Using the minimum data set 2.0 mood disturbance items as a self-report screening instrument for depression in nursing home residents.
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.
- SourceAvailable from: gmcf.org
- "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). "
Article: Depression in Long‐Term Care[Show abstract] [Hide abstract]
ABSTRACT: The assessment and treatment of depression in long-term care (LTC) settings poses unique challenges to both clinicians and researchers. In this review we discuss the variety of forms depression can take among LTC residents and the influence the LTC environment can play on the development and maintenance of depression. We describe instruments that can be used to assess depressive symptoms, along with their strengths and liabilities. Additionally, we summarize treatment approaches, with an emphasis on the relatively limited number of empirically informed interventions. Throughout, we describe modifications that may improve the accuracy of assessment and the effectiveness of psychological treatments. Depression, while common among LTC residents, appears amenable to psychological intervention, although the field is far from identifying empirically supported treatments in the LTC setting.Clinical Psychology Science and Practice 08/2005; 12(3):280 - 299. DOI:10.1093/clipsy.bpi031 · 2.92 Impact Factor
- 01/1970: pages 65-86;
- American Journal of Geriatric Psychiatry 02/2004; 12(1):1-6. DOI:10.1176/appi.ajgp.12.1.1 · 3.52 Impact Factor