Detecting Psychiatric Morbidity After Stroke
| Autor: | Martin Dennis, Suzanne O'Rourke, David F Signorini, Siobhan M MacHale |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Psychometrics Test validity Anxiety Sensitivity and Specificity Surveys and Questionnaires medicine Humans Psychiatry Stroke Depression (differential diagnoses) Aged Aged 80 and over Psychiatric Status Rating Scales Advanced and Specialized Nursing Depression business.industry Mental Disorders Psychiatric assessment Schedule for Affective Disorders and Schizophrenia Middle Aged medicine.disease Health Surveys Cerebrovascular Disorders England Female Neurology (clinical) Morbidity General Health Questionnaire medicine.symptom Cognition Disorders Cardiology and Cardiovascular Medicine business |
| Zdroj: | Stroke. 29:980-985 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/01.str.29.5.980 |
| Popis: | Background and Purpose —Mood disorders are common after stroke and may impede physical, functional, and cognitive recovery, making early identification and treatment of potential importance. We aimed to compare the accuracy of the General Health Questionnaire (GHQ-30) and the Hospital Anxiety and Depression (HAD) Scale in detecting psychiatric morbidity after stroke and to determine the most suitable cutoff points for different purposes. Methods —One hundred five hospital-referred stroke patients completed both the GHQ-30 and HAD Scale 6 months after onset before a blinded psychiatric assessment in which the Schedule for Affective Disorders and Schizophrenia with some supplementary questions was used to determine a DSM-IV ( Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) diagnosis. Measures were compared in terms of sensitivity, specificity, and receiver operating characteristic curves. Results —No significant differences were found between the GHQ-30 and the HAD Scale in identifying those patients with any DSM-IV diagnosis ( P =0.95), grouped depression ( P =0.56), or anxiety ( P =0.25) disorders. The previously recommended cutoff points for identifying “cases” for the GHQ (4/5) and for the HAD Scale (8/9 and 11/12) were found to be suboptimal in this population. Conclusions —The GHQ-30 and HAD scale exhibited similar levels of sensitivity and specificity. Data are presented, taking into account the “cost” of false-positives and negatives, to allow a choice of cutoff points suitable for differing situations. |
| Databáze: | OpenAIRE |
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