Validity of the Beck Depression Inventory, Hospital Anxiety and Depression Scale, SCL-90, and Hamilton depression rating scale as screening instruments for depression in stroke patients
Validity of the Beck Depression Inventory, Hospital Anxiety and Depression Scale, SCL-90, and Hamilton depression rating scale as screening instruments for depression in stroke patients
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DOI：
10.1176/appi.psy.43.5.386
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发表时间：
2002-09-01
期刊：
影响因子：
3.4
通讯作者：
Honig, A
中科院分区：
文献类型：
--
作者：
Aben, I;Verhey, F;Honig, A
大多数用于评估中风后抑郁症的工具从未在中风患者中进行过专门验证。该研究在 202 名连续患者经历首次缺血性中风 1 个月后，通过三份问卷和一份观察员评定量表评估了他们的抑郁症筛查能力。在各自的最佳截止值下，自评量表的敏感性在 80% 至 90% 之间变化，而特异性约为 60%。对于观察者评定量表（汉密尔顿抑郁评定量表），敏感性为 78.1%，特异性为 74.6%。这些仪器在男性中的表现明显优于女性。尽管存在这种差异，但得出的结论是，所有量表都是可接受的中风后抑郁症筛查工具。
Most instruments used to assess poststroke depression have never been specifically validated in stroke patients. This stud's evaluated the depression screening abilities of three questionnaires and one observer-rated scale in 202 consecutive patients 1 month after they, experienced their first-ever ischemic stroke. At their respective optimum cutoff values, the sensitivity of the self-rated scales varied between 80% and 90%, while the specificity was about 60%. For the observer-rated scale (Hamilton Depression Rating Scale), sensitivity was 78.1%, and specificity was 74.6%. The instruments clearly performed better in men than in women. Despite this difference, it was concluded that all scales were acceptable screening instruments for poststroke depression.