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Screening depression among institutionalized older chinese men by minimum data set: We need a new instrument

机译:通过最少的数据集筛查制度化的中国老年男性抑郁症:我们需要一种新的手段

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Objective: To compare the effectiveness of the Minimum Data Set-based Depression Rating Scale (MDS-DRS) and Geriatric Depression Scale (GDS) in screening depression among older institutionalized Chinese men living in Taiwan. Method: MDS Nursing Home 2.1 Chinese version, Mini-Mental State Examination (MMSE), and short form Geriatric Depression Scale (GDS-15) were used among elderly residents in Banciao Veterans Home. Screening results of MDS-DRS and GDS-15, and relationship between 16 MDS Mood and Anxiety symptoms and depression were evaluated. Results: The prevalence of depression defined by MDS-DRS and GDS were 0.2% and 8.7%, respectively. Multiple logistic regression disclosed that E1a (OR: 12.9, 95% CI: 2.8-58.8, p = 0.001), E1k (OR: 15.6, 95% CI: 5.6-43.5, p < 0.001), and E1l (OR: 22.2, 95% CI: 6.1-83.3, p < 0.001) were all independent associative factors for GDS-defined depression but only explained 51.9% of all depressive subjects. Conclusions: The effectiveness of MDS-DRS is limited, and a new MDS-based depression screening instrument is needed.
机译:目的:比较基于最小数据集的抑郁量表(MDS-DRS)和老年抑郁量表(GDS)在筛查居住在台湾的中国老年人中的抑郁症的有效性。方法:MDS护理之家2.1中文版,迷你精神状态检查(MMSE)和简短的老年抑郁量表(GDS-15)用于半桥老兵之家的老年人。评价MDS-DRS和GDS-15的筛选结果,以及16种MDS情绪与焦虑症状和抑郁之间的关系。结果:由MDS-DRS和GDS定义的抑郁症患病率分别为0.2%和8.7%。多元logistic回归显示,E1a(OR:12.9,95%CI:2.8-58.8,p = 0.001),E1k(OR:15.6,95%CI:5.6-43.5,p <0.001)和E11(OR:22.2, 95%CI:6.1-83.3,p <0.001)都是GDS定义的抑郁症的独立相关因素,但仅解释了所有抑郁症受试者的51.9%。结论:MDS-DRS的有效性是有限的,因此需要一种新的基于MDS的抑郁症筛查仪器。

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