Evid Based Nurs 7:88 doi:10.1136/ebn.7.3.88
  • Assessment (screening or diagnosis)

Review: screening instruments had sensitivities of 67–100% and specificities of 53–98% for detecting major depression in older primary care patients

Test characteristics of 7 instruments for detecting major depression in older adults in primary care

Instrument (number of trials) Description (cutpoints) Sensitivity Specificity
Geriatric Depression Scale (9) Primarily 15 items, yes/no format (3–5) 79–100% 67–80%
Center for Epidemiologic Studies Depression scale (5) 20 items ranking symptom frequency (9–21) 75–93% 73–87%
SelfCARE(D) (3) 12 item Likert scale (5) 77–90% 53–98%
Caribbean Culture-Specific Screen (2) Number of items not reported (5–6) 82–92% 68–79%
Cornell Scale for Depression in Dementia (1) Number of items not reported (7) 90% 75%
1-question screen (from Mental Health Inventory of the SF-36) (1) 1 item, 6 point scale (2) 67% 60%
Brief Assessment Schedule Depression Cards (1) Number of items not reported (6) 92% 84%

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