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

Instrument (number of trials)Description (cutpoints)SensitivitySpecificity
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%