Leeds L, Meara R J, Hobson J P
Department of Clinical Psychology, University of Wales, Bangor, UK.
Clin Rehabil. 2004 Mar;18(2):228-31. doi: 10.1191/0269215504cr685oa.
To determine the utility of an observer-based rating scale to detect depression in patients without aphasia.
Correlation analysis between the Stroke Aphasia Depression Questionnaire, shortened version (SADQ-10) and a validated self-rating measure of depression, the Geriatric Depression Scale (GDS). The sensitivity and specificity of the SADQ-10 were also calculated.
Stroke rehabilitation unit.
Sixty-five stroke patients without significant aphasia undergoing rehabilitation.
All patients were assessed with the GDS-15 and the SADQ-10.
The SADQ-10 at a cut-point of 14 out of 30 had a sensitivity of 70% and a specificity of 77% to detect depression. This measure demonstrated good internal consistency but showed only a modest correlation with the GDS-15 (r = 0.40, p < 0.001).
In the population under study the SADQ-10 did not appear to be a valid measure of depression compared with the GDS and, therefore, may not be suitable for use in patients without significant aphasia.
确定一种基于观察者的评定量表在检测无失语症患者抑郁方面的效用。
对卒中失语症抑郁问卷简版（SADQ - 10）与一种经过验证的抑郁自评量表老年抑郁量表（GDS）进行相关性分析。还计算了SADQ - 10的敏感性和特异性。
卒中康复单元。
65名无明显失语症且正在接受康复治疗的卒中患者。
所有患者均接受GDS - 15和SADQ - 10评估。
SADQ - 10在30分中以14分为切点时，检测抑郁的敏感性为70%，特异性为77%。该量表显示出良好的内部一致性，但与GDS - 15的相关性仅为中等（r = 0.40，p < 0.001）。
在所研究的人群中，与GDS相比，SADQ - 10似乎不是一种有效的抑郁测量方法，因此可能不适用于无明显失语症的患者。
