Structured Interview Used to Assess for Depression as Specified by the NIMH Provisional Diagnostic Criteria for Depression in Alzheimer Disease
| The presence of each symptom should be assessed over the preceding 2 weeks | |||
|---|---|---|---|
| 1. “I am going to ask you some questions about (your/the participant’s) mood. Has there been a period of time when (you were/the participant was) feeling depressed or down most of the day? What was that like? Was this a change from the usual?” IF YES: “How long did it last? As long as 2 weeks?” | |||
| Clinically significant depressed mood: | Yes | No | Not Determined |
| 2. “What about losing interest in things (you/the participant) usually enjoy(s)? IF YES: “Was this a change from the previous level of functioning? How long did it last? As long as 2 weeks?” | |||
| Decreased positive affect or pleasure | Yes | No | Not Determined |
| 3. “Did (you/the participant) tend to withdraw from social contacts and (your/their) customary activities?” | |||
| Social isolation or withdrawal | Yes | No | Not Determined |
| 4. “(Have you/Has the participant) lost or gained any weight?” IF YES: “How much? (Were you/Was the participant) trying to lose weight?” IF NO: “How was (your/the participant’s) appetite? What about compared to (your/the participant’s) usual appetite? Did you have to force (yourself/the participant) to eat? Eat (more/less) than usual?” | |||
| Disruption in appetite | Yes | No | Not Determined |
| 5. How (have you/has the participant) been sleeping? Trouble falling asleep, waking frequently, trouble staying asleep, waking too early, or sleeping too much? How many hours a night compared to the usual? | |||
| Disruption in sleep | Yes | No | Not Determined |
| 6. (Have you/Has the participant) been so fidgety or restless that (you were/the participant was) unable to sit still?” IF YES: “Was it so bad that other people noticed it? What did they notice? Was it a change from (your/the participan t’s) typical behavior?” IF NO: “What about the opposite- talking or moving more slowly than is normal for (you/the participant)? Was it so bad that other people noticed it? What did they notice? Was it a change from (your/the participant’s) typical behavior?” | |||
| Psychomotor changes | Yes | No | Not Determined |
| 7. “Have (you/the participant) been feeling more irritable than usual?” | |||
| Irritability | Yes | No | Not Determined |
| 8. What has (your/the participant’s) energy been like? Tired all the time?” IF YES: “A change from (your/the participant’s) typical behavior?” | |||
| Fatigue or loss of energy | Yes | No | Not Determined |
| 9. “How (do you/does the participant) feel about (yourself/himself/herself)? Worthless?” IF YES: “Is this a change from (your/the participant’s) typical behavior?” | |||
| Feelings of worthlessness | Yes | No | Not Determined |
| 10. “Were things so bad that (you were/the participant was) thinking a lot about death or that (you/the participant) would be better off dead? What about thinking of hurting (yourself/himself/herself)? | |||
| Recurrent thoughts of death | Yes | No | Not Determined |