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Appendix E: Cornell Scale For Depression In Dementia (CSDD)
Name:
Age: Sex: Date: Wing: Room:
Wing: Room: Physician: Assessor:
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.
SCORING SYSTEM
a = Unable to evaluate, 0 = Absent, 1 = Mild to intermittent, 2 = Severe
a 0 1 2 A. MOOD-RELATED SIGNS
❑ ❑ ❑ ❑
1. Anxiety: anxious expression, rumination, worrying
❑ ❑ ❑ ❑
2. Sadness: sad expression, sad voice, tearfulness
❑ ❑ ❑ ❑
3. Lack of reaction to present events
❑ ❑ ❑ ❑
4. Irritability: annoyed, short tempered
a 0 1 2 B. BEHAVIORAL DISTURBANCE
❑ ❑ ❑ ❑
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 only if change occurred acutely, i.e., in less than
one month)
a 0 1 2 C. PHYSICAL SIGNS
❑ ❑ ❑ ❑
9. Appetite loss: Eating less than usual
❑ ❑ ❑ ❑
10. Weight loss (score 2 if greater than 5 pounds in one
month)
❑ ❑ ❑ ❑
11. Lack of energ y: fatigues easily, unable to sustain
activities
