Post-stroke depression: different characteristics based on follow-up stage and gender–a cohort perspective study from Mainland China

Wang, Zixuan; Zhu, Meifang; Su, Zhaoping; Guan, Bo-Yuan; Wang, Anxin; Wang, Yongjun; Zhang, Ning; Wang, Chunxue

doi:10.1080/01616412.2017.1364514

Cited by 44 publications

(35 citation statements)

References 43 publications

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“…Other causes, such as genetic and social factors, age, cognitive impairment, and access to rehabilitation programs, may also play a role in the higher prevalence of PSD in women. 37 It should also be noted that the prevalence of PSD in many studies is based on a single type of stroke; therefore, more precise studies are needed on the relationship between gender and PSD prevalence in different types of stroke.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of poststroke depression in Iranian patients: a systematic review and meta-analysis

Dalvand¹,

Gheshlagh²,

Kurdi³

2018

NDT

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BackgroundPoststroke depression (PSD) is the most common and important neuropsychiatric consequences of stroke, which can result in longer hospital stay, compromise the effectiveness of rehabilitation, and reduce the patients’ quality of life. However, Iranian studies have reported different and conflicting prevalence rates for PSD.ObjectiveThe present systematic review and meta-analysis aimed to evaluate the overall prevalence of PSD in Iranian patients.Patients and methodsA systematic search was conducted in 2018 for Persian or English articles on PSD, published in the Scientific Information Database (SID), MagIran, PubMed, Scopus, and Web of Science, using the following keywords: depression, depressive disorder, stroke, cerebrovascular disorder, and Iran and all of their possible combinations. Heterogeneity across the studies was evaluated using the Cochran’s Q test. According to the heterogeneity results, a random effects model was used to estimate the overall prevalence of PSD. The data were analyzed using the Stata 12 software.ResultsOverall, six articles with a total sample size of 641 patients were included in the analysis. The overall prevalence of PSD in Iran was 46.9% (95% CI: 30.1–63.7). In addition, the prevalence of PSD was higher in women (50.4%, 95% CI: 17.9–82.9) than in men (29.5%, 95% CI: 17.2–41.8). According to the results of univariate meta-regression, there was a significant relationship between PSD prevalence and sample size (P=0.010).ConclusionAround half of the stroke patients in Iran suffer from PSD. Given the overlap between neurological symptoms of stroke and depression, efforts should be made to quickly and accurately diagnose depression so that it can be effectively managed with minimum complications.

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Section: Discussionmentioning

confidence: 99%

Prevalence of poststroke depression in Iranian patients: a systematic review and meta-analysis

Dalvand¹,

Gheshlagh²,

Kurdi³

2018

NDT

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“…The results of our study are in line with several other investigations that have reported a good discriminatory power for the PHQ-9, with an AUC of > 0.8. 13,17,[34][35][36] As to its validity, the PHQ-9 score can be used in 2 ways to diagnose depression. The first is an algorithmbased diagnosis for major depression, with a cut-off score of 10.…”

Section: Discussionmentioning

confidence: 99%

The Validity and Reliability of the Patient Health Questionnaire-9 in Screening for Post-Stroke Depression

Dajpratham

Pukrittayakamee

Atsariyasing

et al. 2020

Preprint

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Background: Depression affects about 30% of stroke survivors within five years. Timely diagnosis and management of post-stroke depression facilitate motor recovery and improve independence. The original version of the Patient Health Questionnaire-9 (PHQ-9) is recognized as a good screening tool for post-stroke depression. However, no validation studies have been undertaken for the use of the Thai PHQ-9 in screening for depression among Thai stroke patients. Methods: The objectives were to determine the criterion validity and reliability of the Thai PHQ-9 in screening for post-stroke depression by comparing its results with those of a psychiatric interview as the gold standard. First-ever stroke patients aged ≥ 45 years with a stroke duration 2 weeks–2 years were administered the Thai PHQ-9. The gold standard was a psychiatric interview leading to a DSM-5 diagnosis of depressive disorder. The summed-scored-based diagnosis of depressive disorder with the PHQ-9 was obtained. Validity and reliability analyses, and a receiver operating characteristic curve analysis, were performed. Results: In all, 115 stroke patients with a mean age of 64 years (SD: 10 years) were enrolled. The mean PHQ-9 score was 5.2 (SD: 4.8). Using the DSM-5 criteria, 23 patients (20%) were diagnosed with depressive disorder. The Thai PHQ-9 had satisfactory internal consistency (Cronbach’s alpha: 0.78). The algorithm-based diagnosis of the Thai PHQ-9 had low sensitivity (0.52) but very high specificity (0.94) and positive likelihood ratio (9.6). Used as a summed-scored-based diagnosis, an optimal cut-off score of six revealed a sensitivity of 0.87, specificity of 0.75, positive predictive value of 0.46, negative predictive value of 0.95, and positive likelihood ratio of 3.5. The area under the curve was 0.87 (95% CI: 0.78–0.96). Conclusions: The Thai PHQ-9 has acceptable psychometric properties for screening for post-stroke depression, with a recommended cut-off score of ≥ 6 for a Thai population.

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“…The result of this study was in line with other studies that reported a good discriminatory power of the PHQ-9, with AUC > 0.8. 15,19,[36][37][38] As to its validity, PHQ-9 score can be used in 2 ways to diagnose depression. The first way is an algorithm-based diagnosis with cut-off score of 10 to diagnose major depression.…”

Section: Discussionmentioning

confidence: 99%

The Validity and Reliability of the Patient Health Questionnaire-9 in Screening for Post-stroke Depression

Dajpratham¹,

Pukrittayakamee²,

Atsariyasing³

et al. 2019

Preprint

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Depression affects about 30% of stroke survivors within five years. Timely diagnosis and management of post-stroke depression (PSD) facilitate motor recovery and improve independence. The original version of the Patient Health Questionnaire-9 (PHQ-9) is one of the good screening tools for post-stroke depression. As yet, no validation studies of depression in Thai stroke patients by the Thai PHQ-9. Methods: The objectives of the study were to determine the criterion validity and reliability of the Thai PHQ-9 in screening for post-stroke depression by comparing with a psychiatric interview as the gold standard. First-ever stroke patients aged ≥ 45 years with a stroke duration 2 weeks–2 years were administered the Thai PHQ-9. The gold standard was a psychiatric interview leading to a DSM-5 diagnosis of depressive disorder. The summed-scored based diagnosis of depressive disorder with the PHQ-9 was obtained. The validity and reliability analyses, and a receiver operating characteristic curve analysis, were performed. Results: 115 stroke patients (mean age, 64 + 10 years) were enrolled. The mean PHQ-9 score was 5.2 + 4.8. Using DSM-5 criteria, 23 patients (20%) were diagnosed with depressive disorder. The Thai PHQ-9 had satisfactory internal consistency (Cronbach’s alpha, 0.78). The algorithm-based diagnosis of the Thai PHQ-9 had low sensitivity (0.52) but very high specificity (0.94) and positive likelihood ratio (9.6). Used as a summed-scored based diagnosis, an optimal cut-off score of six revealed a sensitivity of 0.87, specificity of 0.75, positive predictive value of 0.46, negative predictive value of 0.95, and positive likelihood ratio of 3.5. The area under the curve was 0.87 (95% CI, 0.78–0.96). Conclusions: The PHQ-9 (Thai language version) has acceptable psychometric properties for screening for post-stroke depression, with a recommended cut-off score of 6 or greater in a Thai population. Keywords: depression, Patient Health Questionnaire-9, reliability, screening, stroke, Thai, validity

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Post-stroke depression: different characteristics based on follow-up stage and gender–a cohort perspective study from Mainland China

Cited by 44 publications

References 43 publications

Prevalence of poststroke depression in Iranian patients: a systematic review and meta-analysis

Prevalence of poststroke depression in Iranian patients: a systematic review and meta-analysis

The Validity and Reliability of the Patient Health Questionnaire-9 in Screening for Post-Stroke Depression

The Validity and Reliability of the Patient Health Questionnaire-9 in Screening for Post-stroke Depression

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