Cornell Scale for Depression in Dementia

Geriatrics, Psychiatry
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Cornell Scale for Depression in Dementia [comment memo=" A screening tool for co-morbid depression in dementia patients"]
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="anxiety"] <-- 1. Mood-Related Signs: Anxiety (anxious expression, ruminations, worrying)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="sadness"] <-- 2. Mood-Related Signs: Sadness (sad expression, sad voice, tearfulness)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="pleasant"] <-- 3. Mood-Related Signs: Lack of reactivity to pleasant events
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="irritable"] <-- 4. Mood-Related Signs: Irritability (easily annoyed, short tempered)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="agitation"] <-- 5. Behavioral Disturbance: Agitation (restlessness, handwringing, hair pulling)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="retardation"] <-- 6. Behavioral Disturbance: Retardation (slow movement, slow speech, slow reactions)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="physical"] <-- 7. Behavioral Disturbance: Multiple physical complaints (score 0 if GI symptoms only)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="interest"] <-- 8. Behavioral Disturbance: Loss of interest (less involved in usual activities; score only if change occurred acutely, i.e., in less than one month)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="appetite"] <-- 9. Physical Signs: Appetite loss (eating less than usual)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="weightLoss"] <-- 10. Physical Signs: Weight Loss (score 2 if greater than 5 lb in one month)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="energy"] <-- 11. Physical Signs: Lack of energy (fatigues easily, unable to sustain activities; score only if change occurred acutely, i.e.,in less than one month)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="diurnal"] <-- 12. Cyclic Functions: Diurnal variation of mood symptoms worse in the morning
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="fallAsleep"] <-- 13. Cyclic Functions: Difficulty falling asleep later than usual for this individual
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="awakenMult"] <-- 14. Cyclic Functions: Multiple awakenings during sleep
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="awakenEarly"] <-- 15. Cyclic Functions: Early morning awakening earlier than usual for this individual
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="suicide"] <-- 16. Ideational Disturbance: Suicide (feels life is not work living, has suicidal wishes, or makes suicide attempt)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="esteem"] <-- 17. Ideational Disturbance: Poor self-esteem (self-blame, self-depreciation,feelings of failure)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="pessimism"] <-- 18. Ideational Disturbance: Pessimism (anticipation of the worst)
[select value="Unable to evaluate or Absent (0)=0|Mild or Intermittent (1)=1|Severe (2)=2" name="delusion"] <-- 19. Ideational Disturbance: Mood-congruent delusions (delusions of poverty,illness, or loss)
Score: [calc value="score=(delusion)+(pessimism)+(esteem)+(suicide)+(awakenEarly)+(awakenMult)+(fallAsleep)+(diurnal)+(energy)+(weightLoss)+(appetite)+(interest)+(physical)+(retardation)+(agitation)+(irritable)+(pleasant)+(sadness)+(anxiety)" memo="score"] Interpretation: [calc value="score=(delusion)+(pessimism)+(esteem)+(suicide)+(awakenEarly)+(awakenMult)+(fallAsleep)+(diurnal)+(energy)+(weightLoss)+(appetite)+(interest)+(physical)+(retardation)+(agitation)+(irritable)+(pleasant)+(sadness)+(anxiety);score>7?'Suggestive of depression':'Depression unlikely/not detected'" memo="interpretation"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/3337862" target="_blank">Cornell Scale for Depression in Dementia. Biological Psychiatry 1988;23(3):271-284</a>, <a href="https://www.icsi.org/_asset/fnhdm3/Depr-Interactive0512b.pdf" target="_blank">Institute for Clinical Systems Improvement. Major Depression in Adults in Primary Care</a>, <a href="http://www.aafp.org/afp/2002/0915/p1001.html" target="_blank">Screening for Depression Across the Lifespan: A Review of Measures for Use in Primary Care Settings, Am Fam Physician. 2002 Sep 15;66(6):1001-1009</a>[/html][/conditional]
Cornell Scale for Depression in Dementia A screening tool for co-morbid depression in dementia patients
<-- 1. Mood-Related Signs: Anxiety (anxious expression, ruminations, worrying)
<-- 2. Mood-Related Signs: Sadness (sad expression, sad voice, tearfulness)
<-- 3. Mood-Related Signs: Lack of reactivity to pleasant events
<-- 4. Mood-Related Signs: Irritability (easily annoyed, short tempered)
<-- 5. Behavioral Disturbance: Agitation (restlessness, handwringing, hair pulling)
<-- 6. Behavioral Disturbance: Retardation (slow movement, slow speech, slow reactions)
<-- 7. Behavioral Disturbance: Multiple physical complaints (score 0 if GI symptoms only)
<-- 8. Behavioral Disturbance: Loss of interest (less involved in usual activities; score only if change occurred acutely, i.e., in less than one month)
<-- 9. Physical Signs: Appetite loss (eating less than usual)
<-- 10. Physical Signs: Weight Loss (score 2 if greater than 5 lb in one month)
<-- 11. Physical Signs: Lack of energy (fatigues easily, unable to sustain activities; score only if change occurred acutely, i.e.,in less than one month)
<-- 12. Cyclic Functions: Diurnal variation of mood symptoms worse in the morning
<-- 13. Cyclic Functions: Difficulty falling asleep later than usual for this individual
<-- 14. Cyclic Functions: Multiple awakenings during sleep
<-- 15. Cyclic Functions: Early morning awakening earlier than usual for this individual
<-- 16. Ideational Disturbance: Suicide (feels life is not work living, has suicidal wishes, or makes suicide attempt)
<-- 17. Ideational Disturbance: Poor self-esteem (self-blame, self-depreciation,feelings of failure)
<-- 18. Ideational Disturbance: Pessimism (anticipation of the worst)
<-- 19. Ideational Disturbance: Mood-congruent delusions (delusions of poverty,illness, or loss)
Score: scorescore=(delusion)+(pessimism)+(esteem)+(suicide)+(awakenEarly)+(awakenMult)+(fallAsleep)+(diurnal)+(energy)+(weightLoss)+(appetite)+(interest)+(physical)+(retardation)+(agitation)+(irritable)+(pleasant)+(sadness)+(anxiety) Interpretation: interpretationscore=(delusion)+(pessimism)+(esteem)+(suicide)+(awakenEarly)+(awakenMult)+(fallAsleep)+(diurnal)+(energy)+(weightLoss)+(appetite)+(interest)+(physical)+(retardation)+(agitation)+(irritable)+(pleasant)+(sadness)+(anxiety);score>7?'Suggestive of depression':'Depression unlikely/not detected'

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