Validation of the Retardation Rating Scale for detecting depression in geriatric inpatients.
OBJECTIVE
Validation in the elderly of the Retardation Rating Scale (RRS), which includes items related to motor and mental retardation but not vegetative items, and may be particularly well-suited for the diagnosis of depression in the elderly.


METHODS
One hundred and sixty-five geriatric inpatients (105 depressed), aged 65 and over, without dementia, neuroleptic medication and increased risk of slowed mobility, were assessed with the RRS and three validated 'gold-standard' scales for geriatric depression (Hamilton Depression Rating Scale, Montgomery and Asberg Depression Rating Scale, Geriatric Depression Scale). Factor analysis used varimax rotation, Cronbach's, Spearman's and Ferguson's coefficients and the Mann-Whitney U-test to evaluate construct and internal consistency. Convergent validity and Receiver Operating Characteristics curves were also analyzed.


RESULTS
Factor analysis retained three interpretable domains: (1) motor items (45% of the variance); (2) mental items and (3) the cognitive items. Internal consistency was high (alpha = 0.91). Each item was strongly correlated with the total RRS score and associated with depression. The RRS showed good convergent validity and its total score increased with depression severity. A cut-off score of 10 yielded 79% sensitivity and 80% specificity, with 80% of the patients properly classified, that is 15% more than standard observer scales.


CONCLUSIONS
RRS is a valid screening tool for depression and improves recognition of depression in geriatric inpatients.
Bonin-Guillaume
Sylvie
S
Service de Médecine Interne et Gériatrie, Assistance Publique des Hôpitaux de Marseille, Hôpital Nord, 13915 Marseille Cedex 20, France.
Sautel
Laeticia
L
Demattei
Christophe
C
Jouve
Elisabeth
E
Blin
Olivier
O
D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology; D004812:Epidemiologic Methods; D005260:Female; D015577:Geriatric Assessment / Q000379:methods; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008403:Mass Screening / Q000379:methods; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011596:Psychomotor Disorders / Q000175:diagnosis / Q000209:etiology