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Identifying depression post-stroke in patients with aphasia : a systematic review of the reliability, validity and feasibility of available instruments

OBJECTIVE: To identify and critically appraise the evidence for instruments
assessing depression in stroke patients with aphasia.
METHODS: The PubMed,
CINAHL, Web of Science, Psych Info and Cochrane databases were searched from
inception until May 2015. RESULTS: Of the 383 titles found in the search, 15
articles met the inclusion criteria and six instruments were identified: The
Aphasic Depression Rating Scale, the Clinical Global Impression-Scale, the Stroke
Aphasic Depression Questionnaire (four versions), the Signs of Depression Scale,
the Visual Analogue Mood Scale (three versions) and the Visual Analogue Self
Esteem Scale. Supporting evidence for reliability and validity was limited owing
to methodological flaws in the studies influencing the ratings of methodological
quality. Feasibility data were available for all instruments. Rating time of the
instruments ranged from less than one minute to five minutes, two instruments
required extensive training. CONCLUSION: A number of instruments to assess
depressive symptoms in patients with aphasia are available. None of the
instruments however, were found to be sufficiently investigated and most of the
studies identified were of low methodological quality. Given the present
evidence, the Stroke Aphasic Depression Questionnaire-10, the Stroke Aphasic
Depression Questionnaire-H10 and the Signs of Depression Scale are the most
feasible and can be recommended for clinical practice.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS

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