Background:

A limited number of studies have evaluated the psychometric properties of rating scales used to assess depression in the older adults. The present study aimed to assess the validity of the Hindi Geriatric Depression Scale (GDS, 30, 15, 10, 5, 4, and 1 item version) and Hindi Patient Health Questionnaire (nine and two items version) in a group of older adults residing in a rural community.

Methods:

The psychometric properties of these scales were assessed against the diagnosis of depression a qualified psychiatrist made by using a semistructured interview.

Results:

Total 125 older adults were recruited from a rural community, with a mean age of 65.5 (SD: 6.4) years. The prevalence of depression was 36.8% as per the evaluation by the psychiatrist. When the agreement of different scales with the clinicians’ diagnosis was evaluated, it was seen that sensitivity, specificity, and Cohen Kappa value of GDS-30 and 15 were better than the other scales used to assess depression. When the sensitivity and specificity were evaluated using newer cutoffs, the specificity and sensitivity of GDS-30 were more than that of other scales.

Conclusion:

Hindi version of GDS-30 with a cutoff of 13 has excellent psychometric properties.

中文翻译：

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老年人抑郁量表和患者健康问卷印地语版本的心理测量特性评估

背景：

有限数量的研究评估了用于评估老年人抑郁症的评定量表的心理测量特性。本研究旨在评估印地语老年抑郁量表（GDS，30、15、10、5、4 和 1 项版本）和印地语患者健康问卷（9 项和 2 项版本）在一组老年人中的有效性居住在农村社区。

方法：

这些量表的心理测量特性是根据一位合格的精神科医生通过使用半结构化访谈做出的抑郁症诊断来评估的。

结果：

从农村社区招募了 125 名老年人，平均年龄为 65.5（SD：6.4）岁。根据精神科医生的评估，抑郁症的患病率为 36.8%。当评估不同量表与临床医生诊断的一致性时，发现 GDS-30 和 15 的敏感性、特异性和 Cohen Kappa 值优于用于评估抑郁症的其他量表。当使用较新的截止值评估敏感性和特异性时，GDS-30 的特异性和敏感性高于其他量表。

结论：

截止值为 13 的印地语版 GDS-30 具有出色的心理测量特性。