Appendices
48
Appendix E: Cornell Scale For Depression In Dementia (CSDD)
a 0 1 2 D. CYCLIC FUNCTIONS
❑ ❑ ❑ ❑
12. Diurnal variation of mood: symptoms worse in the
morning
❑ ❑ ❑ ❑
13. Difficulty falling asleep: later than usual for this
individual
❑ ❑ ❑ ❑
14. Multiple awakening during sleep
❑ ❑ ❑ ❑
15. Early morning awakening : earlier than usual for
this individual
a 0 1 2 E. IDEATIONAL DISTURBANCE
❑ ❑ ❑ ❑
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
SCORE Score greater than 12 = Probable Depression
Notes/Current Medications:
Instructions for use:
1. e same CNA (certified nursing assistant) should conduct the interview each time to assure
consistency in response.
2. e assessment should be based on the patient's normal weekly routine.
3. If uncertain of answers, questioning other caregivers may further define the answer.
4. Answer all questions by placing a check in the column under the appropriately numbered answer.
(a = unable to evaluate, 0 = absent, 1 = mild to intermittent, 2 = severe).
5. Add the total score for all numbers checked for each question.
6. Place the total score in the "Score" box and record any subjective observation notes in the "Notes/
Current Medications" section.
7. Scores totaling twelve (12) points or more indicate probable depression.
(cont'd)
