P02-229 - Screening for depression in nursing homes: Validity of the WHO (Five) Well-Being Index

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• 作者：A.-K. Allgaier¹ ; I. Liwowsky² ; D. Kramer³ ; R. Mergl³ ; S. Fejtkova² ; U. Hegerl³
• 刊名：European Psychiatry
• 出版年：2011
• 出版时间：2011
• 年：2011
• 卷：26
• 期：supp_S1
• 页码：825
• 全文大小：1K

文摘

Introduction

Depression is common in nursing home residents, but is still underrecognized. Screening for depression could be a first step to increase recognition rates within this high-risk group.

Objectives

Therefore, we investigated the validity of the WHO (Five) Well-Being Index (WHO-5) for early detection of depression in nursing home residents.

Methods

The Structural Clinical Interview for DSM-IV (SCID) was used as the gold standard for the validation of the WHO-5. The diagnoses covered in this assessment were both current major depression (MD) as well as minor depression (MinD) according to DSM-IV research criteria.

Results

In our sample of 92 nursing home residents in Munich aged 65-97 years, (73.9 % female, 26.1 % male) 14.1 % fulfilled the criteria of MinD, and again 14.1 % fulfilled the criteria of MD in the SCID. Overall diagnostic validity (area under the ROC curve) of the WHO-5 was 90.1 % (95 % confidence interval: 83.5 % -96.7 % ). The World Health Organization's recommended cut-off-point of 13 yielded a sensitivity of 92.3 % for the category of ¡®MinD or MD? and a specificity of 74.2 % . Corresponding values for an adapted cut-off point of 12 are 92.3 % and 78.7 % , respectively.

Conclusions

The diagnostic accuracy of the WHO-5 in our study is promising. The WHO-5 might be an efficient screening tool for nursing home residents, especially with the adapted cut-off point, but results have to be replicated in a larger sample.