Validity and reliability of the Thai-version of Post Stroke Depression Scale (PSDS-T)
Keywords:
Depression, Thailand, psychiatric status rating scales, strokeAbstract
Background: Currently, there has been limited effective and practical instruments for screening post-stroke depression (PSD) in Thailand. In 2014, Post-Stroke Depression Scale (PSDS) has been testified to be a valid and reliable self-rated questionnaire for evaluating Chinese patients with PSD.
Objective: This study proposed to validate the Thai version of PSDS (PSDS-T) in Thai patients with acute ischemic stroke.
Methods: The PSDS was translated into Thai language (PSDS-T). The validity and reliability were tested in 145 acute ischemic stroke patients. Subjects were consecutively recruited to complete PSDS-T; they were clinically evaluated for PSD using DSM-5 diagnosis of adjustment disorder with depressed mood or depressive disorder due to another medical condition by psychiatrists as the gold standard. Cronbach α and point-biserial correlation were respectively used to examine internal reliability and concurrent validity. Then the receiver operating characteristic (ROC) curve was used to determine the cut off score for PSDS-T. The items of the PSDS-T were classified by average clustering analysis.
Results: The Cronbach α of PSDS-T exhibited good reliability (0.780). The point-biserial correlation coefficient between total PSDS-T and the diagnosis of PSD was 0.688. The score of 8 was set to be a cut-off value by ROC analysis with the sensitivity of 0.933 and specificity of 0.908.
Conclusion: PSDS-T is a valid and reliable screening tool for PSD in Thai patients with acute ischemic stroke.
Downloads
References
Paolucci S. Epidemiology and treatment of post-stroke depression. Neuropsychiatr Dis Treat 2008;4:145-54.
https://doi.org/10.2147/NDT.S2017
Mitchell JA, Sheth B, Gill J, Yadegarfar M, Stubbs, Meader N. Prevalence and predictors of post-stroke mood disorders: A meta-analysis and meta-regression of depression, anxiety and adjustment disorder. Gen Hosp Psychiatry 2017;47:48-60.
https://doi.org/10.1016/j.genhosppsych.2017.04.001
Ayerbe L, Ayis S, Wolfe CD, Rudd AG. Natural history, predictors and ouitcomes of depression after stroke: systematic review and meta-analysis. Br J Psychiatry 2013;202:14-21. https://doi.org/10.1192/bjp.bp.111.107664
Wang S, Wang CX, Zhang N, Xiang YT, Yang Y, Shi YZ, et al. The association between post-stroke depression, aphasia, and physical independence in stroke patients at 3-month follow-up. Front Psychiatry 2018;9:374. https://doi.org/10.3389/fpsyt.2018.00374
Nidhinandana S, Sithinamsuwan P, Chinvarun Y, Wongmek W, Supakasem S, Suwantamee J. Prevalence of poststroke depression in Thai stroke survivors studied in Phramongkutklao Hospital. J Med Assoc Thai 2010;93 Suppl 6:S60-4.
Bjerg Bendsen B, Bjerg Bendsen E, Lauritzen L, Vilmar T, Bech P. Post-stroke patients in rehabilitation. The relationship between biological impairment (CT scanning), physical disability and clinical depression. European Psychiatry 1997;12:399-404.
https://doi.org/10.1016/S0924-9338(97)83565-1
Salter K, Bhogal SK, Foley N, Jutai J, Teasell R. The assessment of poststroke depression. Top Stroke Rehabil 2007;14:1-24.
https://doi.org/10.1310/tsr1403-1
Kaji Y, Hirata K. Usefulness of the Japan Stroke Scale-Depression Scale-(JSS-D) for the diagnosis of post-stroke depression. Intern Med 2008;47:225-9. https://doi.org/10.2169/internalmedicine.47.0512
Yue Y, Liu R, Lu J, Wang X, Zhang S, Wu A, et al. Reliability and validity of a new post-stroke depression scale in Chinese population. J Affect Disord 2015;174:317-23. https://doi.org/10.1016/j.jad.2014.11.031
Gainotti G, Azzoni A, Razzano C, Lanzillotta M, Marra C, Gasparini F. The post-stroke depression rating scale: a test specifically devised to investigateaffective disorders of stroke patients. J Clin Exp Neuropsychol 1997;19:340-56.
https://doi.org/10.1080/01688639708403863
Meader N, Moe-Byrne T, Llewellyn A, Mitchell AJ. Screening for poststroke major depression: a metaanalysis of diagnostic validity studies. J Neurol Neurosurg Psychiatry 2014;85:198-206. https://doi.org/10.1136/jnnp-2012-304194
Berg A, Lonnqvist J, Palomaki H, Kaste M. Assessment of depression after stroke: a comparison of different screening instruments. Stroke 2009;40:523-9. https://doi.org/10.1161/STROKEAHA.108.527705
Turner A, Hambridge J, White J, Carter G, Clover K, Nelson L, et al. Depression screening in stroke: a comparison of alternative measures with the structured diagnostic interview for the diagnostic and statistical manual of mental disorders, fourth edition (major depressive episode) as criterion standard. Stroke 2012;43:1000-5. https://doi.org/10.1161/STROKEAHA.111.643296
Terroni LdMN, Fráguas R, Lucia Md, Tinone G, Mattos P, Iosifescu DV, et al. Importance of retardation and fatigue/interest domains for the diagnosis of major depressive episode after stroke: a four months prospective study. Braz J Psychiatry 2009;31:202-7.
https://doi.org/10.1590/S1516-44462009000300004
Lökk J, Delbari A. Management of depression in elderly stroke patients. Neuropsychiatr Dis Treat 2010;6:539-49.
https://doi.org/10.2147/NDT.S7637
Koo DL, Nam H, Thomas RJ, Yun CH. Sleep disturbances as a risk factor for stroke. J Stroke 2018;20:12-32.
https://doi.org/10.5853/jos.2017.02887
Snaphaan L, van der Werf S, Kanselaar K, de Leeuw FE. Post-stroke depressive symptoms are associated with post-stroke characteristics. Cerebrovasc Dis 2009;28:551-7. https://doi.org/10.1159/000247598
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
Towfighi A, Ovbiagele B, El Husseini N, Hackett ML, Jorge RE, Kissela BM, et al. Poststroke depression: a scientific statement for healthcare professionals from the american heart association/american stroke association. Stroke 2017;48:e30-e43.
https://doi.org/10.1161/STR.0000000000000113
Shi Y, Yang D, Zeng Y, Wu W. Risk factors for poststroke depression: a meta- analysis. Front Aging Neurosci 2017;9:218.
https://doi.org/10.3389/fnagi.2017.00218
Terroni L, Sobreiro MFM, Conforto AB, Adda CC, Guajardo VD, de Lucia MCS, et al. Association among depression, cognitive impairment and executive dysfunction after stroke. Dement Neuropsychol 2012;6:152-7. https://doi.org/10.1590/S1980-57642012DN06030007
Burton LJ, Tyson S. Screening for mood disorders after stroke: a systematic review of psychometric properties and clinical utility. Psychol Med 2015;45:29-49. https://doi.org/10.1017/S0033291714000336
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Chulalongkorn Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
