Watkins Caroline L, Lightbody C Elizabeth, Sutton Chris J, Holcroft Leanne, Jack Cathy I A, Dickinson Hazel A, van den Broek Martin D, Leathley Michael J
Clinical Practice Research Unit, Department of Nursing, Faculty of Health, University of Central Lancashire, Preston, and The Royal Group of Hospitals and Dental Hospital Health and Social Services Trust, Belfast, UK.
Clin Rehabil. 2007 Sep;21(9):846-52. doi: 10.1177/0269215507079846.
To determine the accuracy and utility of a single-item screening tool for depression (the Yale, taken from the Yale-Brown Obsessive Compulsive Scale) in patients who have recently had a stroke.
Comparison of a clinical classification of depression with a screening tool in a defined cohort.
A large teaching hospital in Liverpool, UK.
One hundred and twenty-two consecutive people admitted with an acute stroke who did not have severe cognitive or communication problems, and who were still in hospital in the second week post stroke.
Classification of depression using the Montgomery-Asberg Depression Rating Scale was compared with the Yale, a single-item screening tool.
When comparing the classification of depression according to the Montgomery-Asberg Depression Rating Scale and the response to the Yale we found that at week 2 the Yale had a sensitivity of 86% (57/66), a specificity of 84% (46/55), a positive predictive value of 86% (57/66) and a negative predictive value of 84% (46/55), with an overall efficiency of 85% (103/121); prevalence of depression was 54% (according to the Montgomery-Asberg Depression Rating Scale). At month 3 the Yale had a sensitivity of 95% (52/55), a specificity of 89% (32/36), a positive predictive value of 93% (52/56) and a negative predictive value of 91% (32/35), with an overall efficiency of 92% (84/91); prevalence of depression was 60%.
The Yale, which only requires a 'yes' or 'no' answer to a single question, may prove a useful screening tool in identifying possible depression in people with stroke both two weeks and three months post stroke.
确定一种用于筛查抑郁症的单项工具（取自耶鲁-布朗强迫量表的“耶鲁项”）在近期中风患者中的准确性和实用性。
在一个特定队列中，将抑郁症的临床分类与一种筛查工具进行比较。
英国利物浦的一家大型教学医院。
122例连续收治的急性中风患者，这些患者没有严重的认知或沟通问题，且在中风后第二周仍住院。
使用蒙哥马利-阿斯伯格抑郁评定量表对抑郁症进行分类，并与单项筛查工具“耶鲁项”进行比较。
根据蒙哥马利-阿斯伯格抑郁评定量表对抑郁症的分类与对“耶鲁项”的回答进行比较时，我们发现，在第2周时，“耶鲁项”的灵敏度为86%（57/66），特异度为84%（46/55），阳性预测值为86%（57/66），阴性预测值为84%（46/55），总体效率为85%（103/121）；抑郁症患病率为54%（根据蒙哥马利-阿斯伯格抑郁评定量表）。在第3个月时，“耶鲁项”的灵敏度为95%（52/55），特异度为89%（32/36），阳性预测值为93%（52/56），阴性预测值为91%（32/35），总体效率为92%（84/91）；抑郁症患病率为6
