Usefulness of the Japan Stroke Scale -Depression Scale- (JSS-D) for the Diagnosis of Post-stroke Depression

Kaji, Yoshiaki; Hirata, Koichi

doi:10.2169/internalmedicine.47.0512

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…Using a score of 2.4, which was identified by a validation study, 14 as the optimal cut-off point for identifying probable depression among patients after acute stroke, the frequency of probable clinical depression in the current sample was 16.3% in males (n=43) and 17.8% in females (n=28) ( P >0.05). Overall, the mean JSS-D score was 1.53±1.64 for males and 1.77±2.24 for females ( P >0.05).…”

Section: Resultsmentioning

confidence: 94%

“…The Japan Stroke Scale (Depression Scale) (JSS-D), which was developed by the Japan Stroke Society, was administered to all participants to measure their depressive status. 14 JSS-D is a seven-item (mood, feelings of guilt, interest, apathy, anxiety, sleeplessness, and expression) objective measure in which three choices are given for each item. The total score denoting the degree of depression was calculated according to the proper weight of each choice.…”

Section: Methodsmentioning

confidence: 99%

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Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan

Sugawara¹,

Metoki²,

Hagii³

et al. 2015

NDT

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BackgroundDepression after stroke is one of the most serious complications of stroke. Although many studies have shown that the length of hospital stay (LOHS) is a measurable and important stroke outcome, research has found limited evidence concerning the effect of depression on LOHS among patients who have experienced acute stroke. The objective of this study was to assess the effect of depression on LOHS among patients hospitalized for acute ischemic stroke in Japan.MethodsWe retrospectively examined 421 patients who had experienced acute ischemic stroke. Stroke severity was measured by the National Institutes of Health Stroke Scale (NIHSS) on the 7th day of hospitalization. On the 10th day of hospitalization, depressive symptoms and functional assessment were assessed by the Japan Stroke Scale (Depression Scale) and the Functional Independence Measure, respectively. A general linear model was employed to assess the effect of probable depression on LOHS.ResultsThe prevalence of probable depression in the current sample was 16.3% in males and 17.8% in females. The mean LOHS of participants with probable depression (76.4±49.2 days) was significantly longer than that of participants without probable depression (44.9±39.2 days). An analysis using the general linear model to assess the effect on LOHS revealed a significant interaction between the presence of probable depression and NIHSS scores.ConclusionDepression after stroke was associated with significant increases in LOHS. Early detection and treatment for depression are necessary for patients with ischemic stroke.

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Section: Resultsmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan

Sugawara¹,

Metoki²,

Hagii³

et al. 2015

NDT

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“…The present study also demonstrated an association of depressive symptoms measured by JSS-D with PCS, MCS and all subscales, where all the correlation coefficients were higher than 0.2 and this finding was consistent with previous reports. Various scales have been used for assessment of severity of depression; the present study employed the JSS-D, developed by the Japan Stroke Society, the scores of which have been reported to correlate with the scores on the Hamilton Depression Scale [20,43]. …”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Health-Related Quality of Life Assessed with the SF-36v2 Health Survey in Outpatients with Chronic-Stage Ischemic Stroke in Japan – Cross-Sectional Analysis of the OASIS Study

Shinohara¹

2010

Cerebrovasc Dis

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Background and Purpose: The number of chronic-stage ischemic stroke patients in Japan continues to increase, because of decreasing mortality. This study was designed to ascertain health-related quality of life (HRQOL) in ischemic stroke patients and to analyze in detail factors affecting HRQOL. Methods: 2,069 outpatients (1,226 males, 843 females; mean age: 71 years; median duration after onset: 20.5 months) with chronic-stage ischemic stroke visiting 150 institutions in Japan were enrolled. HRQOL was evaluated using the second version of the patient self-administered Medical Outcome Study 36-Item Short-Form Health Survey (SF-36v2) questionnaire. Results: All 8 domain scores and the physical component summary (PCS) score of SF-36v2 in stroke patients were significantly lower than those of Japanese national norms (JNN). The PCS score (36.6 ± 16.1) and mental component summary (MCS) score (50.0 ± 10.2) were lower than those of age-matched JNN (p < 0.001). Age, modified Rankin Scale (mRS), duration after onset and Japan Stroke Scale Depression score (JSS-D) were significantly correlated with PCS, as were role limitation because of physical problem, bodily pain, vitality and role limitation because of emotional problem scores; duration after onset and JSS-D were significantly correlated with MCS. Negative factors for PCS were older age, higher mRS, presence of subjective symptoms, neurological signs, rehabilitation and concomitant antidepressants. Negative factors for MCS were presence of subjective symptoms, psychiatric signs and concomitant antidepressants. Conclusions: HRQOL scores in ischemic stroke patients (chronic stage) are significantly correlated with not only age, mRS, duration after onset and JSS-D, but also presence of subjective symptoms and neurological/psychiatric signs, which could be targets for treatment.

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“…The Japan Stroke Scale (Depression Scale) (JSS-D), which was developed by the Japan Stroke Society, was administered to all participants to measure their depressive status [ 17 ]. The JSS-D is a 7-item (i.e., mood, guilt feelings, interest, apathy, anxiety, sleeplessness, and expression) objective measurement, in which three choices are given for each item.…”

Section: Methodsmentioning

confidence: 99%

“…Based on ROC curve analysis of JSS-D, probable PSD was defined as a score of 2.4 or higher. The sensitivity and specificity of this cut-off score were 0.950 and 0.988, respectively [ 17 ]. In this study, JSS-D data were collected on the tenth day of hospitalization to assess depressive symptoms in acute post-stroke phase (≤1 month).…”

Section: Methodsmentioning

confidence: 99%

Relationship between the lesion location of acute ischemic stroke and early depressive symptoms in Japanese patients

et al. 2016

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BackgroundApproximately one-third of stroke survivors suffer from post-stroke depression (PSD) in the acute or chronic stages. The presence of PSD in the acute stage after stroke is reportedly associated with poor patient prognosis; therefore, early recognition and treatment of PSD may alleviate these consequences. The aim of the current study was to examine the relationship between the lesion location and the presence of early depressive symptoms after acute ischemic stroke in Japanese patients.MethodsOur study included 421 patients who suffered from acute ischemic stroke. On the day of admission, the lesion location was determined using magnetic resonance imaging (MRI). Stroke severity was measured on the seventh day of hospitalization withat the National Institutes of Health Stroke Scale (NIHSS). On the tenth day of hospitalization, depressive symptoms were measured and functional assessments were performed with the Japan Stroke Scale (Depression Scale) (JSS-D) and functional independence measure (FIM), respectively.ResultsA total of 71 subjects (16.9 %) were diagnosed with depression. According to the multiple logistic regression analysis, the infarcts located at frontal and temporal lobes were found to be a significant independent risk factor of early depressive symptoms in the acute stage of stroke.ConclusionsPatients suffering from acute ischemic stroke, particularly in the frontal and temporal lobes, should be carefully assessed to detect and treat early depressive symptoms; such treatment may improve patient outcomes.

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Usefulness of the Japan Stroke Scale -Depression Scale- (JSS-D) for the Diagnosis of Post-stroke Depression

Abstract: Background Post-stroke depression (PSD)

Cited by 5 publications

References 17 publications

Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan

Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan

Factors Affecting Health-Related Quality of Life Assessed with the SF-36v2 Health Survey in Outpatients with Chronic-Stage Ischemic Stroke in Japan – Cross-Sectional Analysis of the OASIS Study

Relationship between the lesion location of acute ischemic stroke and early depressive symptoms in Japanese patients

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Usefulness of the Japan Stroke Scale -Depression Scale- (JSS-D) for the Diagnosis of Post-stroke Depression

Abstract: Background Post-stroke depression (PSD)

Cited by 5 publications

References 17 publications

Effect of depressive symptoms on the length of&nbsp;hospital stay among patients hospitalized for&nbsp;acute stroke in Japan

Effect of depressive symptoms on the length of&nbsp;hospital stay among patients hospitalized for&nbsp;acute stroke in Japan

Factors Affecting Health-Related Quality of Life Assessed with the SF-36v2 Health Survey in Outpatients with Chronic-Stage Ischemic Stroke in Japan – Cross-Sectional Analysis of the OASIS Study

Relationship between the lesion location of acute ischemic stroke and early depressive symptoms in Japanese patients

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Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan

Effect of depressive symptoms on the length of hospital stay among patients hospitalized for acute stroke in Japan