지역사회노인군에서 단축형 노인우울척도의 사용

• 영문명: The Use of the Korean Version of Short Form Geriatric Depression Scale (SGDS-K)in the Community Dwelling Elderly in Korea
• 발행기관: 대한노인정신의학회
• 저자명: 이성찬(Seong Chan Lee) 김원형(Won Hyung Kim) 장성만(Sung Man Chang) 김병수(Byung Su Kim) 이동우(Dong Woo Lee) 배재남(Jae Nam Bae) 조맹제(Maeng Je Cho)
• 간행물 정보: 『노인정신의학』노인정신의학 제17권 제1호, 36~42쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2013.06.30

영문 초록

Objectives：The purpose of this study was to evaluate whether the diagnostic validity of the Korean version of short form (15 item version) Geriatric Depression Scale (SGDS-K) was maintained well in the community dwelling elderly. Methods：In a face-to-face household survey conducted in Korea, 2,004 subjects aged more than 65 were interviewed by trained interviewers. 63 subjects diagnosed as dementia were excluded. The Mini Mental State Examination (MMSE) and SGDS-K were administered. Major depressive disorder (MDD) and minor depressive disorder (MnDD) were diagnosed with the diagnostic section of depressive disorder of the Korean version of the Composite International Diagnostic Interview (K-CIDI) according to DSM-IV diagnostic criteria. The sensitivity, the specificity and optimal cut-off point estimation and receiver operating characteristics (ROC) curve analysis were performed to investigate the diagnostic validity of the SGDS-K to screen MDD and MnDD. The diagnostic validity tests were also compared between two groups (with cognitive impairment and without cognitive impairment) divided by the MMSE scores. Results：We suggest a score of 8 (sensitivity 0.9365, specificity 0.7603) as optimal cut-off score of SGDS-K for screening MDD and a score of 6 (sensitivity 0.7898, specificity 0.6586) as optimal cut-off score for screening both MDD and MnDD. The area under ROC curve (AUC) was 0.900 for screening MDD and 0.797 for both MDD and MnDD. In the community dwelling elderly suffering from cognitive impairment, the sensitivity and specificity were 0.9500, 0.6870 with a cut off score of 8 for screening MDD and 0.8409, 0.5691 with a cut off score of 6 for screening both MDD and MnDD. The AUC was 0.893 for MDD and 0.767 for both MDD and MnDD. Conclusion：The SGDS-K was useful in screening MDD, both MDD and MnDD in the community dwelling elderly and also useful in the elderly suffering from cognitive impairment.

목차

Abstract

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대상 및 방법

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키워드

한국 노인 주요우울장애 경도우울장애 인지기능 저하 타당도 Short form Geriatric Depression Scale (SGDS) Korean elderly Major depressive disorder Minor depressive disorder Cognitive impairment Validity