOI:10.1016/j.amp.2013.04.018 · 0.15 Impact Factor