Stern R A
Department of Psychiatry & Human Behavior, Brown University School of Medicine, Providence, Rhode Island, USA.
Semin Speech Lang. 1999;20(1):33-49; quiz 49-50. doi: 10.1055/s-2008-1064007.
Depression is common in patients with stroke and other neurological conditions. Accurate assessment and diagnosis is critical in understanding the causes of mood disturbance in these patients and in establishing effective treatments. Examination of mood states, however, is difficult in patients with aphasia, impaired emotional expression, and other communication and cognitive difficulties. Most standardized measures of mood are inappropriate for this population due to the instruments' linguistic, attention, and other cognitive demands. The Visual Analog Mood Scales (VAMS) are psychometrically sound measures, developed specifically for neurologically impaired patients in general and aphasic patients in particular. These very brief scales assess eight mood states: sad, happy, tense, afraid, tired, energetic, confused, and angry. The utility of these scales in clinical practice is presented, as are specific recommendations and guidelines for the assessment of mood in patients with aphasia and other communication deficits.
抑郁症在中风患者和其他神经系统疾病患者中很常见。准确的评估和诊断对于理解这些患者情绪障碍的原因以及制定有效的治疗方法至关重要。然而，对于患有失语症、情感表达受损以及其他沟通和认知困难的患者，情绪状态的检查很困难。由于这些工具的语言、注意力和其他认知要求，大多数标准化的情绪测量方法不适用于这一人群。视觉模拟情绪量表（VAMS）是经过心理测量验证的测量方法，是专门为一般神经功能受损患者，特别是失语症患者开发的。这些非常简短的量表评估八种情绪状态：悲伤、快乐、紧张、恐惧、疲惫、精力充沛、困惑和愤怒。本文介绍了这些量表在临床实践中的效用，以及针对失语症和其他沟通缺陷患者情绪评估的具体建议和指南。
