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Table 3.6.6 GDS-30 for screening of depression with semistructured<br />

or structured interview as reference standard.<br />

Author<br />

Year<br />

Reference<br />

Country<br />

Study design<br />

Setting<br />

Population<br />

Inclusion & exclusion criteria<br />

Prevalence<br />

Index test<br />

Reference test<br />

Number of patients<br />

Drop-out rate<br />

Rater<br />

Rater training<br />

Interobserver reliability<br />

Outcome measure<br />

Sensitivity<br />

Specificity<br />

Study quality<br />

Comments<br />

Vargas et al<br />

2007<br />

[22]<br />

Brazil<br />

Design<br />

Cross sectional<br />

Setting<br />

General non-psychiatric<br />

outpatient clinics<br />

Population<br />

Non-randomised sample,<br />

predominantly women<br />

Mean age: 70 years (range 60–96)<br />

Caucasians: 78%<br />

Inclusion criteria<br />

Age: ≥60 years<br />

Exclusion criteria<br />

MMSE >13 for illiterate,<br />

≥18 for low to mediumlevel<br />

education, ≥26 for<br />

high educational level<br />

Index test<br />

GDS-30, orally<br />

Reference test<br />

SCID-CV<br />

Number of patients<br />

n=484<br />

Drop-out rate<br />

Not reported<br />

Rater of index test<br />

5 trained interviewers<br />

Training of index rater<br />

Eight hour program,<br />

conducted by a pedagogue<br />

Rater of reference test<br />

Psychiatrist<br />

Training of reference test<br />

Trained in the use of SCID-SV<br />

Interobserver reliability<br />

Not specified<br />

Sensitivity: 87%<br />

(95% CI, 81.3; 91.0)<br />

Specificity: 73%<br />

(95% CI, 66.9; 77.8)<br />

Moderate<br />

Comments<br />

Blinding<br />

Adequate<br />

Handling of missing data<br />

Not reported<br />

Other comments<br />

Cut off point = 12<br />

Index and reference test<br />

were completed within<br />

one day (personal communication<br />

with authors)<br />

Prevalence MDD<br />

43% (210/484)<br />

The table continues on the next page<br />

480 diagnostik och uppföljning av förstämningssyndrom<br />

KAPITEL 3 • Systematisk litteraturgenomgång<br />

481

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