Choosing an appropriate depression assessment tool for chinese older adults: a review of 11 instruments. The best tools take into account cultural differences

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

J Gerontol Nurs

Journal/Book/Conference Title

Journal of gerontological nursing

PubMed ID



The purpose of this article is to compare the advantages and limitations of developed depression assessment tools and provide recommendations for clinical staff to select an appropriate tool for use with Chinese older adults. A total of 7 Western tools translated into Chinese and 4 tools developed specifically for assessing Chinese older adults were found in 12 articles. Variability in instrument psychometric properties and cutoff scores is discussed. A reasonable strategy to efficiently assess depression in Chinese older adults is to first administer the Single Question or Geriatric Depression Scale-4 (GDS-4). If depression is likely, the Chinese GDS-15 could be used to increase the probability of identifying depression in Chinese older adults.


Aged, Attitude to Health/ethnology, China/ethnology, Choice Behavior, Communication Barriers, Cultural Characteristics, Depressive Disorder/diagnosis/ethnology, Geriatric Assessment/methods, Geriatric Nursing/methods/standards, Health Knowledge, Attitudes, Practice, Humans, Mass Screening/methods/nursing, Nursing Assessment/methods/standards, Nursing Evaluation Research, Psychiatric Status Rating Scales/standards, Psychometrics, Reproducibility of Results, Research Design, Semantics, Sensitivity and Specificity, Social Values

Published Article/Book Citation

Journal of gerontological nursing, 33:8 (2007) pp.12-22.

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