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Integrative Project

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Integrative Final Project
Evon Stevenson
CCMH 535
June 9, 2015
Dr. Robin Switzer

Integrative Final Project
Depression is the fourth leading cause of the worldwide disease burden, and approximately one in four elderly persons may suffer from depression or depressive symptoms (Glasser, Vogels, & Gravdal, 2009). It is a common and disabling disorder that goes undetected, causing unnecessary suffering (Almeida, & Almeida, 1999). This final project will evaluate a new instrument designed to assess depression in adults, ages 65 and older. Research will also be done on different assessment procedures to determine if Emily is clinically depressed or suicidal. Finally, ethical considerations and practice guidelines will be discussed in how to work with Emily and her family.
The new instrument is called the Depression Inventory for the Elderly (DIE), it is a self-administered inventory, there are 90 items relating to such depressive symptoms as withdrawal, depressed mood, feelings of guilt and worthlessness, difficultly making decisions, vegetative functions, self-evaluation and interpersonal behaviors. The test takes 35 minutes to administer. The scoring uses a five-point scale of distress ranging (0-4), from “not at all” (0) to “extremely” (4). DIE yields raw and T scores for the Total Score and Primary Dimension Scores. The results are hand scored; T scores above 65 on the Total Score and the Primary Dimensions are considered in the “clinical range.”
The normative sample included 1266 middle to upper class retirees, between the ages of 65 and 91, from Florida. The scores were reliable due to the sample size, however, the study left out lower SES. Results were faster due to hand scoring, but the 90 items proved to be far too many for the older frailer person. Additionally, three research studies for the validity, report that the DIE effectively

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