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Cornell Scale for Depression in Dementia

The Cornell Scale for Depression in Dementia measures depression in the elderly. Ratings should be based on symptoms and signs occurring during the week before interview. No score should be given if symptoms result from physical disability or illness. Note that a) the same CNA (certified nursing assistant) should conduct the interview each time to ensure consistency in the response; b) The assessment should be based on the patient’s normal weekly routine; and 3) if uncertain of answers, questioning other caregivers may further clarify issues.
Sources
Ownby et al, 2001. Depression in Dementia for Anglo and Hispanic Patients With Dementia. Am J Geriatr Psychiatry 9:3.
SCORING KEY: a = Unable to evaluate; 0 = Absent; 1 = Mild to Intermittent; 2 = Severe
You are a male | female

A. MOOD-RELATED SIGNS a 0 1 2
1. Anxiety; anxious expression, rumination, worrying
2. Sadness; sad expression, sad voice, tearfulness
3. Lack of reaction to pleasant events
4. Irritability; annoyed, short tempered
B. BEHAVIORAL DISTURBANCE a 0 1 2
5. Agitation; restlessness, hand wringing, hair pulling
6. Retardation; slow movements, slow speech, slow reactions
7. Multiple physical complaints (score 0 if gastrointestinal symptoms only)
8. Loss of interest; less involved in usual activities (score 0 only if
C. PHYSICAL SIGNS a 0 1 2
9. Appetite loss; eating less than usual
10. Weight loss (score 2 if greater than 5 pounds in one month)
11. Lack of energy; fatigues easily, unable to sustain activities
D. CYCLIC FLUCTUATIONS a 0 1 2
12. Diurnal variation of mood; symptoms worse in the morning
13. Difficulty falling asleep; later than usual for this individual
14. Multiple awakenings during sleep
15. Early morning awakening; earlier than usual for this individual
E. IDEATIONAL DISTURBANCES a 0 1 2
16. Suicidal; feels life is not worth living
17. Poor self-esteem; self-blame, self-depreciation, feelings of failure
18. Pessimism; anticipation of the worst
19. Mood congruent delusions; delusions of poverty, illness or loss




   
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