The utility of the Stroke Aphasia Depression Questionnaire (SADQ) in a stroke rehabilitation unit.
OBJECTIVE
To determine the utility of an observer-based rating scale to detect depression in patients without aphasia.


METHODS
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.


METHODS
Stroke rehabilitation unit.


METHODS
Sixty-five stroke patients without significant aphasia undergoing rehabilitation.


METHODS
All patients were assessed with the GDS-15 and the SADQ-10.


RESULTS
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).


CONCLUSIONS
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.
Leeds
L
L
Department of Clinical Psychology, University of Wales, Bangor, UK. lesleyleeds@hotmail.com
Meara
R J
RJ
Hobson
J P
JP
D000368:Aged; D001037:Aphasia / Q000209:etiology*; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires