Performance of a single screening question for depression in a representative sample of 13 670 people aged 75 and over in the UK: results from the MRC trial of assessment and management of older people in the community.
Osborn, David PJ;
Fletcher, Astrid E;
Smeeth, Liam;
Stirling, Susan;
Bulpitt, Christopher J;
Nunes, Maria;
Breeze, Elizabeth;
Ng, Edmond SW;
Jones, Dee;
Tulloch, Alistair;
(2003)
Performance of a single screening question for depression in a representative sample of 13 670 people aged 75 and over in the UK: results from the MRC trial of assessment and management of older people in the community.
Family practice, 20 (6).
pp. 682-684.
ISSN 0263-2136
DOI: https://doi.org/10.1093/fampra/cmg610
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BACKGROUND: A concise, accurate screening question for depression would be an important contribution to the Single Assessment Process for Older People. OBJECTIVE: To examine the performance of a previously validated screening question for depression, in a large community sample. METHODS: Both the single screening question, and the Geriatric Depression Scale (GDS-15) were completed by 13 670 people aged 75 and over in the community. Responses to the question were compared with a "standard" of scoring above different thresholds on the Geriatric Depression Scale (GDS-15). RESULTS: For more severe GDS-15 depression, the best performance of the question was a sensitivity of only 52% and a specificity of 93%. CONCLUSION: Even at its best, the question therefore misses almost half the cases. This highlights the problems of such simple approaches to routine screening.