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Scales that have been used in the elderly population include the Hamilton Rating Scale for Depression (HAM-D), the Zung Self-Rating Depression Scale (SDS), the Geriatric Depression Scale (GDS), the Montgomery-Asberg Depression Rating Scale (MADRS), the Cornell Scale for Depression in Dementia (CSDD).
Scales that have been used in the elderly population include the Hamilton Rating Scale for Depression (HAM-D), the Zung Self-Rating Depression Scale (SDS), the Geriatric Depression Scale (GDS), the Montgomery-Asberg Depression Rating Scale (MADRS), the Cornell Scale for Depression in Dementia (CSDD).
Description of Measure: The Geriatric Depression Scale (GDS) is a self-report measure of depression in older adults. Users respond in a Yes/No format. The GDS was originally developed as a 30-item instrument.
Description of Measure: The Geriatric Depression Scale (GDS) is a self-report measure of depression in older adults. Users respond in a Yes/No format. The GDS was originally developed as a 30-item instrument.
The 15-item (GDS-15) and 4-item (GDS-4) versions of the GDS are good methods of screening for major depression (as is the 10-item version). The shorter of these (GDS-4) is of limited clinical value in monitoring the severity of the depressive episode (may be better used to exclude depression).
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Depression severity can also be assessed with the PHQ-9 [16]. Kroenke et al suggested cutpoints to identify minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), and severe (20) depression [18].
Scores of 0-4 are considered normal, depending on age, education, and complaints; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression.
The Severity Measure for DepressionAdult (adapted from the Patient Health Questionnaire9 [PHQ-9]) is a self- rated 9-item measure that assesses the severity of depressive symptoms in individuals age 18 and older. The measure is completed by the individual prior to a visit with the clinician.

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