Geriatric Depression Scale scores in a representative sample of 14 545 people aged 75 and over in the United Kingdom

Results from the MRC Trial of Assessment and Management of Older People in the Community

Jnos Klmn, Rka Szakcs, Tams Trk, Zsuzsa Rzsa, Pl Barz, L. Rudas, J. Papp, Z. Janka

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

Background: The 15-item Geriatric Depression Scale (GDS-15) is recommended for screening older people, but there are no large epidemiological studies using this instrument in the UK. We describe the age and sex distribution of GDS-15 scores in the largest ever UK sample of people aged 75 and over. Method: We used cross-sectional data from the MRC Trial of the Assessment and Management of Older People in the Community. The GDS-15 was offered to a representative sample of UK people aged 75 and over. Proportions of people attaining thresholds on the GDS-15 were calculated by age group and sex. Crude Odds ratios (ORs) for the effect of age and sex were calculated and the sex/age adjusted ORs estimated using logistic regression for surveys, at three GDS-15 thresholds. Results: Of 21 241 (71.2%; 95% Confidence intervals (CI): 67.9-74.3) eligible people, 15 126 received the assessment including the GDS-15. Of these, 14 545 (96.2%; 94.7-97.2) completed ≥13 GDS-15 answers and were included in the study. Scores showed a marked right skew, with a median of 2 (interquartile range: 1-3; range: 0-14). 34.6% (95% CI: 32.1-37.3) people scored ≥3, 8.0% (6.9-9.2) scored ≥6 and 3.1% (2.5-3.7) scored ≥8. Women were significantly more likely to score above all three thresholds than men, as were older participants. Conclusions: Depression may be common in later life. The data provide a national picture of the numbers of older people who will score positively for depression in health screens which include the GDS-15, as recommended by the Royal College of General Practitioners.

Original languageEnglish
Pages (from-to)375-382
Number of pages8
JournalInternational Journal of Geriatric Psychiatry
Volume17
Issue number4
DOIs
Publication statusPublished - 2002

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Geriatrics
Odds Ratio
Confidence Intervals
Sex Distribution
Age Distribution
General Practitioners
Epidemiologic Studies
Age Groups
Logistic Models
Health
United Kingdom
Surveys and Questionnaires

Keywords

  • Aged
  • Aged, 80 and over
  • Depressive disorder/di (diagnosis)
  • Depressive disorder/ep (epidemiology)
  • Geriatric assessment
  • Human
  • Mass screening
  • Psychiatric Status Rating Scales
  • Sensitivity and specificity

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

@article{8d9e376ff00d4a70b5061d6ae9cae6db,
title = "Geriatric Depression Scale scores in a representative sample of 14 545 people aged 75 and over in the United Kingdom: Results from the MRC Trial of Assessment and Management of Older People in the Community",
abstract = "Background: The 15-item Geriatric Depression Scale (GDS-15) is recommended for screening older people, but there are no large epidemiological studies using this instrument in the UK. We describe the age and sex distribution of GDS-15 scores in the largest ever UK sample of people aged 75 and over. Method: We used cross-sectional data from the MRC Trial of the Assessment and Management of Older People in the Community. The GDS-15 was offered to a representative sample of UK people aged 75 and over. Proportions of people attaining thresholds on the GDS-15 were calculated by age group and sex. Crude Odds ratios (ORs) for the effect of age and sex were calculated and the sex/age adjusted ORs estimated using logistic regression for surveys, at three GDS-15 thresholds. Results: Of 21 241 (71.2{\%}; 95{\%} Confidence intervals (CI): 67.9-74.3) eligible people, 15 126 received the assessment including the GDS-15. Of these, 14 545 (96.2{\%}; 94.7-97.2) completed ≥13 GDS-15 answers and were included in the study. Scores showed a marked right skew, with a median of 2 (interquartile range: 1-3; range: 0-14). 34.6{\%} (95{\%} CI: 32.1-37.3) people scored ≥3, 8.0{\%} (6.9-9.2) scored ≥6 and 3.1{\%} (2.5-3.7) scored ≥8. Women were significantly more likely to score above all three thresholds than men, as were older participants. Conclusions: Depression may be common in later life. The data provide a national picture of the numbers of older people who will score positively for depression in health screens which include the GDS-15, as recommended by the Royal College of General Practitioners.",
keywords = "Aged, Aged, 80 and over, Depressive disorder/di (diagnosis), Depressive disorder/ep (epidemiology), Geriatric assessment, Human, Mass screening, Psychiatric Status Rating Scales, Sensitivity and specificity",
author = "Jnos Klmn and Rka Szakcs and Tams Trk and Zsuzsa Rzsa and Pl Barz and L. Rudas and J. Papp and Z. Janka",
year = "2002",
doi = "10.1002/gps.613",
language = "English",
volume = "17",
pages = "375--382",
journal = "International Journal of Geriatric Psychiatry",
issn = "0885-6230",
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T1 - Geriatric Depression Scale scores in a representative sample of 14 545 people aged 75 and over in the United Kingdom

T2 - Results from the MRC Trial of Assessment and Management of Older People in the Community

AU - Klmn, Jnos

AU - Szakcs, Rka

AU - Trk, Tams

AU - Rzsa, Zsuzsa

AU - Barz, Pl

AU - Rudas, L.

AU - Papp, J.

AU - Janka, Z.

PY - 2002

Y1 - 2002

N2 - Background: The 15-item Geriatric Depression Scale (GDS-15) is recommended for screening older people, but there are no large epidemiological studies using this instrument in the UK. We describe the age and sex distribution of GDS-15 scores in the largest ever UK sample of people aged 75 and over. Method: We used cross-sectional data from the MRC Trial of the Assessment and Management of Older People in the Community. The GDS-15 was offered to a representative sample of UK people aged 75 and over. Proportions of people attaining thresholds on the GDS-15 were calculated by age group and sex. Crude Odds ratios (ORs) for the effect of age and sex were calculated and the sex/age adjusted ORs estimated using logistic regression for surveys, at three GDS-15 thresholds. Results: Of 21 241 (71.2%; 95% Confidence intervals (CI): 67.9-74.3) eligible people, 15 126 received the assessment including the GDS-15. Of these, 14 545 (96.2%; 94.7-97.2) completed ≥13 GDS-15 answers and were included in the study. Scores showed a marked right skew, with a median of 2 (interquartile range: 1-3; range: 0-14). 34.6% (95% CI: 32.1-37.3) people scored ≥3, 8.0% (6.9-9.2) scored ≥6 and 3.1% (2.5-3.7) scored ≥8. Women were significantly more likely to score above all three thresholds than men, as were older participants. Conclusions: Depression may be common in later life. The data provide a national picture of the numbers of older people who will score positively for depression in health screens which include the GDS-15, as recommended by the Royal College of General Practitioners.

AB - Background: The 15-item Geriatric Depression Scale (GDS-15) is recommended for screening older people, but there are no large epidemiological studies using this instrument in the UK. We describe the age and sex distribution of GDS-15 scores in the largest ever UK sample of people aged 75 and over. Method: We used cross-sectional data from the MRC Trial of the Assessment and Management of Older People in the Community. The GDS-15 was offered to a representative sample of UK people aged 75 and over. Proportions of people attaining thresholds on the GDS-15 were calculated by age group and sex. Crude Odds ratios (ORs) for the effect of age and sex were calculated and the sex/age adjusted ORs estimated using logistic regression for surveys, at three GDS-15 thresholds. Results: Of 21 241 (71.2%; 95% Confidence intervals (CI): 67.9-74.3) eligible people, 15 126 received the assessment including the GDS-15. Of these, 14 545 (96.2%; 94.7-97.2) completed ≥13 GDS-15 answers and were included in the study. Scores showed a marked right skew, with a median of 2 (interquartile range: 1-3; range: 0-14). 34.6% (95% CI: 32.1-37.3) people scored ≥3, 8.0% (6.9-9.2) scored ≥6 and 3.1% (2.5-3.7) scored ≥8. Women were significantly more likely to score above all three thresholds than men, as were older participants. Conclusions: Depression may be common in later life. The data provide a national picture of the numbers of older people who will score positively for depression in health screens which include the GDS-15, as recommended by the Royal College of General Practitioners.

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KW - Aged, 80 and over

KW - Depressive disorder/di (diagnosis)

KW - Depressive disorder/ep (epidemiology)

KW - Geriatric assessment

KW - Human

KW - Mass screening

KW - Psychiatric Status Rating Scales

KW - Sensitivity and specificity

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