Abreviar lo breve.Aproximación a versiones ultracortas del cuestionario de Yesavage para el cribado de la depresión
Evaluar la validez de cuestionarios reducidos de 4,5 y 1 preguntas basados en la escala geriátrica de depresión de Yesavage en su versión española (GDS-VE) de 15 preguntas, para el cribado de la depresión en las personas > 65 años. Estudio de validación de cuestionarios. Consultas de un centro de...
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| Published in: | Atención primaria Vol. 35; no. 1; pp. 14 - 21 |
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| Format: | Journal Article |
| Language: | English Spanish |
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2005
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| Abstract | Evaluar la validez de cuestionarios reducidos de 4,5 y 1 preguntas basados en la escala geriátrica de depresión de Yesavage en su versión española (GDS-VE) de 15 preguntas, para el cribado de la depresión en las personas > 65 años.
Estudio de validación de cuestionarios.
Consultas de un centro de salud.
Se seleccionó a 258 pacientes para adaptar y validar el cuestionario original (GDS-15). Posteriormente se valoran los datos de validez al aplicar un grupo de 1 pregunta (GDS-1), 4 preguntas (GDS-4) y otro de 5 (GDS-5) seleccionadas por su mayor sensibilidad y especificidad obtenidas en el estudio de validación del GDS-VE.
Se analiza la fiabilidad interobservador e intraobservador, la consistencia interna, la validez convergente (coeficiente de correlación de Spearman [CC]), la validez de criterio (sensibilidad [S] y especificidad [E]) y la capacidad diagnóstica de cada cuestionario (área bajo la curva ROC [AUC]), con los respectivos intervalos de confianza (IC) del 95%.
Finalizaron el estudio 249 pacientes. Se han obtenido los siguientes resultados, considerando un punto de corte de ≥ 2 en las versiones de 4 y 5 preguntas: – GDS-1: S del 71,1% (61,7-80,4); E del 74,1% (67,3-80,9); AUC = 0,726 (0,659- 0,793); CC = 0,679 (0,673-0,684). – GDS-4: S del 73,3% (64,2-82,4); E del 77,7% (71,2-84,2); AUC = 0,821 (0,765- 0,876); CC = 0,803 (0,754-0,852). – GDS-5: S del 81,1% (73,1-89,1); E del 73,2% (66,3-80,1); AUC = 0,833 (0,789- 0,887); CC = 0,866 (0,824-0,908).
Los resultados de sensibilidad y especificidad son similares a los obtenidos en otros estudios de GDS ultracorta. La buena fiabilidad de estas versiones ultracortas nos hace recomendar la realización de nuevos trabajos que permitan consolidarlo como una opción válida y muy rápida para el cribado de la depresión en población anciana.
To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s.
Study to validate questionnaires.
Health centre consultations.
258 patients were selected to adapt and validate the original questionnaire (GDS-15). Then validity data were assessed by using a group with one question (GDS-1), a group with 4 questions (GDS-4) and a group with 5 (GDS-5). The questions were chosen for the greater sensitivity and specificity shown in the validation study of the GDS-VE.
Inter and intra-observer reliability, internal consistency, convergent validity (Spearman’s correlation coefficient: CC), criterion validity (sensitivity, S, and specificity, E), and the diagnostic capacity of each questionnaire (area under the ROC curve: AUC), at their respective 95% confidence intervals (CI), were all analysed.
249 patients concluded the study, with the following results (the cut-off point was taken as 2 or more points on the 4 and 5-question versions): GDS-1: S: 71.1% (61.7- 80.4), E: 74.1% (67.3-80.9), AUC: 0.726 (0.659-0.793), CC: 0.679 (0.673-0.684). GDS-4: S: 73.3% (64.2-82.4), E: 77.7% (71.2-84.2), AUC: 0.821 (0.765-0.876), CC: 0.803 (0.754-0.852). GDS-5: S: 81.1% (73.1-89.1), E: 73.2% (66.3-80.1), AUC: 0.833 (0.789-0.887), CC: 0.866 (0.824-0.908).
The sensitivity and specificity results are similar to results of other ultrashort GDS studies. The high reliability of these ultra-short versions leads us to recommend that new studies be run to enable these versions to be consolidated as a valid and very rapid option for diagnosing depression among the elderly. |
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| AbstractList | Evaluar la validez de cuestionarios reducidos de 4,5 y 1 preguntas basados en la escala geriátrica de depresión de Yesavage en su versión española (GDS-VE) de 15 preguntas, para el cribado de la depresión en las personas > 65 años.
Estudio de validación de cuestionarios.
Consultas de un centro de salud.
Se seleccionó a 258 pacientes para adaptar y validar el cuestionario original (GDS-15). Posteriormente se valoran los datos de validez al aplicar un grupo de 1 pregunta (GDS-1), 4 preguntas (GDS-4) y otro de 5 (GDS-5) seleccionadas por su mayor sensibilidad y especificidad obtenidas en el estudio de validación del GDS-VE.
Se analiza la fiabilidad interobservador e intraobservador, la consistencia interna, la validez convergente (coeficiente de correlación de Spearman [CC]), la validez de criterio (sensibilidad [S] y especificidad [E]) y la capacidad diagnóstica de cada cuestionario (área bajo la curva ROC [AUC]), con los respectivos intervalos de confianza (IC) del 95%.
Finalizaron el estudio 249 pacientes. Se han obtenido los siguientes resultados, considerando un punto de corte de ≥ 2 en las versiones de 4 y 5 preguntas: – GDS-1: S del 71,1% (61,7-80,4); E del 74,1% (67,3-80,9); AUC = 0,726 (0,659- 0,793); CC = 0,679 (0,673-0,684). – GDS-4: S del 73,3% (64,2-82,4); E del 77,7% (71,2-84,2); AUC = 0,821 (0,765- 0,876); CC = 0,803 (0,754-0,852). – GDS-5: S del 81,1% (73,1-89,1); E del 73,2% (66,3-80,1); AUC = 0,833 (0,789- 0,887); CC = 0,866 (0,824-0,908).
Los resultados de sensibilidad y especificidad son similares a los obtenidos en otros estudios de GDS ultracorta. La buena fiabilidad de estas versiones ultracortas nos hace recomendar la realización de nuevos trabajos que permitan consolidarlo como una opción válida y muy rápida para el cribado de la depresión en población anciana.
To assess the validity of small questionnaires of 4,5 and 1 questions, based on the 15-question Spanish version of the Yesavage geriatric depression scale (GDS-VE), for diagnosing depression in the over-65s.
Study to validate questionnaires.
Health centre consultations.
258 patients were selected to adapt and validate the original questionnaire (GDS-15). Then validity data were assessed by using a group with one question (GDS-1), a group with 4 questions (GDS-4) and a group with 5 (GDS-5). The questions were chosen for the greater sensitivity and specificity shown in the validation study of the GDS-VE.
Inter and intra-observer reliability, internal consistency, convergent validity (Spearman’s correlation coefficient: CC), criterion validity (sensitivity, S, and specificity, E), and the diagnostic capacity of each questionnaire (area under the ROC curve: AUC), at their respective 95% confidence intervals (CI), were all analysed.
249 patients concluded the study, with the following results (the cut-off point was taken as 2 or more points on the 4 and 5-question versions): GDS-1: S: 71.1% (61.7- 80.4), E: 74.1% (67.3-80.9), AUC: 0.726 (0.659-0.793), CC: 0.679 (0.673-0.684). GDS-4: S: 73.3% (64.2-82.4), E: 77.7% (71.2-84.2), AUC: 0.821 (0.765-0.876), CC: 0.803 (0.754-0.852). GDS-5: S: 81.1% (73.1-89.1), E: 73.2% (66.3-80.1), AUC: 0.833 (0.789-0.887), CC: 0.866 (0.824-0.908).
The sensitivity and specificity results are similar to results of other ultrashort GDS studies. The high reliability of these ultra-short versions leads us to recommend that new studies be run to enable these versions to be consolidated as a valid and very rapid option for diagnosing depression among the elderly. |
| Author | Albert Colomer, C. Arias Blanco, M.C. Aguado Taberné, C. Onís Vilches, M.C. Dueñas Herrero, R. Martínez de la Iglesia, J. |
| Author_xml | – sequence: 1 givenname: J. surname: Martínez de la Iglesia fullname: Martínez de la Iglesia, J. email: med015678@saludalia.com – sequence: 2 givenname: M.C. surname: Onís Vilches fullname: Onís Vilches, M.C. – sequence: 3 givenname: R. surname: Dueñas Herrero fullname: Dueñas Herrero, R. – sequence: 4 givenname: C. surname: Aguado Taberné fullname: Aguado Taberné, C. – sequence: 5 givenname: C. surname: Albert Colomer fullname: Albert Colomer, C. – sequence: 6 givenname: M.C. surname: Arias Blanco fullname: Arias Blanco, M.C. |
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| Copyright | 2005 Elsevier España S.L. |
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| DocumentTitleAlternate | Abbreviating the brief. Approach to ultra-short versions of the yesavage questionnaire for the diagnosis of depression |
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| Keywords | Validation Anciano Validación Depresión Depression Scales Elderly Escalas |
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| Snippet | Evaluar la validez de cuestionarios reducidos de 4,5 y 1 preguntas basados en la escala geriátrica de depresión de Yesavage en su versión española (GDS-VE) de... |
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| SubjectTerms | Anciano Depresión Depression Elderly Escalas Originales Scales Validación Validation |
| Title | Abreviar lo breve.Aproximación a versiones ultracortas del cuestionario de Yesavage para el cribado de la depresión |
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