Incidence of post‐stroke depression during the first year in a large unselected stroke population determined using a valid standardized rating scale

Andersen, Grethe; Vestergaard, Karsten; Riis, J. Ø.; Lauritzen, L.

doi:10.1111/j.1600-0447.1994.tb01576.x

Cited by 154 publications

(133 citation statements)

References 23 publications

Supporting

Mentioning

117

Contrasting

Unclassified

Order By: Relevance

“…In line with previous investigators, 6 -8 we can state that the BDI is an acceptable screening instrument but is not specific enough to be used as a diagnostic tool. In contrast to Andersen et al, 32 we cannot recommend higher cutoff points with patients with stroke. In our study, the sensitivity of the HRSD was lower than that of the BDI, but it showed higher specificity.…”

Section: Discussionmentioning

confidence: 61%

Assessment of Depression After Stroke

Berg¹,

Lönnqvist²,

Palomäki³

et al. 2009

Stroke

148

View full text Add to dashboard Cite

Background and Purpose— Assessing poststroke depression may be complicated by aphasia, other cognitive deficits, and several somatic stroke-related symptoms. We studied the possible differences in performance of some commonly used instruments in screening depression after stroke. Methods— We compared the Beck Depression Inventory, Hamilton Rating Scale for Depression, Visual Analogue Mood Scale, proxy assessment, and Clinical Global Impression of the nursing and study personnel, together with Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised diagnosis, in assessing depression after stroke in a follow-up study of 100 patients. The patients were studied at 2 weeks and at 2, 6, 12, and 18 months after stroke. Results— The feasibility rates of all assessment instruments studied were fairly similar, but the prevalence rates differed according to the assessment instruments, varying from the lowest rates with a Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised-based diagnosis up to 3-fold with caregiver ratings. The sensitivity and specificity against the Diagnostic and Statistical Manual of Mental Disorders criteria were acceptable with the Clinical Global Impression, Beck Depression Inventory, and Hamilton Rating Scale for Depression, mostly in the range of 0.70 to 1.00. The caregiver ratings were higher than the patient ratings ( P <0.001) and correlated with the caregiver’s own Beck Depression Inventory (0.60 to 0.61, P <0.001). The Visual Analogue Mood Scale was not a sensitive instrument (sensitivity, 0.20 to 0.60) and did not correlate with the Beck Depression Inventory during the first year after stroke. Conclusions— Beck Depression Inventory, Hamilton Rating Scale for Depression, and Clinical Global Impression assessment by professionals, in addition to the Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised diagnosis, are useful in assessing depression, but none of these instruments clearly stood apart from the others. Proxy ratings should be used with caution, and the use of the Visual Analogue Mood Scale among patients with aphasia and other cognitive impairments cannot be recommended.

show abstract

Section: Discussionmentioning

confidence: 61%

Assessment of Depression After Stroke

Berg¹,

Lönnqvist²,

Palomäki³

et al. 2009

Stroke

148

View full text Add to dashboard Cite

show abstract

“…Thus, whereas a hospital-based study reported a lower PSD in survivors, from 6 months to 3 years after the onset of stroke, 23 another hospital-based study revealed a decrease in the prevalence of PSD in the 1st year, and a subsequent rise in 2nd and 3rd year, after the onset of stroke. 24 The same pattern of development was revealed by a rehabilitation-based study design, 25 Lack of consensus in scientific opinion on this issue was also evident when the assessment instrument is considered. For instance, assessment for PSD in stroke survivors using Becks Depression Inventory (BDI) revealed no change in the PSD symptoms within 12-15 months after the stroke.…”

Section: Relevance Of Findings To the Fieldmentioning

confidence: 99%

Distribution of symptoms of post-stroke depression in relation to some characteristics of the vulnerable patients in socio-cultural context

Ibeneme¹,

Nwosu²,

Ibeneme³

et al. 2017

Afr H. Sci.

View full text Add to dashboard Cite

Abstract:Objective: To determine the distribution of symptoms of post-stroke depression (PSD) in relation to some predisposing factors in an African population. Relevance: Environment is a key determinant of behavior, and varied socio-cultural contexts must have implications for modifiable characteristics (age, duration of the stroke, marital status, type of employment, gender, the location of cerebral lesion and complications) of individuals vulnerable to PSD, which may be targeted to enhance recovery. Method: This was a cross-sectional observational study of 50 (22 females and 28 males) stroke survivors (mean age=54.76±8.79 years), at the physiotherapy department, the University of Nigeria teaching hospital, Enugu, selected using convenience sampling technique. Data were collected using Becks Depression Inventory and analyzed using Z-score, Chi-square test and univariate logistic regression, at p<0.05. Results: PSD was more prevalent in females (45.45%); young(100%); middle-age(60%) adults(27-36/47-56 years respectively); living with spouse (45%); left cerebral lesions (40.74%); complications(45%); cold case >3 years(47.05%); self-employed and unemployed (66.67%), respectively. Age was significantly associated with depression (χ2 =4.92,df=1,p=0.03), and was related to the risk of PSD (3.7[1.1-12.0], p=0.03, = +0.31, 2 =0.1). Conclusion: Age could be a risk factor for PSD, which was more prevalent in the elderly than young/middle-age adults, female gender, left cerebral lesion, complications, cold case; those living with a spouse, self-employed and unemployed.

show abstract

“…Similarly, using a score of 13 or above on the HAM-D, 20 (39.3%) were rated as suffering from clinically significant depression. These cutting points were chosen on the basis of existing work on depression following stroke (Parikh et al, 1988;Andersen et al, 1994) indicating participants ranged from being independent in daily activities to suffering from marked disability and requiring substantial assistance with mobility, feeding and other aspects of self-care. Table 2 shows the informant-rated personality data for the stroke patients.…”

Section: Measures Of Depressionmentioning

confidence: 99%

“…Using cut-off scores of ≥16 on the CES-D (Parikh et al, 1988) and ≥13 on the HAM-D (Andersen et al, 1994) to define depression potentially requiring treatment, odds ratios were calculated for premorbid neuroticism and a past history of mental disorder.…”

Section: Risk Of Depression Conferred By Neuroticism and A History Ofmentioning

confidence: 99%