Assessment of Depression After Stroke A Comparison of Different Screening Instruments
Assessment of Depression After Stroke A Comparison of Different Screening Instruments
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DOI：
10.1161/strokeaha.108.527705
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发表时间：
2009-02-01
期刊：
影响因子：
8.3
通讯作者：
Kaste, Markku
中科院分区：
文献类型：
--
作者：
Berg, Anu;Loennqvist, Jouko;Kaste, Markku
背景和目的：评估卒中后抑郁可能并发失语症、其他认知缺陷和几种躯体卒中相关症状。我们研究了一些常用的工具在筛选中风后抑郁的性能可能存在的差异。方法我们比较了贝克抑郁量表，汉密尔顿抑郁量表，视觉焦虑情绪量表，代理评估，和临床总体印象的护理和研究人员，连同诊断和统计手册的精神障碍，第三版，修订的诊断，在100名患者的随访研究中评估中风后的抑郁症。患者进行了研究，在2周和2，6，12，18个月后stroke.Results-The可行性研究的所有评估工具的比率是相当相似的，但患病率不同的评估工具，不同的最低率与精神疾病的诊断和统计手册，第3版，修订为基础的诊断高达3倍的护理评级。临床总体印象量表、贝克抑郁量表和汉密尔顿抑郁量表对精神疾病诊断和统计手册标准的敏感性和特异性可接受，大多数在0.70至1.00的范围内。照顾者评分高于患者评分（P
Background and Purpose-Assessing poststroke depression may be complicated by aphasia, other cognitive deficits, and several somatic stroke-related symptoms. We studied the possible differences in performance of some commonly used instruments in screening depression after stroke.Methods-We compared the Beck Depression Inventory, Hamilton Rating Scale for Depression, Visual Analogue Mood Scale, proxy assessment, and Clinical Global Impression of the nursing and study personnel, together with Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised diagnosis, in assessing depression after stroke in a follow-up study of 100 patients. The patients were studied at 2 weeks and at 2, 6, 12, and 18 months after stroke.Results-The feasibility rates of all assessment instruments studied were fairly similar, but the prevalence rates differed according to the assessment instruments, varying from the lowest rates with a Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised-based diagnosis up to 3-fold with caregiver ratings. The sensitivity and specificity against the Diagnostic and Statistical Manual of Mental Disorders criteria were acceptable with the Clinical Global Impression, Beck Depression Inventory, and Hamilton Rating Scale for Depression, mostly in the range of 0.70 to 1.00. The caregiver ratings were higher than the patient ratings (P