Screening depression among institutionalized older Chinese men by minimum data set: we need a new instrument.
OBJECTIVE
To compare the effectiveness of the Minimum Data Set-based Depression Rating Scale (MDS-DRS) and Geriatric Depression Scale (GDS) in screening depression among older institutionalized Chinese men living in Taiwan.


METHODS
MDS Nursing Home 2.1 Chinese version, Mini-Mental State Examination (MMSE), and short form Geriatric Depression Scale (GDS-15) were used among elderly residents in Banciao Veterans Home. Screening results of MDS-DRS and GDS-15, and relationship between 16 MDS Mood and Anxiety symptoms and depression were evaluated.


RESULTS
The prevalence of depression defined by MDS-DRS and GDS were 0.2% and 8.7%, respectively. Multiple logistic regression disclosed that E1a (OR: 12.9, 95% CI: 2.8-58.8, p = 0.001), E1k (OR: 15.6, 95% CI: 5.6-43.5, p < 0.001), and E1l (OR: 22.2, 95% CI: 6.1-83.3, p < 0.001) were all independent associative factors for GDS-defined depression but only explained 51.9% of all depressive subjects.


CONCLUSIONS
The effectiveness of MDS-DRS is limited, and a new MDS-based depression screening instrument is needed.
Liang
Chih-Kuang
CK
Division of Neurology and Division of Geriatric Medicine, Department of Internal Medicine, Geriatric Medicine Center, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chen
Liang-Kung
LK
Tsai
Chia-Fen
CF
Su
Tung-Ping
TP
Lo
Yuk-Keung
YK
Lan
Chung-Fu
CF
Hwang
Shinn-Jang
SJ
D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D015577:Geriatric Assessment / Q000379:methods* / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000706:statistics & numerical data / Q000639:trends; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods* / Q000706:statistics & numerical data / Q000639:trends; D019964:Mood Disorders / Q000175:diagnosis / Q000453:epidemiology; D009735:Nursing Homes / Q000706:statistics & numerical data / Q000639:trends; D011569:Psychiatric Status Rating Scales / Q000592:standards* / Q000706:statistics & numerical data; D011594:Psychometrics / Q000295:instrumentation* / Q000706:statistics & numerical data; D013624:Taiwan / Q000453:epidemiology