A Comparison of Depressive Mood of Older Adults in a Community,Nursing Homes,and a Geriatric Hospital: Factor Analysis of Geriatric Depression Scale

Abstract

The Geriatric Depression Scale (GDS)-15 was used in 607 adults aged 65+ years living in a community, nursing homes, and a general hospital to explore characteristics of depressive mood in different care settings. Factor analysis of GDS-15 extracted 4 factors labeled unhappiness, apathy and anxiety, loss of hope and morale, and energy loss. The scale scores labeled unhappiness, apathy and anxiety, and loss of hope and morale were negatively correlated with the Barthel Index and the Mini-Mental State Examination scores. The results classified the depressive patterns into 2 types, one fitting the nursing home residents and the other fitting the hospital patients. The dominant factors of the nursing-home type were unhappiness and loss of hope and morale, and the hospital type was highly related with apathy and anxiety. The results indicate an extended utility of the GDS-15 for a deeper understanding of depressive mood in various care settings.

Keywords

depressive mood Geriatric Depression Scale factor analysis

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References

Jackson R , Baldwin B . Detecting depression in elderly medically ill patients: the use of the Geriatric Depression Scale compared with medical and nursing observations. Age Ageing 1993;22:349-353.

Onishi J , Umegaki H , Suzuki Y , et al. The relationship between functional disability and depressive mood in Japanese older adult inpatients. J Geriatr Psychiatry Neurol 2004;17:93-98.

Yesavage JA . The use of self-rating depression scales in the elderly. In: Poon LW , ed. Clinical memory assessment of older adults. Washington, DC: American Psychological Association, 1986:213-217.

Niino N , Imaizumi T , Kawakami N . A Japanese translation of Geriatric Depression Scale. Clin Gerontol 1991;10:85-87.

Mahoney FI , Barthel DW . Functional evaluation: the Barthel Index. Md State Med J 1965;14:61-65.

Schreiner AS , Hayakawa H , Morimoto T , et al. Screening for late life depression: cut-off scores for the Geriatric Depression Scale and the Cornell Scale for Depression in Dementia among Japanese subjects. Int J Geriatr Psychiatry 2003;18:498-505.

Folstein MF , Folstein SE , McHugh PR . “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.

McGivney SA , Mulvihill M , Taylor B . Validating the GDS depression screen in the nursing home. J Am Geriatr Soc 1994;42:490-492.

Katz IR . Diagnosis and treatment of depression in patients with Alzheimer’s disease and other dementias. J Clin Psychiatry 1998;59:38-44.

10.

Sutcliffe C , Cordingley L , Burns A , et al. A new version of the geriatric depression scale for nursing and residential home populations: the geriatric depression scale (residential) (GDS-12R). Int Psychogeriatr 2000;12:173-181.

11.

Casarett DJ , Hirschman KB , Miller ER , et al. Is satisfaction with pain management a valid and reliable quality indicator for use in nursing homes? J Am Geriatr Soc 2002;50:2029-2034.

12.

Rinaldi P , Mecocci P , Benedetti C , et al. Validation of the five-item geriatric depression scale in elderly subjects in three different settings. J Am Geriatr Soc 2003;51:694-698.

13.

Kennedy GJ , Kelman HR , Thomas C . The emergence of depressive symptoms in late life: the importance of declining health and increasing disability. J Community Health 1990;15:93-104.

14.

Beekman AT , Deeg DJ , Smit JH , et al. Predicting the course of depression in the older population: results from a community-based study in The Netherlands. J Affect Disord 1995;16:41-49.

15.

Schoevers RA , Beekman AT , Deeg DJ , et al. Risk factors for depression in later life: results of a prospective community based study (AMSTEL). J Affect Disord 2000;59:127-137.

16.

Yatomi N . The factor structure and item characteristics of the GDS (Geriatric Depression Scale) short version in a Japanese elderly sample. Gerontol Sociol 1994;16:29-36.

17.

Fountoulakis KN , Tsolaki M , Iacovides A , et al. The validation of the short form of the Geriatric Depression Scale (GDS) in Greece. Aging Clin Exp Res 1999;11:367-372.

18.

Lai DW . Measuring depression in Canada’s elderly Chinese population: use of a community screening instrument. Can J Psychiatry 2000;45:279-284.

19.

Jang Y , Small BJ , Haley WE . Cross-cultural comparability of the Geriatric Depression Scale: comparison between older Koreans and older Americans. Aging Ment Health 2001;5:31-37.

20.

Ormel J , Rijsdijk FV , Sullivan M , et al. Temporal and reciprocal relationship between IADL/ADL disability and depressive symptoms in late life. J Gerontol B Psychol Sci Soc Sci 2000;57:338-347.