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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(6):644-650.
The Comparison of Post-stroke Related Depression Scales.
Kim, Deog Young , Park, Chang Il , Jung, Kang Jae , Ohn, Suk Hoon , Lim, Jong Youb , Kwak, Eun Hee
1Department and Research Institute of Rehabilitation Medicine, Korea. ctboy@naver.com
2Department of Rehabilitation Psychology, Yonsei University College of Medicine, Korea.
뇌졸중 후 우울증 척도 비교
김덕용, 박창일, 정강재, 온석훈, 임종엽, 곽은희1
연세대학교 의과대학 재활의학교실 및 재활의학연구소, 1연세대학교 의과대학 재활병원 심리치료실
Abstract
Objective
To compare the characteristics between geriatric depression scale (GDS), Hamilton depression rating scale (HDRS) and post-stroke depression scale (PSDS) in the aspect of diagnosis and severity assessment for post-stroke depression.
Method
45 post-stroke patients were included for this study. Subjects were classified through DSM-IV criteria into three different groups; depression-free, minor depression and major depression. GDS, HDRS, PSDS were also assessed in all subjects simultaneously. Three depression assessment scales were compared between groups based on DSM-IV criteria, and the sensitivity and specificity using cut-off value were analyzed.
Results
All scales showed the significant differences between depression group and depression-free group. GDS showed higher sensitivity and specificity than HDRS and PSDS and GDS showed the significant difference between minor depression and no depression group, but other scales did not. HDRS and PSDS in major depression group showed the significant differences compared with minor depression group (p<0.05), but GDS did not.
Conclusion
GDS may be more useful to identify the presence of depression compared to GDRS and PSDS. However, to measure the severity of depression, HDRS and PSDS may be more useful than GDS. (J Korean Acad Rehab Med 2008; 32: 644-650)
Key Words: Depression, Scale, Stroke


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