Psychopathological evaluation and use of the Hospital Anxiety and Depression Scale in a sample of Brazilian patients with post-stroke depression
Título del documento: Psychopathological evaluation and use of the Hospital Anxiety and Depression Scale in a sample of Brazilian patients with post-stroke depression
Revista: Archives of clinical psychiatry
Base de datos: PERIÓDICA
Número de sistema: 000401509
Autores: 1
1
2
3
1
Instituciones: 1Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, Minas Gerais. Brasil
2Universidade de Sao Paulo, Hospital Universitario, Sao Paulo. Brasil
3University of Texas, McGovern Medical School, Houston, Texas. Estados Unidos de América
Año:
Periodo: Nov-Dic
Volumen: 43
Número: 6
Paginación: 147-150
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Depression is the most frequent psychiatric complication of stroke and is often undetected or inadequately treated. Objective: This study aimed to characterize psychopathological aspects of Brazilian patients admitted to an acute stroke unit, and to evaluate the performance of the Hospital Anxiety and Depression Scale (HADS) in detecting cases of depression. Methods: This was a cross-sectional study. Sixty consecutive patients admitted to an acute stroke unit were assessed with the National Institutes of Health Stroke Scale, the Modified Rankin Scale, the Functional Independence Measure, the Mini International Neuropsychiatric Interview-Plus, the HADS, the Mini Mental State Examination (MMSE) and the Pathological Laughing and Crying Scale. Results: Prevalence of depression was 26.7%. Patients with post-stroke depression were more likely to present diabetes (p < 0.01) and had greater disability (p < 0.001) and cognitive impairment (p < 0.001) in comparison to non-depressed patients. Depressed patients showed worse performance specifically on tasks of attention/calculation and language of the MMSE. ROC curve analysis of HADS provided a cutoff value of 6 for detecting depression (sensitivity: 83.3%; specificity: 83.3%). The depression subscale of HADS (HADS-D) presented sensitivity of 100% and specificity of 99.17%. Discussion: HADS-D showed good performance in screening for depressive symptoms after acute stroke
Disciplinas: Medicina
Palabras clave: Neurología,
Psiquiatría,
Isquemia cerebral aguda,
Depresión,
Ansiedad,
Escalas psicométricas
Keyword: Medicine,
Neurology,
Psychiatry,
Acute ischemic stroke,
Depression,
Anxiety,
Psychometric scales
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