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Related Experiment Videos

[Mini-GDS in elderly population administered by general practitioners].

J P Clément1, P M Preux, D Fontanier

  • 1SHU Psychiatrie, Centre Hospitalier Esquirol, 15, rue du Docteur Marcland, 87025 Limoges.

L'Encephale
|November 1, 2001
PubMed
Summary

The mini-GDS tool effectively aids general practitioners in detecting depression in elderly patients, improving diagnosis and treatment. This approach enhances recognition and modifies therapeutic attitudes, offering a better prognosis for geriatric depression.

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Area of Science:

  • Geriatric Medicine
  • Psychiatry
  • General Practice

Context:

  • Depression in the elderly is frequently undiagnosed and undertreated in primary care settings.
  • There is a critical need for accessible tools to assist clinicians in identifying depression among older adults.
  • The mini-Geriatric Depression Scale (mini-GDS) was evaluated for its utility in this context.

Purpose:

  • To assess the reliability, ease of use, and rapidity of the mini-GDS as a screening tool for depression in elderly patients within general practice.
  • To determine if the mini-GDS can sensitize general practitioners to the need for treating depression in this population.
  • To analyze the correlation between mini-GDS scores, depressive and/or anxious symptomatology (DAS), and psychotropic prescriptions.

Summary:

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  • A survey of 75 general practitioners involving 1,532 elderly patients indicated a 44% prevalence of depressive and/or anxious symptomatology (DAS).
  • The mini-GDS score showed a statistically significant correlation with the presence of DAS (p < 0.0001) and influenced psychotropic prescriptions, particularly antidepressants.
  • Logistic regression revealed that mini-GDS positivity was strongly associated with DAS and psychotropic prescriptions, especially antidepressants.

    • Impact:

    • The mini-GDS is a valuable aid for detecting depression in the elderly in general practice, potentially increasing psychotropic prescription rates.
    • A follow-up survey indicated that training with the mini-GDS improved practitioners' recognition of depression and modified their therapeutic approaches.
    • This clinical strategy is recommended to improve the poor prognosis of depression in the elderly population.