The sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale in screening for post-stroke depression.
The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a standardized interview for affective, cognitive, physical and social functioning. CES-D scores correlated significantly with DSM-III diagnoses of depression in-hospital and at three months, six months, and one year follow-up but not at two years follow-up, reflecting the natural course of these depressions, as well as the predictive validity of the CES-D. Furthermore, at a cut-off point of 16, the CES-D was found to have a specificity of 90 percent, a sensitivity of 86 percent and a positive predictive value of 80 percent and thus may be a potentially useful screening instrument for post-stroke depression.
Parikh
R M
RM
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore.
Eden
D T
DT
Price
T R
TR
Robinson
R G
RG
D000328:Adult; D000368:Aged; D002561:Cerebrovascular Disorders / Q000150:complications*; D003866:Depressive Disorder / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales