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卒中失语症抑郁问卷(SADQ)在养老院环境中的效用调查。

An investigation into the utility of the Stroke Aphasic Depression Questionnaire (SADQ) in care home settings.

作者信息

Sackley Catherine M, Hoppitt Thomas J, Cardoso Karina

机构信息

School of Health Sciences, University of Birmingham, 52 Pritchatts Road, Edgbaston, Birmingham B15 2TT, UK.

出版信息

Clin Rehabil. 2006 Jul;20(7):598-602. doi: 10.1191/0269215506cr968oa.

DOI:10.1191/0269215506cr968oa
PMID:16894802
Abstract

OBJECTIVE

To assess the utility of the Stroke Aphasia Depression Scale (SADQ) to identify emotional distress among individuals living in a care home setting.

DESIGN

A prospective comparison of the SADQ and the depression subsection of the Hospital Anxiety and Depression Scale (HADS).

SETTING

Care homes in Oxfordshire.

PARTICIPANTS

Eighty-two care home residents without major communication or cognitive problems.

MEASURES

Participants completed the HADS. The SADQ was completed on behalf of each resident by his or her principal carer.

RESULTS

Spearman's rank correlation between the two measures was statistically significant (r = 0.447, P < 0.01). Receiver operator characteristics plots revealed an optimal cut-off point of 14 on the SADQ which gave sensitivity and specificity of 77% and 78% respectively.

CONCLUSION

The SADQ, an observational measure, can identify emotional distress in non-aphasic patients in a care home setting. It would be reasonable to use it with people with communication and cognitive problems who are unable to take part in conventional assessments.

摘要

目的

评估卒中失语抑郁量表(SADQ)在识别养老院环境中个体情绪困扰方面的效用。

设计

SADQ与医院焦虑抑郁量表(HADS)抑郁子量表的前瞻性比较。

地点

牛津郡的养老院。

参与者

82名无重大沟通或认知问题的养老院居民。

测量方法

参与者完成HADS。SADQ由每位居民的主要照顾者代表其完成。

结果

两种测量方法之间的斯皮尔曼等级相关性具有统计学意义(r = 0.447,P < 0.01)。受试者工作特征曲线显示,SADQ的最佳截断点为14,其敏感性和特异性分别为77%和78%。

结论

SADQ作为一种观察性测量方法,可识别养老院环境中非失语患者的情绪困扰。对于无法参与传统评估的有沟通和认知问题的人群,使用该量表是合理的。

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