The assessment of low mood in stroke patients with aphasia: reliability and validity of the 10-item Hospital version of the Stroke Aphasic Depression Questionnaire (SADQH-10)

Clin Rehabil. 2012 Apr;26(4):372-81. doi: 10.1177/0269215511422388. Epub 2011 Oct 24.

Abstract

Objective: To assess the psychometric properties of an observational screening measure of depressive symptoms (SADQH-10; 10-item Hospital version of the Stroke Aphasic Depression Questionnaire) for use in stroke patients with aphasia and to determine the convergent and divergent validity of the SADQH-10.

Design: Cross-sectional cohort.

Setting: Hospital and community.

Participants: Stroke patients with aphasia (n = 165) were recruited through hospital wards and community services as part of a randomised controlled trial. Participants were aged 29 to 94 years (68.6 ± 12.1) and 65% were men.

Results: The SADQH-10 demonstrated good internal consistency (α = 0.77). Factor analysis revealed the SADQH-10 to be measuring three constructs (social interaction and physical pain, tearfulness, loss of interest and motivation). Significant correlations were found between scores on the SADQH-10 and VAMS 'sad' item (r(s) = 0.297, P < 0.01) but not with the VASES 'depression' item (r(s) = 0.064, P = 0.590) or measures of physical and language abilities.

Conclusions: The SADQH-10 is both a valid and reliable observational screening measure of depressive symptoms for stroke patients with aphasia.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aphasia / complications
  • Aphasia / etiology
  • Aphasia / psychology*
  • Cross-Sectional Studies
  • Depression / diagnosis*
  • Depression / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multicenter Studies as Topic
  • Psychometrics / instrumentation*
  • Randomized Controlled Trials as Topic
  • Reproducibility of Results
  • Stroke / complications
  • Stroke / psychology*