Julie Robison|Cynthia Gruman|Sonia Gaztambide|Karen Blank
Screening for Depression in Middle-Aged and Older Puerto Rican Primary Care Patients
Hartford Hospital|Health Net
brief depression screens recently developed use older minority populations studied date optimal depression screens optimal cutpoints identified middleaged older hispanic primary care patientsthis study compares multiple versions four depression screening toolscenter epidemiologic studiesdepression scale cesd geriatric depression scale yale 1question screen primemd 2question screento composite international diagnostic interview cidi world health organizations diagnostic interview validated adult latino populations assess convergent validity three hundred three puerto rican primary care patients age 50 older completed screens cidi facetoface interview sensitivity specificity screen calculated receiver operator characteristic curves generatedbetween 34 61 patients screened positive depression depending measure 12 meeting dsmiv criteria major depression cidi 10item cesd worked best identify major depression population sensitivity 84 specificity 64 using cutpoint 3the 10item cesd takes 2 minutes administer useful tool identifying puerto rican patients need indepth mental health evaluation primary care setting lower cutpoint 3 instead conventional cutpoint 4 recommended optimal sensitivity specificity