The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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A Comparison of Different Depression Instruments for Stroke Patients

뇌졸중 환자의 우울증 평가도구 비교

  • Lee, Dong-Jin (Department of Physical Therapy, Gwangju Health College University) ;
  • Shim, Jae-Kwang (Department of Physical Therapy, Yuseong Wellness Hospital) ;
  • An, Seung-Heon (Department of Physical Therapy, National Rehabilitation Center)
  • 이동진 (광주보건대학 물리치료과) ;
  • 심재광 (유성웰니스 요양병원 물리치료실) ;
  • 안승헌 (국립재활원 물리치료실)
  • Received : 2011.01.11
  • Accepted : 2011.03.16
  • Published : 2011.04.25
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Abstract

Purpose: The aim of this study was to investigate the prevalence of depressive symptoms in stroke patients and to compare characteristics of different rating scales - Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale-Depression (HAD.D)- with regard to diagnosis and severity assessment for post-stroke depression. Methods: Participants included 44 stroke patients who could communicate. At admission, all study participants received a semi-structured interview using the HDRS and a self-completed questionnaire using the BDI and the HAD-D. Pearson's correlation method was used to examine associations among the three depression scales. The BDI and HAD-D were compared based on HDRS criteria, and the sensitivity and specificity using cut-off values were analyzed. Results: The HDRS showed that 52.30% of stroke patients had depressive symptoms on the BDI and HAD-D it was 59.10%. The HDRS correlated significantly with the BDI (r=0.81, p<0.01) and HAD-D (r=0.55, p<0.01). The BDI correlated significantly with HADS (r=0.50, p<0.01). After calculating the area under the ROC curve to decide on HDRS criteria, the BDI (AUC=0.91, 95% CI: 0.83.0.99) showed a significantly larger area compared to the HAD.D (AUC=0.82, 95% CI: 0.69-0.94). The cut-off value of the BDI was 12.50 points with a sensitivity of 81.00% and a specificity of 76.20%. Conclusion: These findings show that the BDI is a useful screening test for depression that most closely predicts the HRDS score.

Keywords

References

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