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Evid Based Mental Health 7:7 doi:10.1136/ebmh.7.1.7
  • Diagnosis

The minimum data set depression rating scale (MDSDRS) lacks reliability for identifying depression among older adults living in nursing homes

Table

Sensitivity, specificity, and correlation of the MDSDRS with GDS, GDRS, and chart diagnosis

Test MDSDRS MDSDRS ⩾1 MDSDRS ⩾2 MDSDRS ⩾3
GDS cut off score of 14 represents mild depression.
GDS cut off score of 11 represents major depression.
MDSDSR cut off score of 3 maximises sensitivity to mild and moderate depression.
GDS: correlation 0.13
GDS ⩾ 11: sensitivity 0.46 0.24 0.16
GDS ⩾ 11: specificity 0.70 0.82 0.94
GDS ⩾ 14: sensitivity 0.57 0.29 0.21
GDS ⩾ 14: specificity 0.69 0.82 0.92
Chart Dx: sensitivity 0.47 0.32 0.23
Chart Dx: specificity 0.72 0.86 0.97
Chart Dx: correlation 0.31
HDRS: sensitivity 0.69 0.46 0.46
HDRS: specificity 0.70 0.83 0.95
HDRS: correlation 0.24

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