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Geriatric Depression Scale (Short Form) : Joanna Padiaon MAY 10, 2020

The document provides instructions and questions for the Geriatric Depression Scale (Short Form) assessment tool. It includes a 15 question self-assessment for patients to indicate how they have felt in the past week. Answers suggesting depression are scored to determine if the patient's total score indicates normal feelings or suggested depression. The sample patient, Joanna Padiaon, scored a 2 out of a possible 15, which is considered a normal score not indicative of depression.

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Jess Ritumalta
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840 views

Geriatric Depression Scale (Short Form) : Joanna Padiaon MAY 10, 2020

The document provides instructions and questions for the Geriatric Depression Scale (Short Form) assessment tool. It includes a 15 question self-assessment for patients to indicate how they have felt in the past week. Answers suggesting depression are scored to determine if the patient's total score indicates normal feelings or suggested depression. The sample patient, Joanna Padiaon, scored a 2 out of a possible 15, which is considered a normal score not indicative of depression.

Uploaded by

Jess Ritumalta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Geriatric Depression Scale (Short Form)

JOANNA PADIAON MAY 10, 2020


Patient’s Name: Date:

Instructions: Choose the best answer for how you felt over the past week. Note: when asking the
patient to complete the form, provide the self-rated form (included on the following page).

No. Question Answer Score

1. Are you basically satisfied with your life? YES / NO 0


2. Have you dropped many of your activities and interests? YES / NO 0
3. Do you feel that your life is empty? YES / NO 0
4. Do you often get bored? YES / NO 0
5. Are you in good spirits most of the time? YES / NO 0
6. Are you afraid that something bad is going to happen to you? YES / NO 0
7. Do you feel happy most of the time? YES / NO 0
8. Do you often feel helpless? YES / NO 0
9. Do you prefer to stay at home, rather than going out and doing new things? YES / NO 1
10. Do you feel you have more problems with memory than most people? YES / NO 0
11. Do you think it is wonderful to be alive? YES / NO 0
12. Do you feel pretty worthless the way you are now? YES / NO 1
13. Do you feel full of energy? YES / NO 0
14. Do you feel that your situation is hopeless? YES / NO 0
15. Do you think that most people are better off than you are? YES / NO 0
TOTAL 2
(Sheikh & Yesavage, 1986)

Scoring:
Answers indicating depression are in bold and italicized; score one point for each one selected. A score of 0 to 5
is normal. A score greater than 5 suggests depression.

Sources:
Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter
version. Clin Gerontol. 1986 June;5(1/2):165-173.
Yesavage JA. Geriatric Depression Scale. Psychopharmacol Bull. 1988;24(4):709-711.
Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale:
a preliminary report. J Psychiatr Res. 1982-83;17(1):37-49.
Geriatric Depression Scale (Short Form)
Self-Rated Version

Patient’s Name:
JOANNA PADIAON Date:
MAY 10, 2020

Instructions: Choose the best answer for how you felt over the past week.

No. Question Answer Score

1. Are you basically satisfied with your life? YES / NO 0


2. Have you dropped many of your activities and interests? YES / NO
0
3. Do you feel that your life is empty? YES / NO 0
4. Do you often get bored? YES / NO 0
5. Are you in good spirits most of the time? YES / NO 0
6. Are you afraid that something bad is going to happen to you? YES / NO 0
7. Do you feel happy most of the time? YES / NO 0
8. Do you often feel helpless? YES / NO 0
9. Do you prefer to stay at home, rather than going out and doing new things? YES / NO 1
10. Do you feel you have more problems with memory than most people? YES / NO 0
11. Do you think it is wonderful to be alive? YES / NO 0
12. Do you feel pretty worthless the way you are now? YES / NO 1
13. Do you feel full of energy? YES / NO 0
14. Do you feel that your situation is hopeless? YES / NO 0
15. Do you think that most people are better off than you are? YES / NO 0
TOTAL 2
(Sheikh & Yesavage, 1986)

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