Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities

Yi-Chia Wei,1– 4 Li-Yuan Huang,1,2,5 Chemin Lin,1,2,6 Yu-Chiau Shyu,1,7 Chih-Ken Chen1,2,6 1Community Medicine Research Center, Chang Gung Memorial Hospital, Keelung, Taiwan; 2College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Neurology, Chang Gung Memorial Hospita...

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Autores principales:	Wei YC, Huang LY, Lin C, Shyu YC, Chen CK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	geriatric depression major depressive disorder taiwanese depression questionnaires subjective cognitive complaint ad8 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/6f21296a0378480090bc10fe23435519
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spelling	oai:doaj.org-article:6f21296a0378480090bc10fe234355192021-12-02T14:20:37ZTaiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities1178-2021https://doaj.org/article/6f21296a0378480090bc10fe234355192021-03-01T00:00:00Zhttps://www.dovepress.com/taiwanese-depression-questionnaire-and-ad8-questionnaire-for-screening-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yi-Chia Wei,1– 4 Li-Yuan Huang,1,2,5 Chemin Lin,1,2,6 Yu-Chiau Shyu,1,7 Chih-Ken Chen1,2,6 1Community Medicine Research Center, Chang Gung Memorial Hospital, Keelung, Taiwan; 2College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan; 4Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan; 5Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan; 6Department of Psychiatry, Chang Gung Memorial Hospital, Keelung, Taiwan; 7Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, TaiwanCorrespondence: Chih-Ken ChenDepartment of Psychiatry, Chang Gung Memorial Hospital at Keelung, No. 200 Lane 208, Jijin 1st Road, Anle District, Keelung City, 204, TaiwanTel +886-2-24329292-2725Fax +886-2-24315931Email kenchen@cgmh.org.twBackground: Major depressive disorder (MDD) presents with emotional and somatic symptoms and sometimes subjective cognitive complaints (SCCs). This study developed a collaborative method to integrate SCC assessment for evaluating late-life MDD.Methods: Residents aged > 50 years in the Community Medicine Research Center of Keelung Chang Gung Memorial Hospital in Taiwan during 2017– 2018 were prospectively recruited in this study. The participants were asked to report their depressive tendency and SCCs using the Taiwanese Depression Questionnaire (TDQ) and the AD8, respectively, and were administered psychiatric evaluation through the Mini–International Neuropsychiatric Interview (MINI). The participants were divided into elderly (age≥ 65 years) and older adult (age 50– 65) groups. The MDD predictive powers were assessed using logistic regression and receiver operating characteristic (ROC) curve analyses.Results: Of the 118 enrolled participants (mean age: 64.81± 4.99, female-to-male ratio: 1.62), 9, 21, and 88 were categorized as those with current MDD, past MDD, and non-MDD on the basis of the MINI results, respectively. After adjustments for age, sex, and sleep quality, the TDQ score (odds ratio: 1.152, p=0.003) and AD8 score (odds ratio: 1.710, p=0.020) were used individually to predict current MDD. Overall, the TDQ individually predicted current MDD well with area under the ROC curve (AUC) of 0.835 (p=0.001). However, in the elderly group (N=63), the TDQ score did not identify current MDD well (AUC: 0.780, p=0.063). After co-considering SCCs, the linear combination of the sum of the TDQ score and four folds of the AD8 score could effectively distinguished elderly people with current MDD from those without it (AUC: 0.875, p=0.013)—with the cutoff of the aforementioned combined score being ≥ 32.Conclusion: The self-reported response to the TDQ is a feasible approach of identifying MDD in community-dwelling people. Combining TDQ and AD8 scores further improved depression detection in elderly people.Keywords: geriatric depression, major depressive disorder, Taiwanese Depression Questionnaires, subjective cognitive complaint, AD8Wei YCHuang LYLin CShyu YCChen CKDove Medical Pressarticlegeriatric depressionmajor depressive disordertaiwanese depression questionnairessubjective cognitive complaintad8Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 747-755 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	geriatric depression major depressive disorder taiwanese depression questionnaires subjective cognitive complaint ad8 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	geriatric depression major depressive disorder taiwanese depression questionnaires subjective cognitive complaint ad8 Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Wei YC Huang LY Lin C Shyu YC Chen CK Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
description	Yi-Chia Wei,1– 4 Li-Yuan Huang,1,2,5 Chemin Lin,1,2,6 Yu-Chiau Shyu,1,7 Chih-Ken Chen1,2,6 1Community Medicine Research Center, Chang Gung Memorial Hospital, Keelung, Taiwan; 2College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Neurology, Chang Gung Memorial Hospital, Keelung, Taiwan; 4Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan; 5Department of Nursing, Chang Gung Memorial Hospital, Keelung, Taiwan; 6Department of Psychiatry, Chang Gung Memorial Hospital, Keelung, Taiwan; 7Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, TaiwanCorrespondence: Chih-Ken ChenDepartment of Psychiatry, Chang Gung Memorial Hospital at Keelung, No. 200 Lane 208, Jijin 1st Road, Anle District, Keelung City, 204, TaiwanTel +886-2-24329292-2725Fax +886-2-24315931Email kenchen@cgmh.org.twBackground: Major depressive disorder (MDD) presents with emotional and somatic symptoms and sometimes subjective cognitive complaints (SCCs). This study developed a collaborative method to integrate SCC assessment for evaluating late-life MDD.Methods: Residents aged > 50 years in the Community Medicine Research Center of Keelung Chang Gung Memorial Hospital in Taiwan during 2017– 2018 were prospectively recruited in this study. The participants were asked to report their depressive tendency and SCCs using the Taiwanese Depression Questionnaire (TDQ) and the AD8, respectively, and were administered psychiatric evaluation through the Mini–International Neuropsychiatric Interview (MINI). The participants were divided into elderly (age≥ 65 years) and older adult (age 50– 65) groups. The MDD predictive powers were assessed using logistic regression and receiver operating characteristic (ROC) curve analyses.Results: Of the 118 enrolled participants (mean age: 64.81± 4.99, female-to-male ratio: 1.62), 9, 21, and 88 were categorized as those with current MDD, past MDD, and non-MDD on the basis of the MINI results, respectively. After adjustments for age, sex, and sleep quality, the TDQ score (odds ratio: 1.152, p=0.003) and AD8 score (odds ratio: 1.710, p=0.020) were used individually to predict current MDD. Overall, the TDQ individually predicted current MDD well with area under the ROC curve (AUC) of 0.835 (p=0.001). However, in the elderly group (N=63), the TDQ score did not identify current MDD well (AUC: 0.780, p=0.063). After co-considering SCCs, the linear combination of the sum of the TDQ score and four folds of the AD8 score could effectively distinguished elderly people with current MDD from those without it (AUC: 0.875, p=0.013)—with the cutoff of the aforementioned combined score being ≥ 32.Conclusion: The self-reported response to the TDQ is a feasible approach of identifying MDD in community-dwelling people. Combining TDQ and AD8 scores further improved depression detection in elderly people.Keywords: geriatric depression, major depressive disorder, Taiwanese Depression Questionnaires, subjective cognitive complaint, AD8
format	article
author	Wei YC Huang LY Lin C Shyu YC Chen CK
author_facet	Wei YC Huang LY Lin C Shyu YC Chen CK
author_sort	Wei YC
title	Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
title_short	Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
title_full	Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
title_fullStr	Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
title_full_unstemmed	Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities
title_sort	taiwanese depression questionnaire and ad8 questionnaire for screening late-life depression in communities
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/6f21296a0378480090bc10fe23435519
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Taiwanese Depression Questionnaire and AD8 Questionnaire for Screening Late-Life Depression in Communities

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