TY - JOUR PY - 2002// TI - Assessing depression in medically ill elderly male veterans: Item-scale properties across and within racial groups JO - Journal of Mental Health and Aging A1 - Karel, M.J. A1 - Moye, J. SP - 121 EP - 138 VL - 8 IS - 2 N2 - Identifying depression in older medically ill men, and understanding how such depression may present differently within racial subgroups, is critical due to health and suicide risks. This study examines how elderly Black, Hispanic, and White male veterans present symptoms of depression. A total of 967 men over age 60 who were recently medically or surgically hospitalized were subsequently evaluated using the Geriatric Depression Scale (GDS)-15 item, Hamilton Depression Rating Scale (HDRS)-24 item, and Affect Balance Scale. Across the total sample, cognitive/affective symptoms of depression, including feelings of emptiness, unhappiness, worthlessness, hopelessness, and helplessness, were most strongly associated with depression as measured by total scale scores on the GDS and HDRS. There were some differences between ethnic subgroups in frequency of item endorsement and in item-scale correlations. Black men endorsed fewer depressive symptoms overall. Challenges for determining the meaning of ethnic differences in depressive symptoms among medically ill elders are discussed.

Language: en

LA - en SN - 1078-4470 UR - http://dx.doi.org/ ID - ref1 ER -