Description

Depression is common yet may be missed in primary care settings. A brief questionnaire developed by Koenig et al requires simple yes or no responses and is quickly given. This makes it attractive for emergency situations, when dealing with the medically ill, or with the elderly.


 

Components - 11 questions:

(1) depressed mood: 1, 3, 7, 8

(2) DSM-III-R diagnostic criteria for major depression: 2, 5, 6, 10, 11

(3) 2 items on helplessness-hopelessness and memory: 4, 9

 

Responses are yes or no.

 

0 points are given for positive responses and 1 for negative.

 

score =

= SUM(responses given which are associated with depression)

 

Interpretation:

• minimum score: 0

• maximum score: 11

 

Cutoffs for detection of depression:

• >= 3 (Koenig et al): sensitivity 83% and specificity 77%

• >= 4 (Gartner et al, as reported in Meldon et al): sensitivity 100% and specificity 85%

 


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