II. Indications
- Screening for co-morbid depression in patients with Dementia
III. Definition
- Provider completed scale composed of 19 questions within 5 categories
- Mood related signs (e.g. Anxiety, sadness, flat affect, irritability)
- Behavioral disturbance (e.g. Agitation, slowed speech or movement)
- Physical Signs (appetite, weight loss, low energy)
- Cyclic functions (e.g. worse mood in morning, Insomnia)
- Ideational disturbance (e.g. Suicidality, self-esteem, pessimism)
- Each question is assigned a 3 point score
- Score 0: Unable to evaluate or absent
- Score 1: Mild or Intermittent
- Score 2: Severe