title: Validity of the beck depression inventory, hospital anxiety and depression scale, SCL-90, and hamilton depression rating scale as screening instruments for depression in stroke patients.
abstract: Most instruments used to assess poststroke depression have never been specifically validated in stroke patients. This study evaluated the depression screening abilities of three questionnaires and one observer-rated scale in 202 consecutive patients 1 month after they experienced their first-ever ischemic stroke. At their respective optimum cutoff values, the sensitivity of the self-rated scales varied between 80% and 90%, while the specificity was about 60%. For the observer-rated scale (Hamilton Depression Rating Scale), sensitivity was 78.1%, and specificity was 74.6%. The instruments clearly performed better in men than in women. Despite this difference, it was concluded that all scales were acceptable screening instruments for poststroke depression.
authors.affiliation: Department of Psychiatry and Neurology, Unversity Hospital Maastricht, The Netherlands.
authors.forename: Ivo
authors.initials: I
authors.lastname: Aben
authors.forename: Frans
authors.initials: F
authors.lastname: Verhey
authors.forename: Richel
authors.initials: R
authors.lastname: Lousberg
authors.forename: Jan
authors.initials: J
authors.lastname: Lodder
authors.forename: Adriaan
authors.initials: A
authors.lastname: Honig
mesh_terms: D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000209:etiology*; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires