A 2-item screen for depression in rehabilitation inpatients.

Abstract:

OBJECTIVE:To generate a brief screening measure to assist frontline rehabilitation health care workers to rapidly and validly screen patients for depressive symptoms. DESIGN:Case series. SETTING:Inpatient rehabilitation unit. PARTICIPANTS:Five hundred patients (age, >/=60y) cognitively able to complete the outcome measure. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURE:The Geriatric Depression Scale (GDS). RESULTS:Based on the strength of the correlation with the GDS total score, 5 items were selected for model development. A 2-item screen, consisting of items "downhearted and blue" and "worthless," correctly classified 78.4% of patients, with only 3.6% of patients having false-negative classifications. The 2-item screen did not differ significantly in its accuracy or predictive utility from the more inclusive models. CONCLUSIONS:The identified 2-item screening instrument may be an effective tool for health care staffs to use in their efforts to identify symptoms of depression in older adults on a rehabilitation unit.

journal_name

Arch Phys Med Rehabil

authors

Cully JA,Graham DP,Kramer JR

doi

10.1016/j.apmr.2004.04.042

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

469-72

issue

3

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(04)00650-1

journal_volume

86

pub_type

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