The Cornell Scale for Depression in Dementia (CSDD) is a way to screen for symptoms of depression in someone who has dementia. The Cornell Scale for Depression in Dementia (CSDD) is designed for the assessment of depression in older people with dementia who can at least. Biopsychosocial assessment tools for the elderly – Assessment summary sheet. Test: Cornell Scale for Depression in Dementia (CSDD). Year:

Author: Muramar Vushicage
Country: Bahamas
Language: English (Spanish)
Genre: Life
Published (Last): 25 June 2011
Pages: 210
PDF File Size: 13.82 Mb
ePub File Size: 18.6 Mb
ISBN: 319-4-16269-246-4
Downloads: 48957
Price: Free* [*Free Regsitration Required]
Uploader: Garn

This study addresses a clinically important question regarding the concordance between nurse and NH resident depression ratings. Cornell scale for depression in dementia. Care managers typically were registered nurses who oversaw the entire plan of care for scalle resident. Cornell Scale for Depression in Dementia. Depressiom specifically, we asked the following questions: However, inclusion of this subgroup in these analyses provided additional information on the ability of the CSDD to identify mild depressive disturbances.

Absence of these data, including basic characteristics of the nurse sample, limited our ability to explore the association between these important factors and resident-nurse proxy concordance.

Focusing on the external manifestations by using multiple raters or increasing training to identify depression symptoms may decrease the discrepancy between nurse and resident and in turn detect depression. Major depression in a population of demented and nondemented older people: The Cornell Scale for Depression in Dementia: Basic description Developed in The relationship between cognitive function and depression is unclear.

Thus, potentially important variables were not measured— variables such as: Table 2 Sensitivity, specificity, positive and negative predictive values at different scores for the Cornell Scale for Depression in Dementia. Usually, they worked the day shifts and interacted with primary care providers, social workers, therapists and other nursing staff, including certified nursing assistants, to coordinate the care of the resident. Interviews with informants and observation-based depressive symptom rating scales may be the most valid and reliable way to document depressive symptoms in cognitively impaired patients.


To examine the effect of demographic and clinical variables on the discrepancy score, Pearson correlation coefficients between the discrepancy score and each of the possible covariates were calculated. This strategy corresponds with the implementation of the MDS 3. J Neuropsychiatry Clin Neurosci. The distribution of each variable was examined using frequency tables and histograms.

CSDD – Cornell Scale for Depression in Dementia

A response was considered reliable if the participant located their worst pain on dementix top third of the scale all reported having experienced severe pain as their worst. The listed translations may not have undergone a full linguistic validation process and may require further work to be suitable for use in a study. The Cornell Scale for Depression in Dementia CSDD is such a screening measure, since it incorporates information from interviews with both patients and caregiver-informants.

Use of the Cornell scale in nondemented patients. In case further linguistic validation steps need to be performed on the translations produced by Mapi and provided by Mapi Research Trust, User shall work exclusively with Mapi. J Geriatr Psychiatry Neurol. Predictive validity – sensitivity 0.

For this study, the unit care manager provided the caregiver perspective and served as the proxies. Conclusion These findings underscore the importance of obtaining resident input when assessing depression in NH residents with dementia, and educating NH nurses in the most effective ways to assess depression.

  EXR 2908 PDF

To determine if participants were able to report pain reliably, research assistants used one of two depresion. Have you felt less hungry or had to remind yourself to eat? As shown in Table 2two cut-off points had near equivalent sums of sensitivity and specificity; one with higher sensitivity, the other higher specificity.

The scores are added together. Discrepancy scores were also calculated for each of the CSDD subscales mood, behavior, physical, cyclic and ideation.

Cornell Scale for Depression in Dementia (CSDD)

Statistical Analysis The distribution of each variable was examined using frequency tables and histograms. The quality of insight and awareness with respect to symptoms is often a concern when evaluating cognitively impaired patients. Fahn S, Elton RL.

Prevalence and correlates of recognized depression in U. Thus, nurses rated resident depression higher when resident pain scores were cdd. Despite these limitations, this study has important implications for clinical practice and future research. An inclusive approach to symptom attribution, as used in this study, simplifies its administration and facilitates ratings by non-psychiatric clinicians. Residents were recruited from 28 Washington State nursing homes.

The validity of the minimum data set in measuring the cognitive impairment of persons admitted to nursing homes. Use of the Cornell scale in nondemented patients. Total scale scores above 10 out of a possible 38 suggest major depression Alexopoulos,