The Comparison of Post-stroke Related Depression Scales

뇌졸중 후 우울증 척도 비교

Kim, Deog-Young;Park, Chang-il;Jung, Kang-Jae;Ohn, Suk-Hoon;Lim, Jong-Youb;Kwak, Eun-Hee
김덕용;박창일;정강재;온석훈;임종엽;곽은희

  • Published : 20080000

Abstract

Objective: To compare the characteristics between geriatric depression scale (GDS), Hamilton depression rating scale (HDRS) and post-stroke depression scale (PSDS) in the aspect of diagnosis and severity assessment for post-stroke depression. Method: 45 post-stroke patients were included for this study. Subjects were classified through DSM-IV criteria into three different groups; depression-free, minor depression and major depression. GDS, HDRS, PSDS were also assessed in all subjects simultaneously. Three depression assessment scales were compared between groups based on DSM-IV criteria, and the sensitivity and specificity using cut-off value were analyzed. Results: All scales showed the significant differences between depression group and depression-free group. GDS showed higher sensitivity and specificity than HDRS and PSDS and GDS showed the significant difference between minor depression and no depression group, but other scales did not. HDRS and PSDS in major depression group showed the significant differences compared with minor depression group (p<0.05), but GDS did not. Conclusion: GDS may be more useful to identify the presence of depression compared to GDRS and PSDS. However, to measure the severity of depression, HDRS and PSDS may be more useful than GDS. (J Korean Acad Rehab Med 2008; 32: 644-650)

Keywords

References

  1. Dam H, Harhoff M, Andersen PK, Kessing LV. Increased risk of treatment with antidepressants in stroke compared with other chronic illness. Int Clin Psychopharmacol 2007; 22: 13-19
  2. Hackett ML, Yapa C, Parag V, Anderson CS. Frequency of depression after stroke: a systematic review of observational studies. Stroke 2005; 36: 1330-1340 https://doi.org/10.1161/01.STR.0000165928.19135.35
  3. Carota A, Berney A, Aybek S, Iaria G, Staub F, Ghika-Schmid F, Annable L, Guex P, Bogousslavsky J. A prospective study of predictors of poststroke depression. Neurology 2005; 64: 428-433 https://doi.org/10.1212/01.WNL.0000150935.05940.2D
  4. Morris PL, Raphael B, Robinson RG. Clinical depression is associated with impaired recovery from stroke. Med J Aust 1992; 157: 239-242
  5. Bugge C, Alexander H, Hagen S. Stroke patients' informal caregivers. Patient, caregiver, and service factors that affect caregiver strain. Stroke 1999; 30; 1517-1523 https://doi.org/10.1161/01.STR.30.8.1517
  6. Morris PL, Robinson RG, Andrzejewski P, Samuels J, Price TR. Association of depression with 10-year poststroke mortality. Am J Psychiatry 1993; 150: 124-129 https://doi.org/10.1176/ajp.150.1.124
  7. Williams LS, Ghose SS, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke. Am J Psychiatry 2004; 161: 1090-1095 https://doi.org/10.1176/appi.ajp.161.6.1090
  8. Kanner AM. Should neurologists be trained to recognize and treat comorbid depression of neurologic disorders? Yes. Epilepsy Behav 2005; 6: 303-311 https://doi.org/10.1016/j.yebeh.2005.02.008
  9. Robinson RG. Poststroke depression: prevalence, diagnosis, treatment, and disease progression. Biol Psychiatry 2003; 54: 376-387 https://doi.org/10.1016/S0006-3223(03)00423-2
  10. Spalletta G, Ripa A, Caltagirone C. Symptom profile of DSMIV major and minor depressive disorders in first-ever stroke patients. Am J Geriatr Psychiatry 2005; 13: 108-115 https://doi.org/10.1097/00019442-200502000-00004
  11. Lowe B, Spitzer RL, Grafe K, Kroenke K, Quenter A, Zipfel S, Buchholz C, Witte S, Herzog W. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. J Affect Disord 2004; 78: 131-140 https://doi.org/10.1016/S0165-0327(02)00237-9
  12. Aben I, Verhey F, Lousberg R, Lodder J, Honig A. 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. Psychosomatics 2002; 43: 386-393 https://doi.org/10.1176/appi.psy.43.5.386
  13. Townend BS, Whyte S, Desborough T, Crimmins D, Markus R, Levi C, Sturm JW. Longitudinal prevalence and determinants of early mood disorder post-stroke. J Clin Neurosci 2007; 14: 429-434 https://doi.org/10.1016/j.jocn.2006.01.025
  14. Synyor D, Amato P, Kaloupek DG, Becker R, Goldenberg M, Coopersmith H. Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. Stroke 1986; 17: 1102-1107 https://doi.org/10.1161/01.STR.17.6.1102
  15. Robinson RG, Kubos KL, Star LB, Rao K, Price TR. Mood disorders in stroke patients. Importance of location of lesion. Brain 1984; 107: 81-93 https://doi.org/10.1093/brain/107.1.81
  16. Montorio I, Izal M. The Geriatric Depression Scale : a review of its development and utility. Int Psychogeriatr 1996; 8: 103-112
  17. Bagby RM, Ryder AG, Schuller DR, Marshall MB. The Hamilton Depression Rating Scale: has the gold standard become a lead weight? Am J Psychiatry 2004; 161: 2163-2177 https://doi.org/10.1176/appi.ajp.161.12.2163
  18. de Coster L, Leentjens AF, Lodder J, Verhey FR. The sensitivity of somatic symptoms in post-stroke depression: a discriminant analytic approach. Int J Geriatr Psychiatry 2005; 20: 358-362 https://doi.org/10.1002/gps.1290
  19. Fedoroff JP, Starkstein SE, Parikh RM, Price TR, Robinson RG. Are depressive symptoms nonspecific in patients with acute stroke? Am J Psychiatry 1991; 148: 1172-1176 https://doi.org/10.1176/ajp.148.9.1172
  20. Paradiso S, Ohkubo T, Robinson RG. Vegetative and psychological symptoms associated with depressed mood over the first two years after stroke. Int J Psychiatry Med 1997; 27: 137-157 https://doi.org/10.2190/BWJA-KQP3-7VUY-D06T
  21. Almeida OP, Almeida SA. Short versions of the geriatric depression scale: a study of their validity for the diagnosis of a major depressive episode according to ICD-10 and DSM-IV. Int J Geriatr Psychiatry 1999; 14: 858-865 https://doi.org/10.1002/(SICI)1099-1166(199910)14:10<858::AID-GPS35>3.0.CO;2-8
  22. Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res 2004; 57: 297-305 https://doi.org/10.1016/j.jpsychores.2004.01.004
  23. Nys GM, van Zandvoort MJ, van der Worp HB, de Haan EH, de Kort PL, Kappelle LJ. Early depressive symptoms after stroke: neuropsychological correlates and lesion characteristics. J Neurol Sci 2005; 228: 27-33 https://doi.org/10.1016/j.jns.2004.09.031
  24. Gainotti G, Azzoni A, Razzano C, Lanzillotta M, Marra C, Gasparini F. The Post-Stroke Depression Rating Scale: a test specifically devised to investigate affective disorders of stroke patients. J Clin Exp Neuropsychol 1997; 19: 340-356 https://doi.org/10.1080/01688639708403863
  25. Agrell B, Dehlin O. Comparison of six depression rating scales in geriatric stroke patients. Stroke 1989; 20: 1190-1194 https://doi.org/10.1161/01.STR.20.9.1190
  26. Williams CL, Rittman MR, Boylstein C, Faircloth C, Haijing Q. Qualitative and quantitative measurement of depression in veterans recovering from stroke. J Rehabil Res Dev 2005; 42: 277-290 https://doi.org/10.1682/JRRD.2004.02.0017
  27. Johnson G, Burvill PW, Anderson CS, Jamrozik K, Stewart- Wynne EG, Chakera TMH. Screening instruments for depression and anxiety following stroke: experience in the Perth community stroke study. Acta Psychiatr Scand 1995; 91:252-257 https://doi.org/10.1111/j.1600-0447.1995.tb09778.x
  28. McDowell I, Newell C. Measuring health. A guide to rating scales and questionnaires, 2nd ed, New York: Oxford University Press, 1996
  29. Yesavage JA, Brink TL. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1983; 17: 37-49 https://doi.org/10.1016/0022-3956(82)90033-4
  30. Koenig HG, Meador KG, Cohen HJ, Blazer DG. Self-rated depression scales and screening for major depression in the older hospitalized patient with medical illness. J Am Geriatr Soc 1988; 36: 699-706 https://doi.org/10.1111/j.1532-5415.1988.tb07171.x
  31. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Press, Washington, DC, 1994
  32. George K, Davison TE, McCabe M, Mellor D, Moore K. Treatment of depression in low-level residential care facilities for the elderly. Int Psychogeriatr 2007; 19: 1153-1160
  33. Ueda M, Yamashita H, Yoshida K. Impact of infant health problems on postnatal depression: pilot study to evaluate a health visiting system. Psychiatry Clin Neurosci 2006; 60: 182-189 https://doi.org/10.1111/j.1440-1819.2006.01484.x
  34. Preville M, Cote G, Boyer R, Hebert R. Detection of depression and anxiety disorders by home care nurses. Aging Ment Health 2004; 8: 400-409 https://doi.org/10.1080/13607860410001725009
  35. Geisser ME, Roth RS, Robinson ME. Assessing depression among persons with chronic pain using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: a comparative analysis. Clin J Pain 1997; 13: 163-170 https://doi.org/10.1097/00002508-199706000-00011
  36. Komiti AA, Jackson HJ, Judd FK, Cockram AM, Kyrios M, Yeatman R, Murray G, Hordern C, Wainwright K, Allen N, et al. A comparison of the Composite International Diagnostic Interview (CIDI-Auto) with clinical assessment in diagnosing mood and anxiety disorders. Aust N Z J Psychiatry 2001; 35: 224-230 https://doi.org/10.1046/j.1440-1614.2001.00868.x