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Development of the EURO–D scale – a European Union initiative to compare symptoms of depression in 14 European centres

  • M. J. Prince (a1), F. Reischies (a2), A. T. F. Beekman (a3), R. Fuhrer (a4), C. Jonker (a5), S. -L. Kivela (a6), B. A. Lawlor (a7), A. Lobo (a8), H. Magnusson (a9), M. Fichter (a10), H. Van Oyen (a11), M. Roelands (a12), I. Skoog (a13), C. Turrina (a14) and J. R. M. Copeland (a15)...
Abstract
Background

In an 11-country European collaboration, 14 population-based surveys included 21 724 subjects aged ⩾65 years. Most participating centres used the Geriatric Mental State (GMS), but other measures were also used.

Aims

To derive from these instruments a common depression symptoms scale, the EURO–D, to allow comparison of risk factor profiles between centres.

Method

Common items were identified from the instruments. Algorithms for fitting items to GMS were derived by observation of item correspondence or expert opinion. The resulting 12-item scale was checked for internal consistency, criterion validity and uniformity of factor-analytic profile.

Results

The EURO–D is internally consistent, capturing the essence of its parent instrument. A two-factor solution seemed appropriate: depression, tearfulness and wishing to die loaded on the first factor (affective suffering), and loss of interest, poor concentration and lack of enjoyment on the second (motivation)

Conclusions

The EURO–D scale should permit valid comparison of risk-factor associations between centres, even if between-centre variation remains difficult to attribute.

Copyright
Corresponding author
M. J. Prince, Epidemiology Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WCIE 7HT
Footnotes
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Declaration of interest

The European Commission BIOMEDI initiative funded this Concerted Action Programme.

Footnotes
References
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American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington. DC: APA.
Asberg, M., Perris, C., Schalling, D., et al (1978) CPRS: Development and applications of a psychiatric rating scale. Acta Psychiatrica Scandinavica, 271 (suppl.), 169.
Barberrer Gateau, P., Chaslerie, A., Dartigues, J. F., et al (1992) Health measures correlates in a French elderly community population: the PAQUID study. Journal of Gerontology. 47, S88S95.
Beekman, A. T. F., van Limbeek, J., Deeg, D. J. H., et al (1994) Een screeningsinstrument voor depressie bij ouderen in de bevolking: de bruikbaarheid van de Center for Epidemiologic Studies Depression scale (CES–D). Tijdschrift voor Gerontologie en Geriatrie, 25, 95103.
Beekman, Deeg, D. J. H., van Tilburg, T., et al (1995) Major and minor depression in later life: a study of prevalence and associated factors. Journal of Affective Disorders, 36, 6575.
Breslau, N. (1985) Depressive symptoms, major depression, and generalized anxiety: a comparison of self-reports on CES–D and results from diagnostic interviews. Psychiatry Research, 15, 219229.
Copeland, J. R. M., Dewey, M. E. & Griffiths-Jones, H. M. (1986) Computerised psychiatric diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT. Psychological Mediane, 16, 8999.
Copeland, J. R. M., Beekman, A. T. F., Dewey, M. E., et al (1999a) Depression in Europe. Geographical distribution among older people. British Journal of Psychiatry, 174, 312321.
Copeland, J. R. M., Beekman, A. T. F., et al (1999b) Cross-cultural comparison of depressive symptoms in Europe does not support stereotypes of ageing. British Journal of Psychiatry, 174, 322329.
Gurland, B., Golden, R. R., Teresi, J. A., et al (1984) The SHORT-CARE: an efficient instrument for the assessment of depression, dementia and disability. Journal of Gerontology, 39, 166169.
Kivela, S.-L., Pahkala, K. & Laipala, P. (1988) Prevalence of depression in an elderly Finnish population. Acta Psychiatrica Scandinavica, 78, 401413.
Prince, M. J., Beekman, A. T. F., Deeg, D. J. H., et al (1999) Depression symptoms in late-life assessed using the EURO–D scale. Effect of age, gender and marital status in 14 European centres. British Journal of Psychiatry 174, 339345.
Radloff, L. S. (1977) The CES–D scale: a self report depression scale for research in the general population. Applied Psychological Measurement. 1, 385401.
Robins, L., Meizer, J. E., Croughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry, 38, 381389.
Roelands, M., Wostyn, P., Dorn, H., et al (1994) The prevalence of dementia in Belgium: a population-based door-to-door survey in a rural community. Neuroepidemiology. 13, 155161.
Skoog, I., Nilsson, L., Landahl, S., et al (1993) Mental disorders and the use of psychotropic drugs in an 85-year-old urban population. International Psychogeriatrics, 5, 3348.
World Hearth Organization (1990) Composite International Diagnostic Interview (CIDI, version 1.0). Geneva: WHO.
World Hearth Organization (1993) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10): Diagnostic Criteria for Research. Geneva: WHO.
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry 12, 6270.
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Development of the EURO–D scale – a European Union initiative to compare symptoms of depression in 14 European centres

  • M. J. Prince (a1), F. Reischies (a2), A. T. F. Beekman (a3), R. Fuhrer (a4), C. Jonker (a5), S. -L. Kivela (a6), B. A. Lawlor (a7), A. Lobo (a8), H. Magnusson (a9), M. Fichter (a10), H. Van Oyen (a11), M. Roelands (a12), I. Skoog (a13), C. Turrina (a14) and J. R. M. Copeland (a15)...
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