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Screening for depression on continuing care psychogeriatric wards

A Shah1, T Gray

  • 1Charing Cross and Westminster Medical School, London, UK.

International Journal of Geriatric Psychiatry
|January 1, 1997
PubMed
Summary

The Depressive Signs Scale (DSS) effectively identifies depression in elderly psychiatric patients. A cutoff score of 5/6 demonstrated optimal performance for nursing staff assessments.

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Area of Science:

  • Geriatric Psychiatry
  • Clinical Psychology
  • Nursing Assessment

Background:

  • Accurate detection of clinical depression is crucial in psychogeriatric care.
  • Nursing staff play a key role in patient monitoring and assessment.
  • The Depressive Signs Scale (DSS) is a tool used for evaluating depressive symptoms.

Purpose of the Study:

  • To evaluate the performance of the Depressive Signs Scale (DSS) when administered by nursing staff.
  • To determine the optimal cutoff score for detecting significant clinical depression in continuing care psychogeriatric inpatients.
  • To assess the DSS's utility in a subsample of patients with dementia.

Main Methods:

  • The study examined the performance of the Depressive Signs Scale (DSS).
  • Assessments were conducted by nursing staff on continuing care psychogeriatric inpatients.

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  • Sensitivity and specificity analyses were performed to identify the best cutoff score.

    • Main Results:

    • A cutoff score of 5/6 on the DSS yielded the highest sensitivity (70%) and specificity (72%) for the entire patient sample.
    • The same cutoff score of 5/6 also demonstrated optimal performance in the dementia subsample, with a sensitivity of 62% and specificity of 72%.

    Conclusions:

    • The Depressive Signs Scale (DSS), when completed by nursing staff, is a valuable tool for detecting clinical depression in psychogeriatric inpatients.
    • A cutoff score of 5/6 is recommended for the DSS to maximize accurate identification of depression in this population, including those with dementia.