The Geriatric Depression Scale: A Review of Its Development and Utility
Open accessAbstract
This article reviews the significance of the Geriatric Depression Scale (GDS) to practitioners and researchers in clinical gerontology, more than 10 years after the scale was introduced to the scientific community. This report summarizes findings from the most relevant validation studies in which this self-report for assessing depression in elderly people has been tested. Included is discussion of the use of the GDS with specific populations (elderly medical inpatients, nursing home residents, and dementia populations), with description of the scale's psychometric properties and its utility when used with them. This article also provides data on the use of the GDS from more recent studies, including additional information on psychometric properties, influence of source bias, and the international dissemination of the GDS. We conclude that the GDS is a relevant self-report for the assessment of depression in the elderly, given its advantage over other self-reports that are not as easily administered to this age group, its utility in the detection of depression, and its adequate psychometric properties. However, the GDS does not maintain its validity in demented populations because it fails to identify depression in persons with mild to moderate dementia. Finally, some suggestions for future research are made.
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An inventory for measuring depression
BECK, A. T. (1961) · Archives of General Psychiatry · doi:10.1001/archpsyc.1961.01710120031004 · Cited by 38,032 · see citing works
Development and validation of a geriatric depression screening scale: a preliminary report
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982) · Journal of Psychiatric Research · doi:10.1016/0022-3956(82)90033-4 · Cited by 15,025 · see citing works
A self-rating depression scale
ZUNG, W. W. K. (1965) · Archives of General Psychiatry · doi:10.1001/archpsyc.1965.01720310065008 · Cited by 9,813 · see citing works
Development of a Rating Scale for Primary Depressive Illness
Hamilton, M. (1967) · British Journal of Social and Clinical Psychology · doi:10.1111/j.2044-8260.1967.tb00530.x · Cited by 8,410 · see citing works
Sheikh (1986) · doi:10.1300/j018v05n01_09 · Cited by 7,236 · see citing works
Spitzer, R. L. (1978) · Archives of General Psychiatry · doi:10.1001/archpsyc.1978.01770300115013 · Cited by 6,946 · see citing works
Cornell scale for depression in dementia
Alexopoulos, G. S., Abrams, R. C., Young, R. C., & Shamoian, C. A. (1988) · Biological Psychiatry · doi:10.1016/0006-3223(88)90038-8 · Cited by 2,678 · see citing works
Appendix G: Geriatric Depression Scale
Marks, W. J. (2015) · doi:10.1017/cbo9781316026625.021 · Cited by 1,536 · see citing works
Screening Tests for Geriatric Depression
Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P. H., Adey, M., & Rose, T. L. (1982) · Clinical Gerontologist · doi:10.1300/j018v01n01_06 · Cited by 1,501 · see citing works
Depression Among Institutionalized Aged: Assessment and Prevalence Estimation
Parmelee, P. A., Katz, I. R., & Lawton, M. P. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.1.m22 · Cited by 372 · see citing works
Wells, C. E. (1979) · American Journal of Psychiatry · doi:10.1176/ajp.136.7.895 · Cited by 310 · see citing works
Assessing the Elderly: A Practical Guide to Measurement
Ford, A. B. (1982) · Medical Care · doi:10.1097/00005650-198211000-00012 · Cited by 301 · see citing works
Proposed Factor Structure of the Geriatric Depression Scale
Sheikh, J. I., Yesavage, J. A., Brooks, J. O., Friedman, L., Gratzinger, P., Hill, R. D., Zadeik, A., & Crook, T. H. (1991) · International Psychogeriatrics · doi:10.1017/s1041610291000480 · Cited by 290 · see citing works
Berg, L. (1984) · The British Journal of Psychiatry · doi:10.1192/s0007125000118082 · Cited by 276 · see citing works
Detecting depression in elderly medical inpatients.
Rapp, S. R., Parisi, S. A., Walsh, D. A., & Wallace, C. E. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.56.4.509 · Cited by 237 · see citing works
Use of the Geriatric Depression Scale in Dementia of the Alzheimer Type
Burke, W. J., Houston, M. J., Boust, S. J., & Roccaforte, W. H. (1989) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1989.tb02266.x · Cited by 229 · see citing works
Koenig, H. G., Meador, K. G., Cohen, H. J., & Blazer, D. G. (1988) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1988.tb07171.x · Cited by 227 · see citing works
Zung, W. W. K. (1967) · Psychosomatics · doi:10.1016/s0033-3182(67)71945-3 · Cited by 224 · see citing works
Instruments for Screening for Depression and Dementia in a Long‐Term Care Facility
Kafonek, S. D., Ettinger, W. H., Roca, R. P., Kittner, S. J., Taylor, N., & German, P. S. (1989) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1989.tb01565.x · Cited by 198 · see citing works
Detecting depression in elderly medical inpatients.
Rapp, S. R., Parisi, S. A., Walsh, D. A., et al. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.4.509 · Cited by 194 · see citing works
A Japanese translation of the Geriatric Depression Scale
Niino, N. (1991) · Clinical Gerontologist · Cited by 148 · see citing works
Measuring Depressive Symptomatology in a General Population
Blumenthal, M. D. (1975) · Archives of General Psychiatry · doi:10.1001/archpsyc.1975.01760260035002 · Cited by 139 · see citing works
Factors Attenuating the Validity of the Geriatric Depression Scale in a Dementia Population
Feher, E. P., Larrabee, G. J., & Crook, T. H. (1992) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1992.tb01988.x · Cited by 137 · see citing works
Sleep‐Wake Disorders in the Elderly: A Polysomnographic Analysis
Coleman, R. M., Miles, L. E. M., Guilleminault, C., Zarcone, V. P., den Hoed, J. V., & Dement, W. C. (1981) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1981.tb01267.x · Cited by 129 · see citing works
Validation of the Geriatric Depression Scale Among Nursing Home Residents
Lesher, E. L. (1986) · Clinical Gerontologist · doi:10.1300/j018v04n04_04 · Cited by 98 · see citing works
Salzman, C., & Shader, R. I. (1978) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1978.tb02398.x · Cited by 97 · see citing works
Reliability of the Geriatric Depression Scale for Younger Adults
Rule, B. G., Harvey, H. Z., & Dobbs, A. R. (1990) · Clinical Gerontologist · doi:10.1300/j018v09n02_05 · Cited by 91 · see citing works
Influence of social desirability on symptom and mood reporting in a community survey.
Klassen, D., Hornstra, R. K., & Anderson, P. B. (1975) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0076863 · Cited by 83 · see citing works
Adaptation of the Geriatric Depression Scale in Spain
Izal, M., & Montorio, I. (1993) · Clinical Gerontologist · doi:10.1300/j018v13n02_07 · Cited by 57 · see citing works
Self-citationAging and Depression: Some Unanswered Questions
Jarvik, L. F. (1976) · Journal of Gerontology · doi:10.1093/geronj/31.3.324 · Cited by 40 · see citing works
Psychiatric Symptoms and Cognitive Loss in the Elderly
Niederehe, G. (1981) · Journal of Gerontology · doi:10.1093/geronj/36.4.490a · Cited by 37 · see citing works
Social Desirability Response Set and Self-Report Depression Inventories in the Elderly
Cappeliez, P. (1990) · Clinical Gerontologist · doi:10.1300/j018v09n02_06 · Cited by 27 · see citing works
The Concurrent Validity of the Geriatric Depression Scale with Depressed Older Adults
Scogin, F. R. (1987) · Clinical Gerontologist · doi:10.1300/j018v07n01_04 · Cited by 23 · see citing works
Relation of age and health status to depressive symptoms in normal and depressed older adults
Dessonville, C. (. (2015) · University of Southern California Digital Library · doi:10.25549/usctheses-c39-63639 · Cited by 9 · see citing works
Effect of instructional set on responses to the Geriatric Depression Scale.
Dunn, V. K., & Sacco, W. P. (1988) · Psychology and Aging · doi:10.1037//0882-7974.3.3.315 · Cited by 6 · see citing works
Effect of instructional set on responses to the Geriatric Depression Scale.
Dunn, V. K., & Sacco, W. P. (1988) · Psychology and Aging · doi:10.1037/0882-7974.3.3.315 · Cited by 4 · see citing works
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The Psychosocial Effects of a Companion Robot: A Randomized Controlled Trial
Robinson, H., MacDonald, B., Kerse, N., & Broadbent, E. (2013) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2013.02.007 · Cited by 546 · see citing works
Diabetes in Older Adults: A Consensus Report
Sue Kirkman, M., Briscoe, V. J., Clark, N., Florez, H., Haas, L. B., Halter, J. B., Huang, E. S., Korytkowski, M. T., Munshi, M. N., Odegard, P. S., et al. (2012) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12035 · Cited by 548 · see citing works
Accuracy of the 15‐item geriatric depression scale (GDS‐15) in a community sample of the oldest old
de Craen, A. J. M., Heeren, T. J., & Gussekloo, J. (2003) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.773 · Cited by 364 · see citing works
Herman, T., Giladi, N., Gruendlinger, L., & Hausdorff, J. M. (2007) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2007.05.015 · Cited by 315 · see citing works
The effect of virtual reality gaming on dynamic balance in older adults
Rendon, A. A., Lohman, E. B., Thorpe, D., Johnson, E. G., Medina, E., & Bradley, B. (2012) · Age and Ageing · doi:10.1093/ageing/afs053 · Cited by 302 · see citing works
Shaffer, J. A., Edmondson, D., Wasson, L. T., Falzon, L., Homma, K., Ezeokoli, N., Li, P., & Davidson, K. W. (2014) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000044 · Cited by 227 · see citing works
Increased plasma levels of 8-iso-PGF2α and IL-6 in an elderly population with depression
Dimopoulos, N., Piperi, C., Psarra, V., Lea, R. W., & Kalofoutis, A. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2007.07.019 · Cited by 118 · see citing works
Effects of mindfulness training on cognition and well-being in healthy older adults.
Mallya, S., & Fiocco, A. J. (2016) · Mindfulness · doi:10.1007/s12671-015-0468-6 · Cited by 94 · see citing works
Assessment of Barriers to Improve Diabetes Management in Older Adults
Munshi, M. N., Segal, A. R., Suhl, E., Ryan, C., Sternthal, A., Giusti, J., Lee, Y., Fitzgerald, S., Staum, E., Bonsignor, P., et al. (2013) · Diabetes Care · doi:10.2337/dc12-1303 · Cited by 71 · see citing works
“Psychosocial measures included a Geriatric Depression Scale (GDS) (20) and/or a diagnosis of depression, diabetes-relateddistress (Problem Areas in Diabetes [PAID]) (21), and social resource assessment (Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire) (22).”
BackgroundBier, N., Grenier, S., Brodeur, C., Gauthier, S., Gilbert, B., Hudon, C., Lepage, É., Ouellet, M.-C., Viscogliosi, C., & Belleville, S. (2015) · International Psychogeriatrics · doi:10.1017/s1041610214001902 · Cited by 28 · see citing works
- Authors
- Montorio, I., & Izal, M.
- Affiliations
- Universidad Autónoma de Madrid (ES)
- ORCID
- Montorio, Ignacio
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 1996-03
- Volume
- 8
- Issue
- 1
- Pages
- 103-112
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2091457171
- Cited by
- 401
- References
- 36
- Citations by year
- 2026: 23 · 2025: 24 · 2024: 25 · 2023: 11 · 2022: 17 · 2021: 15 · 2020: 12 · 2019: 8 · 2018: 16 · 2017: 10 · 2016: 11 · 2015: 18 · 2014: 28 · 2013: 20 · 2012: 22
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Keywords
- Geriatric Depression Scale, geriatric depression, psychometric properties, scale validation, nursing home residents, dementia, source bias, international dissemination
- MeSH terms
- Aged, Cross-Cultural Comparison, Dementia, Depressive Disorder, Diagnosis, Differential, Humans, Personality Inventory, Psychometrics, Reproducibility of Results, Geriatric Assessment, Comorbidity, Bias
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