Journal of Gerontological Nursing

Assessment 

Choosing an Appropriate Depression Assessment Tool for Chinese Older Adults: A Review of 11 Instruments

Chiung-man Wu, MSN, RN; Lisa Skemp Kelley, PhD, RN

Abstract

The purpose of this article is to compare the advantages and limitations of developed depression assessment tools and provide recommendations for clinical staff to select an appropriate tool for use with Chinese older adults. A total of 7 Western tools translated into Chinese and 4 tools developed specifically for assessing Chinese older adults were found in 12 articles. Variability in instrument psychometric properties and cut-off scores is discussed. A reasonable strategy to efficiently assess depression in Chinese older adults is to first administer the Single Question or Geriatric Depression Scale-4 (GDS-4). If depression is likely, the Chinese GDS-15 could be used to increase the probability of identifying depression in Chinese older adults.

Abstract

The purpose of this article is to compare the advantages and limitations of developed depression assessment tools and provide recommendations for clinical staff to select an appropriate tool for use with Chinese older adults. A total of 7 Western tools translated into Chinese and 4 tools developed specifically for assessing Chinese older adults were found in 12 articles. Variability in instrument psychometric properties and cut-off scores is discussed. A reasonable strategy to efficiently assess depression in Chinese older adults is to first administer the Single Question or Geriatric Depression Scale-4 (GDS-4). If depression is likely, the Chinese GDS-15 could be used to increase the probability of identifying depression in Chinese older adults.
Authors
Ms. Wu is a doctoral student and Dr. Kelley is Assistant Professor, The University of Iowa, College of Nursing, Iowa City, Iowa.

Address correspondence to Chiung-man Wu, MSN, RN, The University of Iowa, College of Nursing, 101 Nursing Building, 50 Newton Road, Iowa City, IA 52242-1121; e-mail: chiung-man-wu@uiowa.edu.

10.3928/00989134-20070801-04

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