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Journal of Geriatric Psychiatry and Neurology, Vol. 19, No. 1,
26-31 (2006)
DOI: 10.1177/0891988705284725
A Comparison of Depressive Mood of Older Adults in a Community, Nursing Homes, and a Geriatric Hospital: Factor Analysis of Geriatric Depression Scale
Joji Onishi, MD
Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan, j-onishi{at}med.nagoya-u.ac.jp
Yusuke Suzuki, MD, PhD
Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
Hiroyuki Umegaki, MD, PhD
Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
Hidetoshi Endo, MD, PhD
Department of Comprehensive Geriatric Medicine, National Center for Geriatrics and Gerontology, Aichi, Japan
Takashi Kawamura, MD, PhD
Kyoto University Health Service, Yoshida-honmachi, Kyoto, Japan
Akihisa Iguchi, MD, PhD
Department of Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan
The Geriatric Depression Scale (GDS)-15 was used in 607 adults aged 65+ years living in a community, nursing homes, and a general hospital to explore characteristics of depressive mood in different care settings. Factor analysis of GDS-15 extracted 4 factors labeled unhappiness, apathy and anxiety, loss of hope and morale, and energy loss. The scale scores labeled unhappiness, apathy and anxiety, and loss of hope and morale were negatively correlated with the Barthel Index and the Mini-Mental State Examination scores. The results classified the depressive patterns into 2 types, one fitting the nursing home residents and the other fitting the hospital patients. The dominant factors of the nursing-home type were unhappiness and loss of hope and morale, and the hospital type was highly related with apathy and anxiety. The results indicate an extended utility of the GDS-15 for a deeper understanding of depressive mood in various care settings.
Key Words: depressive mood • Geriatric Depression Scale • factor analysis
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