Cornell Scale for Depression in Dementia: Study of Residents in a Northern Thai Long-Term Care Home.
- Author:
Nahathai WONGPAKARAN
1
;
Tinakon WONGPAKARAN
Author Information
1. Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Muang Chiang Mai, Thailand. nkuntawo@med.cmu.ac.th
- Publication Type:Original Article
- Keywords:
The Cornell Scale for Depression in Dementia (CSDD);
Validity;
Thai
- MeSH:
Aged;
Asian Continental Ancestry Group*;
Caregivers;
Cross-Sectional Studies;
Dementia*;
Depression*;
Depressive Disorder;
Diagnostic and Statistical Manual of Mental Disorders;
Geriatric Assessment;
Humans;
Long-Term Care*;
ROC Curve;
Sensitivity and Specificity;
Thailand
- From:Psychiatry Investigation
2013;10(4):359-364
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: This study aimed to analyse the validity of the Thai version of the Cornell Scale for Depression in Dementia (CSDD) when using DSM-IV criteria. METHODS: A cross-sectional study was carried out of 84 elderly residents in a residential care home setting in Thailand. The participants went through a comprehensive geriatric assessment which included a Mini-Mental State Examination, a Mini-International Neuropsychiatric Interview (MINI) and use of the CSDD tool. A ROC analysis was performed in order to test the validity of the CSDD as against the DSM-IV when used by the MINI. RESULTS: ROC analysis revealed a better score for those areas found under the curve for the CSDD-as against the DSM-IV criteria (0.96). With a cut-off score of >6, the CSDD yielded the highest sensitivity score (100%), plus produced a specificity of 81% and a negative predictive value of 100%. It also had a positive predictive value of 69%. The validity of the CSDD was found to be better for the group experiencing cognitive impairment than with the non-cognitive impairment group in terms of the agreement of CSDD items between patients and caregivers. The CSDD yielded a high internal consistency (Cronbach's alpha=0.87). CONCLUSION: CSDD is a valid tool to use for identifying depressive disorders among Thai LTC home residents - those experiencing and those not experiencing cognitive impairment.
