Validity of evaluation scales for post-stroke depression: a systematic review and meta-analysis

作者全名："Liu, Fang; Gong, Lei; Zhao, Huan; Li, Ying-li; Yan, Zhiwen; Mu, Jun"

作者地址："[Liu, Fang; Zhao, Huan; Li, Ying-li; Yan, Zhiwen; Mu, Jun] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, 1 Youyi Rd, Chongqing 400016, Peoples R China; [Gong, Lei] Qingdao Eighth Peoples Hosp, Dept Neurol, Qingdao 266000, Shandong, Peoples R China"

通信作者："Mu, J (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, 1 Youyi Rd, Chongqing 400016, Peoples R China."

来源：BMC NEUROLOGY

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001292117200001

JCR分区：Q2

影响因子：2.6

年份：2024

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Post-stroke depression; Depression Scale; Validity; Meta-analysis

摘要："BackgroundPost-stroke depression (PSD) is closely associated with poor stroke prognosis. However, there are some challenges in identifying and assessing PSD. This study aimed to identify scales for PSD diagnosis, assessment, and follow-up that are straightforward, accurate, efficient, and reproducible.MethodsA systematic literature search was conducted in 7 electronic databases from January 1985 to December 2023.ResultsThirty-two studies were included, the Patient Health Questionnaire-9 (PHQ-9) and Hamilton Depression Scale (HDRS) had higher diagnostic accuracy for PSD. The sensitivity, specificity, and diagnostic odds ratio of PHQ-9 or diagnosing any depression were 0.82, 0.87, and 29 respectively. And for HDRS, used for diagnosing major depression, the scores were 0.92, 0.89, and 94. Furthermore, these two scales also had higher diagnostic accuracy in assessing depressive symptoms during both the acute and chronic phases of stroke. In patients with post-stroke aphasia and cognitive impairment, highly diagnostic scales have not been identified for assessing depressive symptoms yet.ConclusionsThe PHQ-9 and HDRS scales are recommended to assess PSD. HDRS, which demonstrates high diagnostic performance, can replace structured interviews based on diagnostic criteria."

基金机构：Chongqing Health Commission [2020MSXM038]; Special support project for clinical research of young and middle-aged doctors in the south of the Five Ridges neurology [Z20210305]

基金资助正文：This article was funded by the Chongqing Health Commission (Grant No. 2020MSXM038) and Special support project for clinical research of young and middle-aged doctors in the south of the Five Ridges neurology (Grant No. Z20210305)