Why the study?
Does the SELFCARE (D) questionnaire improve the detection of depression compared to the HAD scale in elderly primary care patients?
Does the SELFCARE (D) questionnaire improve the detection of depression compared to the HAD scale in elderly primary care patients?
The SELFCARE (D) questionnaire may be a superior screening tool for depression in elderly primary care patients compared to the HAD scale.
SELFCARE(D) may warrant consideration for elderly depression screening; cross-sectional data leave open prospective validation before practice change.
Two self-rated questionnaires, SELFCARE (D) and Hospital Anxiety Depression (HAD) Scale, were compared in relation to their efficacy in detecting depression in 72 elderly patients attending general practitioners at a health centre in Liverpool, England. The sensitivity, specificity and overall misclassification rates of both the scales were assessed against a diagnosis arrived at by using a standardized interview schedule, Geriatric Mental State (community version), and a computerized diagnostic scheme, AGECAT. In this preliminary study, SELFCARE (D) was found to be superior to HAD as a screening instrument for depression in the elderly population in primary care.
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Upadhyay et al. (1997) studied this question.
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