Diagnostic Accuracy of the SLU AMSAD Scale for Depression in Older Adults Without Dementia

Khoury, Rita; Chakkamparambil, Binu; Chibnall, John T.; Rajamanickam, Jayashree; Kumar, Aneel; Grossberg, George T.

doi:10.1016/j.jamda.2019.09.011

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…28,41 To screen for cognitive functioning, the Saint Louis University Mental Status Exam, Montreal Cognitive Assessment, or Mini-Mental State Examination can be used. 22,28,42,43 Once screening is performed, a physical and neurologic examination is the best next step. 26 Additionally, laboratory data and imaging can rule out other conditions; however, these are not routinely performed to diagnose ADHD.…”

Section: Mdedgecom/psychiatrymentioning

confidence: 99%

ADHD in older adults: A closer look

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2023

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ALEX NABAUMF or many years, attention-deficit/hyperactivity disorder (ADHD) was thought of as a disorder of childhood; however, it is now increasingly being recognized as a chronic, lifelong disorder that persists into adulthood in approximately two-thirds of patients. 1 While our knowledge about ADHD in adults has increased, most research in this population focused on young or middle-aged adults; less is known about ADHD in older adults. Older adults with ADHD may be newly diagnosed at any point in their lives, or not at all. 2 Because ADHD may present differently in older adults than in children or young adults, and because it may impair domains of life in different ways, a closer look at late-life ADHD is needed. This article summarizes the literature on the prevalence, impairment, diagnosis, and treatment of ADHD in adults age >60. Challenges in determining the prevalenceFew studies have examined the age-specific prevalence of ADHD among older adults. 3 Compared with childhood ADHD, adult ADHD is relatively neglected in epidemiological studies, largely due to the absence of well-established, validated diagnostic criteria. 1,4 Some experts have noted that DSM-5's ADHD criteria were designed for diagnosing children, and the children-focused symptom threshold may not be useful for adults because ADHD symptoms decline substantially with age. 2 One study evaluating DSM-5 ADHD criteria in young adults (N = 4,000, age 18 to 19) found ADHD was better diagnosed when the required number of clinically relevant inattention and hyperactivity symptoms was reduced from 6 to 5 for each category. 5 They also found the DSM-5 age-at-onset criterion of symptoms present

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Section: Mdedgecom/psychiatrymentioning

confidence: 99%

ADHD in older adults: A closer look

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2023

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Validation and Comparison of Three Short Depression Screening Tools Among Chinese Community-Dwelling Older Adults

Qiao¹,

Ji²,

Si³

et al. 2022

Research in Gerontological Nursing

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The current study validated and compared three short Geriatric Depression Scales (GDS), including the GDS-5, D'Ath GDS-4, and van Marwijk GDS-4, among 917 Chinese community-dwelling older adults. The GDS-5, D'Ath GDS-4, and van Marwijk GDS-4 presented satisfactory accuracy against the GDS-15 (area under the curve [AUC] = 0.872 to 0.952), and the GDS-5 and D'Ath GDS-4 had better accuracy than the van Marwijk GDS-4. Satisfactory accuracy (AUC = 0.842 to 0.979) for the three scales was also observed across subgroups by age, sex, education, cognitive function, and multimorbidity. The GDS-5 but not D'Ath GDS-4 and van Marwijk GDS-4 retained a 2-point optimal cutoff for depressive symptoms across subgroups. The GDS-5 (average inter-item correlation coefficient [AIIC] = 0.233) and the D'Ath GDS-4 (AIIC = 0.171) but not van Marwijk GDS-4 (AIIC = 0.128) had acceptable internal consistency. Three scales had stable test–retest reliability within a 1- to 2-week interval (intraclass correlation coefficient = 0.670 to 0.885). The GDS-5 is an accurate and reliable depression screening tool with an invariable optimal cutoff among Chinese community-dwelling older adults. The variable optimal cutoffs for the D'Ath GDS-4 and van Marwijk GDS-4 across subgroups may limit their applicability in this population. [ Research in Gerontological Nursing, 15 (6), 283–291.]

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Diagnostic Accuracy of the SLU AMSAD Scale for Depression in Older Adults Without Dementia

Cited by 2 publications

References 20 publications

ADHD in older adults: A closer look

ADHD in older adults: A closer look

Validation and Comparison of Three Short Depression Screening Tools Among Chinese Community-Dwelling Older Adults

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