Transcription of Geriatric Depression Scale (Long Form)
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Provided courtesy of CME Outfitters, LLC Available for download at Depression Scale (Long Form) Patient s Name: _____ Date: you basically satisfied with your life?YES / you dropped many of your activities and interests?YES / you feel that your life is empty?YES / you often get bored?YES / you hopeful about the future?YES / you bothered by thoughts you can t get out of your head?YES / you in good spirits most of the time?YES / you afraid that something bad is going to happen to you?YES / you feel happy most of the time?YES / you often feel helpless?YES / you often get restless and fidgety?YES / you prefer to stay at home, rather than going out and doing new things?YES / you frequently worry about the future?YES / you feel you have more problems with memory than most?YES / you think it is wonderful to be alive now?YES / you often feel downhearted and blue?YES / you feel pretty worthless the way you are now?
Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17:37-49. Instructions: Choose the best answer for how you felt over the past week.
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