Article

Using the Minimum Data Set 2.0 Mood Disturbance Items as a Self-Report Screening Instrument for Depression in Nursing Home Residents

University of Pennsylvania, Department of Psychiatry and Philadelphia VA Medical Center, Philadelphia, PA, USA.
American Journal of Geriatric Psychiatry (Impact Factor: 3.52). 02/2004; 12(1):43-9. DOI: 10.1097/00019442-200401000-00006
Source: PubMed

ABSTRACT Seeking to enhance nursing home residents' involvement in their care, the authors examined whether the Minimum Data Set, Version 2.0 (MDS) Mood Disturbance items could be administered by self-report. They compared the MDS to the Geriatric Depression Scale (GDS) in terms of its association with depression diagnosis.
Subjects (N=204) were nursing home residents who were interviewed with a psychiatric diagnostic instrument, the GDS, and a self-report version of the MDS mood disturbance items.
Analyses of variance and receiver operating characteristics analyses demonstrated that MDS items distinguished subjects with any versus no depression about as well as did the GDS. This pattern held within cognitive, gender, and ethnicity subgroups.
The MDS Mood Disturbance items can be reliably and validly administered via self-report to persons scoring at least 12 on the Mini-Mental State Exam.

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    • "Detection characteristics were similar to the 15-item GDS. Recent reports have recommended using the MDS in concert with other measures, such as the GDS (Ruckdeschel et al., 2004; Snowden et al., 2003). "
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    • "In their study, the CSDD was collected by primary caregivers, while the MDS was abstracted from the chart, and these authors suggest that the nurse administrators that completed the MDS did not consult the primary caregivers and the resident in completing the MDS depression items. Contrast with these findings a recent study by Ruckdeschel and colleagues [18], who converted the MDS items into a self-report assessment device and reported a very high correlation with depression symptom data collected with the GDS (r = 0.71). "
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