Evidence map›Paper›PMID 34510385›Full record

ArticleEuropean geriatric medicine2022

Evaluation of a new screening instrument for psychological distress in postacute rehabilitation in older person.

Stefan Grund, Michael Kilb, Eva Breitinger, Wilfried Hundsdörfer, Hans G Schäfer, Jos M G A Schols, Adam L Gordon, Jürgen M Bauer, Georg W Alpers

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Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 87% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Stefan GrundDepartment of Geriatrics and Geriatric Rehabilitation, Center for Geriatric Medicine, Agaplesion Bethanien Krankenhaus Heidelberg, University of Heidelberg, Heidelberg, Germany. stefan.grund@bethanien-heidelberg.de.
Michael KilbDepartment of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.
Eva BreitingerDepartment of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.
Wilfried HundsdörferDiakonissen Hospital Mannheim Department of Geriatric Rehabilitation, Mannheim, Germany.
Hans G SchäferDiakonissen Hospital Mannheim Department of Geriatric Rehabilitation, Mannheim, Germany.
Jos M G A ScholsDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.
Adam L GordonDivision of Medical Sciences and Graduate Entry Medicine, School of Medicine, University of Nottingham, Nottingham, UK.
Jürgen M BauerDepartment of Geriatrics and Geriatric Rehabilitation, Center for Geriatric Medicine, Agaplesion Bethanien Krankenhaus Heidelberg, University of Heidelberg, Heidelberg, Germany.
Georg W AlpersDepartment of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany.
University of Mannheim · DEDiakonissenkrankenhaus · DEAgaplesion Bethanien Krankenhaus · DECity, University of London · GBHeidelberg University · DEMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough psychological distress has a negative impact on functional recovery, institutionalisation and mortality rates, there is typically no established procedure to screen for psychological distress in geriatric rehabilitation. The aim of the study was to evaluate a brief single-item Verbal Numerical Rating Scale (VNRS-PD) as a screening tool for psychological distress in multimorbid geriatric rehabilitation patients.

methodsIn this cross-sectional study, N = 132 geriatric rehabilitation in-patients (M = 82 years old; 70.5% female) completed a verbal numerical rating scale (VNRS-PD) on satisfaction with their mood as well as the Hospital Anxiety and Depression Scale (HADS) and the short-form of the Geriatric Depression Scale (GDS). Based on the questionnaire data, the rehabilitation patients were classified as high or low in psychopathology. Using receiver-operating characteristic (ROC) curve analysis, optimal cutoff scores of the VNRS-PD were calculated for each questionnaire to detect significant psychological distress.

resultsBetween 28.8% (HADS ≥ 18) and 43.9% (GDS ≥ 6) of the sample had above-cutoff questionnaire scores. The area under the curve (AUC) of the VNRS-PD varied from 0.785 (95%-CI 0.709-0.861) (GDS ≥ 6) and 0.790 (95%-CI 0.716-0.864) (HADS ≥ 18) to 0.807 (95%-CI 0.734-0.880) (GDS ≥ 7). A score of ≤ 5 in the VNRS-PD proved to be the cutoff with an optimal trade-off between sensitivity (0.776-0.867) and specificity (0.638-0.703).

conclusionThe VNRS-PD may be a suitable screening instrument to detect patients with psychological distress in inpatient geriatric rehabilitation for and to initiate further diagnostics within a graduated psychodiagnostic scheme. This first step may help to identify older patients with psychological distress and mental disorders, to initiate targeted interventions. Further research is needed to replicate these findings in a larger sample.

Indexed as

Mass ScreeningPsychological DistressAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleROC CurveSurveys and QuestionnairesGeriatric assessmentMental healthOlder personPostacute rehabilitationPsychological distressSingle-item screener

Identifiers

PMID34510385
OpenAlexW3198964138

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.