Abstract:
OBJECTIVES: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. DESIGN:Study to validate questionnaires. SETTING:Health centre consultations. PARTICIPANTS: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. MAIN MEASUREMENTS: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. RESULTS: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). CONCLUSIONS:The sensitivity and specificity results are similar to results of other ultra-short 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.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Martínez de la Iglesia J,Onís Vilches MC,Dueñas Herrero R,Aguado Taberné C,Albert Colomer C,Arias Blanco MCdoi
10.1157/13071040subject
Has Abstractpub_date
2005-01-01 00:00:00pages
14-21issue
1eissn
0212-6567issn
1578-1275pii
13071040journal_volume
35pub_type
杂志文章abstract:OBJECTIVE:To describe the situations of risk and the prevalence of HIV in women with a heterosexual partner infected by HIV. DESIGN:Cross-sectional descriptive study. SETTING:Out-patient HIV diagnosis centre in Madrid. PATIENTS:229 women seen for the first time between 1993 and 2002 because they had a stable heteros...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78926-x
更新日期:2004-11-15 00:00:00
abstract:OBJECTIVES:To analyse the variability of certain indicators of the procedure and outcome of medical care in the clinical records of diabetic and hypertense patients, and their relationship with the doctor's style of practice. DESIGN:An observational, descriptive study. SETTING:Seven health centres in the public netwo...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-02-15 00:00:00
abstract:OBJECTIVE:To find the views and expectations of professionals working at primary care centres on team-work. DESIGN:Qualitative study. Focus group. SETTING:The study was conducted during May 1997 at the following primary care centres: Terrassa North, Sant Llatzer (Terrassa) and Antón de Borja (Rubí). These PCCs depend...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78670-7
更新日期:2000-09-30 00:00:00
abstract:OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78649-5
更新日期:2000-09-15 00:00:00
abstract:OBJECTIVES:To evaluate the relationship between Health-Related Quality of Life (HRQL) and stress at work among Primary Care workers, as evidence of the construct validity of the Spanish version (PECVEC) of the profile of quality of life in the chronically ill (PLC) questionnaire. In addition, to check its other psychom...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13108617
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To assess the views of primary care physicians (PCPs) in Spain regarding the purpose of inspection validation of prescriptions (IVP) and its impact on prescription and patients, as well as doctors' acceptance of this measure. DESIGN:Cross-sectional study through a telephone survey. SETTING:Primary care cent...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13086315
更新日期:2006-03-31 00:00:00
abstract:OBJECTIVE:To measure with primary data the kinds of family doctor consultations, the reasons for them and the interruptions. DESIGN:Observational, transversal, and multi-centred study. SETTING:All the health centres in Area 17 of the Community of Valencia. PARTICIPANTS:Representative sample of 2051 patients belongin...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1157/13071914
更新日期:2005-02-15 00:00:00
abstract:AIMS:to validate the PROFUND index in PP in Primary Health Care (PHC). DESIGN:two-year prospective multicenter study. LOCATION:three health care centers in Seville Province (Spain). SUBJECTS OF THE ASSESSMENT:PP with signed informed consent. SAMPLE:n=446 (p=20%; α=5%; β=99%); consecutive sampling. MEASUREMENT:Depe...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/S0212-6567(14)70064-2
更新日期:2014-06-01 00:00:00
abstract:AIMS:To learn how the elderly people in our health area see their own state of health (AS) in relation with certain variables. DESIGN:Transverse. Survey of socio-economic and health characteristics. LOCATION:Community oriented primary care. PATIENTS OR OTHERS PARTICIPANTS:232 psychically capable people aged 65 or ov...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVES:To calculate the number of hospital discharge reports (HDR) received in primary care for determined kinds of patients suffering chronic pathologies who need on-going care. To evaluate whether the reports' contents are of use to the family doctor's monitoring of the patient. DESIGN:Descriptive study. SETTIN...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(00)78687-2
更新日期:2000-10-15 00:00:00
abstract:OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79106-3
更新日期:2002-11-30 00:00:00
abstract:OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-03-31 00:00:00
abstract:OBJECTIVES:Despite the growing body of legal and normative regulations regarding promotion, sales and consumption of cigarettes, a few studies have already pointed to a low enforcement and commitment of these restrictions. This study explores the degree of awareness and compliance of these norms in the secondary school...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:To assess requests for microbiological analysis made by Primary Care doctors and to evaluate the quality of the procedure by the indicator: proportion of contaminated urine samples. DESIGN:A retrospective crossover study of requests to the Microbiology Laboratory in the University Hospital of Salamanca duri...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-03-15 00:00:00
abstract::Acute pharyngitis in adults is one of the most common infectious diseases seen in general practitioners' consultations. Viral aetiology is the most common. Among bacterial causes, the main agent is Streptococcus pyogenes or group A β-haemolytic streptococcus (GABHS), which causes 5%-30% of the episodes. In the diagnos...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.02.002
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:The echocardiogram (ECC) is not available to all Spanish General Practitioners (GP) despite its proven benefits in prevalent diseases, such as hypertension and heart failure. STUDY OBJECTIVE:To analyse the clinical adequacy of the application, performance, and diagnostic and therapeutic decisions of ECC indi...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2011.03.007
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:Main: to describe the health situation of the urban non-institutionalised population of 75 or over in Castro Urdiales. Secondary. To analyse the differences in the over-user group. DESIGN:Descriptive, crossover. SETTING:Primary Care Health Centre. PATIENTS:People in the urban area aged 75 or over and with...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1998-06-15 00:00:00
abstract:OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2018.06.006
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:The main objective was to determine the prevalence of the burnout syndrome among health workers and its distribution by social, demographic and work variables. The secondary aim was to detect potentially modifiable causes. DESIGN:Descriptive cross-sectional study. SETTING:Primary care. PARTICIPANTS:All th...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)79373-0
更新日期:2001-03-31 00:00:00
abstract:OBJECTIVE:To know the health problems or diseases that patients of 2 basic health areas (BHA) assess as the most important for Spanish population and for themselves; to know if any relation exists between these problems and their existence in the family or social patients' environment. DESIGN:An observational cross-se...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(01)78945-7
更新日期:2001-09-15 00:00:00
abstract:OBJECTIVE:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2014.12.012
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Study of the prevalence of smoking among La Rioja's health professionals. DESIGN:Descriptive study. SETTING:The Autonomous Community of La Rioja. PARTICIPANTS:A random sample of health workers taken from the censuses of their respective Professional Colleges on February 1st, 1988. RESULTS:Of a representat...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-04-30 00:00:00
abstract:OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-11-30 00:00:00
abstract:OBJECTIVE:To find out what urban low and middle class women think about the relationship between health and daily behaviours, their social and family situation and the setting in which they live. DESIGN:Qualitative methodology and the focus group technique. SETTING:Urban population. PARTICIPANTS:Low and middle class...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-06-15 00:00:00
abstract::An evaluation study has been done on the quality of long-term drugs prescription. The aim was to check the effectiveness of certain corrective measures agreed by the professionals working in a primary care centre. Using the results of a first evaluation made in 1989, a series of recommendations were made to reduce the...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:To discover the view of primary care doctors on aspects of the safety of medicines, their knowledge of the programme of automatic notification of negative side-effects of medicines (NSEM), their opinion of the programme and factors affecting low notification. DESIGN:A survey of views. SETTING:Madrid's Heal...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-04-15 00:00:00
abstract:OBJECTIVE:To evaluate the dynamics and establish the emotional map of 8 primary care teams. DESIGN:Descriptive, cross-sectional and multi-site study. SETTING:Primary care centers in Granada, Cádiz and Málaga, Spain. PARTICIPANTS:Simple random sampling of 8 health centers and 272 primary care professionals. MAIN MEA...
journal_title:Atencion primaria
pub_type: 评论,杂志文章,多中心研究
doi:10.1016/j.aprim.2008.09.007
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13087380
更新日期:2006-04-30 00:00:00
abstract:OBJECTIVE:To analyse the nutritional status of patients older than 65 years included in the home care program (PAD). DESIGN:Croos-sectional study. EMPLACEMENT:3 urban health centers. PARTICIPANTS:218 patients in the PAD. METHOD:Mini Nutritional Assessment questionnaire (MNA) was applied. Sociodemographic, anthropom...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2017.02.006
更新日期:2018-02-01 00:00:00