於台灣老年族群使用五種簡短型老年憂鬱量表之可行性

Validation of Five Short Versions of the Geriatric Depression Scale in the Elder Population in Taiwan

目的：檢視五種不同的簡短型老年憂鬱量表在台灣老年人之可行性。 方法：我們使用並分析過去流行病學研究之資料，總計 388 位個案，並比較 GDS-15、兩種 GDS-5 以及兩種GDS-4。 結果：檢視的五種簡短型老年憂鬱量表之間皆具良好相關性，其中 GDS-15 具有最 高的 area under ROC curve (AUC = 0.828)，其次為 GDS-5 (Molloy et al. 2006) (AUC = 0.816)、 GDS-5 (Hoyl et al. 1999 ) (AUC = 0.816)，再其次為 GDS-4 (D’Ath et al. 1994 ) (AUC = 0.756)、 GDS-4 (van Marwiik et al. 1995) (AUC = 0.741)。 結論：此五種簡短型老年憂鬱量表皆可用於台灣老年人憂鬱症之篩檢。

Objectives:The objective of the present study was to examine the feasibility of the use of five different versions of 4-items and 5-items Geriatric Depression Scale short form in the ethnic Chinese elderly population in Taiwan. Methods:We used the data bank from our previous epidemiological study. We used the data of 388 subjects and compared the scores of GDS-15, two GDS-5, and two GDS-4. Results:All of the GDS short forms showed good correlations to each other. GDS-15 showed the highest area under receiver operating characteristic curve (AUC = 0.828), followed by GDS-5 (2006 Molloy et al.’s version) (AUC = 0.816), GDS-5 (1999 Hoyl et al.’s version) (AUC = 0.816), GDS-4 (1994 D’Ath et al.’s version ) (AUC = 0.756), and GDS-4 (1995 van Marwijk et al.’s version ) (AUC = 0.741). Conclusions:All versions of short form GDS can be used in screening major de-pressive episode among older Taiwanese adults.