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dc.contributor.authorNahathai Wongpakaranen_US
dc.contributor.authorTinakon Wongpakaranen_US
dc.contributor.authorKamonporn Wannariten_US
dc.contributor.authorNattha Saisavoeyen_US
dc.contributor.authorManee Pinyopornpanishen_US
dc.contributor.authorPeeraphon Lueboonthavatchaien_US
dc.contributor.authorNattaporn Apisiridejen_US
dc.contributor.authorThawanrat Srichanen_US
dc.contributor.authorRuk Ruktrakulen_US
dc.contributor.authorSirina Satthapisiten_US
dc.contributor.authorDaochompu Nakawiroen_US
dc.contributor.authorThanita Hiranyatheben_US
dc.contributor.authorAnakevich Temboonkiaten_US
dc.contributor.authorNamtip Tubtimtongen_US
dc.contributor.authorSukanya Rakkhajeekulen_US
dc.contributor.authorBoonsanong Wongtanoien_US
dc.contributor.authorSitthinant Tanchakvaranonten_US
dc.contributor.authorPutipong Bookkamanaen_US
dc.contributor.authorUsaree Srisutasanavongen_US
dc.contributor.authorRaviwan Nivataphanden_US
dc.contributor.authorDonruedee Petchsuwanen_US
dc.description.abstractPurpose: Whether self-reporting and clinician-rated depression scales correlate well with one another when applied to older adults has not been well studied, particularly among Asian samples. This study aimed to compare the level of agreement among measurements used in assessing major depressive disorder (MDD) among the Thai elderly and the factors associated with the differences found. Patients and methods: This was a prospective, follow-up study of elderly patients diagnosed with MDD and receiving treatment in Thailand. The Mini International Neuropsychiatric Inventory (MINI), 17-item Hamilton Depression Rating Scale (HAMD-17), 30-item Geriatric Depression Scale (GDS-30), 32-item Inventory of Interpersonal Problems scale, Revised Experience of Close Relationships scale, ten-item Perceived Stress Scale (PSS-10), and Multidimensional Scale of Perceived Social Support were used. Follow-up assessments were conducted after 3, 6, 9, and 12 months. Results: Among the 74 patients, the mean age was 68±6.02 years, and 86% had MDD. Regarding the level of agreement found between GDS-30 and MINI, Kappa ranged between 0.17 and 0.55, while for Gwet's AC1 the range was 0.49 to 0.91. The level of agreement was found to be lowest at baseline, and increased during follow-up visits. The correlation between HAMD-17 and GDS-30 scores was 0.17 (P=0.16) at baseline, then 0.36 to 0.41 in later visits (P<0.01). The PSS-10 score was found to be positively correlated with GDS-30 at baseline, and predicted the level of disagreement found between the clinicians and patients when reporting on MDD. Conclusion: The level of agreement between the GDS, MINI, and HAMD was found to be different at baseline when compared to later assessments. Patients who produced a low GDS score were given a high rating by the clinicians. An additional self-reporting tool such as the PSS-10 could, therefore, be used in such under-reporting circumstances. © 2014 Wongpakaran et al.en_US
dc.titleLevel of agreement between self-rated and clinician-rated instruments when measuring major depressive disorder in the Thai elderly: A 1-year assessment as part of the THAISAD studyen_US
article.title.sourcetitleClinical Interventions in Agingen_US
article.volume9en_US Mai Universityen_US Universityen_US Universityen_US Hospitalen_US Hospitalen_US Kaen Regional Hospitalen_US College of Medicineen_US Universityen_US Hospitalen_US Savang Vadhana Memorial Hospitalen_US
Appears in Collections:CMUL: Journal Articles

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