Psychometric properties of EURO-D, a geriatric depression scale: a cross-cultural validation study

dc.contributor.authorGuerra, Mariella
dc.contributor.authorFerri, Cleusa [UNIFESP]
dc.contributor.authorLlibre, Juan
dc.contributor.authorMatthew Prina, A.
dc.contributor.authorPrince, Martin
dc.contributor.institutionInst Memory Depress & Dis Risk
dc.contributor.institutionKings Coll London
dc.contributor.institutionPeruvian Univ
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionMed Univ Havana
dc.date.accessioned2016-01-24T14:40:03Z
dc.date.available2016-01-24T14:40:03Z
dc.date.issued2015-02-05
dc.description.abstractBackground: Many of the assessment tools used to study depression among older people are adaptations of instruments developed in other cultural setting. There is a need to validate those instruments in low and middle income countries (LMIC).Methods: A one-phase cross-sectional survey of people aged [greater than or equal to] 65 years from LMIC. EURO-D was checked for psychometric properties. Calibration with clinical diagnosis was made using ICD-10. Optimal cutpoint was determined. Concurrent validity was assessed measuring correlations with WHODAS 2.0.Results: 17,852 interviews were completed in 13 sites from nine countries. EURO-D constituted a hierarchical scale in most sites. the most commonly endorsed symptom in Latin American sites was depression; in China was sleep disturbance and tearfulness; in India, irritability and fatigue and in Nigeria loss of enjoyment. Two factor structure (affective and motivation) were demonstrated. Measurement invariance was demonstrated among Latin American and Indian sites being less evident in China and Nigeria. At the 4/5 cutpoint, sensitivity for ICD-10 depressive episode was 86% or higher in all sites and specificity exceeded 84% in all Latin America and Chinese sites. Concurrent validity was supported, at least for Latin American and Indian sites.Conclusions: There is evidence for the cross-cultural validity of the EURO-D scale at Latin American and Indian settings and its potential applicability in comparative epidemiological studies.en
dc.description.affiliationInst Memory Depress & Dis Risk, Lima 12, Peru
dc.description.affiliationKings Coll London, Ctr Global Mental Hlth, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England
dc.description.affiliationPeruvian Univ, Lima, Peru
dc.description.affiliationUniversidade Federal de São Paulo, UNIFESP, São Paulo, Brazil
dc.description.affiliationMed Univ Havana, Havana, Cuba
dc.description.affiliationUnifespUniversidade Federal de São Paulo, UNIFESP, EPM, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipWellcome Trust (UK)
dc.description.sponsorshipWHO
dc.description.sponsorshipUS Alzheimer's Association
dc.description.sponsorshipFONACIT-Venezuela
dc.description.sponsorshipPuerto Rico State Legislature
dc.description.sponsorshipIDWellcome Trust (UK): GR066133
dc.description.sponsorshipIDUS Alzheimer's Association: IIRG-04-1286
dc.format.extent14
dc.identifierhttp://dx.doi.org/10.1186/s12888-015-0390-4
dc.identifier.citationBmc Psychiatry. London: Biomed Central Ltd, v. 15, 14 p., 2015.
dc.identifier.doi10.1186/s12888-015-0390-4
dc.identifier.fileWOS000349922000001.pdf
dc.identifier.issn1471-244X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/38752
dc.identifier.wosWOS:000349922000001
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofBmc Psychiatry
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDepressionen
dc.subjectEURO-D scaleen
dc.subjectPsychometric propertiesen
dc.subjectOld ageen
dc.subjectValidationen
dc.titlePsychometric properties of EURO-D, a geriatric depression scale: a cross-cultural validation studyen
dc.typeinfo:eu-repo/semantics/article
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