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Depression in the elderly in Vellore, South India: the use of a two-question screen

Published online by Cambridge University Press:  13 January 2009

S. S. Biswas ,
R. Gupta ,
H. A. Vanjare ,
S. Bose ,
J. A. Patel ,
S. Selvarajan ,
J. Aaron ,
E. Nitya ,
D. S. Iyer  and
N. S. M. Jacob
...Show all authors
S. S. Biswas
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
R. Gupta
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
H. A. Vanjare
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
S. Bose
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
J. A. Patel
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
S. Selvarajan
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
J. Aaron
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
E. Nitya
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
D. S. Iyer
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
N. S. M. Jacob
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
K. R. John
Affiliation:
Department of Community Health, Christian Medical College, Vellore, India
K. S. Jacob*
Affiliation:
Department of Psychiatry, Christian Medical College, Vellore, India
*
Correspondence should be addressed to: K.S. Jacob, Professor of Psychiatry, Christian Medical College, Vellore 632002, India. Phone: +91 416 2284513; Fax: +91 416 2262268. Email: ksjacob@cmcvellore.ac.in.
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Abstract

Background: Depression in the elderly is a common and disabling condition. The aim of the study was to evaluate the sensitivity and specificity of a two-question screen to identify depression and common mental disorders in the elderly.

Method: Residents of a ward in the town of Vellore were identified by a door-to-door survey from which 204 subjects aged over 60 years were selected for the study by systematic random sampling. They were screened using the two-question screen. The Revised Clinical Interview Schedule (CIS-R) was employed to confirm the diagnosis.

Results: The prevalence of depression and common mental disorder, using the CIS-R standard, was found to be 31.5%. The two-question screen has a sensitivity of 93.8% and specificity of 48.2%.

Conclusions: The high sensitivity of the two-question screen makes it a useful screening method which can be employed by health workers in the field.

Type
Research Article
Information
International Psychogeriatrics , Volume 21 , Issue 2 , April 2009 , pp. 369 - 371
Copyright
Copyright © International Psychogeriatric Association 2009

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References

Abraham, V. J., Abraham, S. and Jacob, K. S. (2005). Suicide in the elderly in Kaniyambadi block, Tamil Nadu, South India. International Journal of Geriatric Psychiatry, 20, 953–955.Google Scholar
Arroll, B., Khin, N. and Kerse, N. (2003). Screening for depression in primary care with two verbally asked questions: cross sectional study. BMJ, 327, 1144–1146.CrossRefGoogle ScholarPubMed
Arroll, B., Goodyear-Smith, F., Kerse, N., Fishman, T. and Gunn, J. (2005). Effect of the addition of a “help” question to two screening questions on specificity for diagnosis of depression in general practice: diagnostic validity study. BMJ, 331, 884–886.Google Scholar
Benjamin, D., Chandramohan, A., Annie, I. K., Prasad, J. and Jacob, K. S. (2005). Validation of the Tamil version of the Edinburgh Postnatal Depression Scale. Journal of Obstetrics and Gynecology India, 17, 83–88.Google Scholar
Ganguli, M., Dube, S., Johnston, J. M., Pandav, R., Chandra, V. and Dodge, H. H. (1999). Depressive symptoms, cognitive impairment and functional impairment in a rural elderly population in India: a Hindi version of the geriatric depression scale (GDS-H). International Journal of Geriatric Psychiatry, 14, 807–820.Google Scholar
Jeyabalan, S., Kuruvilla, A., Prasad, J., Abraham, S. and Jacob, K. S. (2007). A risk score for diagnosing common mental disorders. Australian Family Physician, 36, 969–972.Google Scholar
Lewis, G. H., Pelosi, A., Araya, R. and Dunn, G. (1992). Measuring psychiatric disorder in the community: a standardized assessment for us by lay interviewers. Psychological Medicine, 22, 465–486.Google Scholar
Manoharam, E., John, K. R., Joseph, A. and Jacob, K. S. (2001). Psychiatric morbidity, patient perspectives of illness and factors associated with poor medication compliance among the tuberculous in Vellore, South India. Indian Journal of Tuberculosis, 48, 77–80.Google Scholar
Nambi, S. K., Prasad, J., Singh, D., Abraham, V., Kuruvilla, A. and Jacob, K. S. (2002). Explanatory models and common mental disorders among subjects with unexplained somatic symptoms in a primary care facility in Tamil Nadu. National Medical Journal of India, 15, 331–335.Google Scholar
Pignone, M. P. et al. (2002). Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force. Annals of Internal Medicine, 136, 765–776.Google Scholar
Pothen, M., Kuruvilla, A., Philip, K., Joseph, A. and Jacob, K. S. (2003). Common mental disorders among primary care attenders in Vellore, South India: nature, prevalence and risk factors. International Journal of Social Psychiatry, 49,119–125.CrossRefGoogle ScholarPubMed
Shankar, R., Saravanan, B. and Jacob, K. S. (2006). Explanatory models of common mental disorders among traditional healers and their patients in rural South India. International Journal of Social Psychiatry, 52, 221–233.CrossRefGoogle ScholarPubMed
Tiwari, S. C. (2000). Geriatric psychiatric morbidity in rural northern India: implications for the future. International Psychogeriatrics, 12, 35–48.Google Scholar
U.S. Preventive Services Task Force (2002). Screening for depression: recommendations and rationale. Annals of Internal Medicine, 136, 760–764.CrossRefGoogle Scholar
Whooley, M. A., Avins, A. L., Miranda, J. and Browner, W. S. (1997). Case-finding instruments for depression: two questions are as good as many. Journal of General Internal Medicine, 12, 439–445.CrossRefGoogle ScholarPubMed