The assessment of low mood in stroke patients with aphasia: reliability and validity of the 10-item Hospital version of the Stroke Aphasic Depression Questionnaire (SADQH-10).
OBJECTIVE
To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10.


METHODS
Cross-sectional cohort.


METHODS
Hospital and community.


METHODS
Stroke patients with aphasia (n = 165) were recruited through hospital wards and community services as part of a randomised controlled trial. Participants were aged 29 to 94 years (68.6 ± 12.1) and 65% were men.


RESULTS
The SADQH-10 demonstrated good internal consistency (α = 0.77). Factor analysis revealed the SADQH-10 to be measuring three constructs (social interaction and physical pain, tearfulness, loss of interest and motivation). Significant correlations were found between scores on the SADQH-10 and VAMS 'sad' item (r(s) = 0.297, P < 0.01) but not with the VASES 'depression' item (r(s) = 0.064, P = 0.590) or measures of physical and language abilities.


CONCLUSIONS
The SADQH-10 is both a valid and reliable observational screening measure of depressive symptoms for stroke patients with aphasia.
Division of Rehabilitation and Ageing, University of Nottingham, UK. christine.cobley@nottingham.ac.uk
Christine S
CS
Cobley
Shirley A
SA
Thomas
Nadina B
NB
Lincoln
Marion F
MF
Walker
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001037:Aphasia / Q000150:complications / Q000209:etiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D011594:Psychometrics / Q000295:instrumentation*; D016032:Randomized Controlled Trials as Topic; D015203:Reproducibility of Results; D020521:Stroke / Q000150:complications / Q000523:psychology*