Clinical Rehabilitation

 

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Clinical Rehabilitation, Vol. 20, No. 7, 598-602 (2006)
DOI: 10.1191/0269215506cr968oa

An investigation into the utility of the Stroke Aphasic Depression Questionnaire (SADQ) in care home settings

Catherine M Sackley

Thomas J Hoppitt

Karina Cardoso

School of Health Sciences, University of Birmingham, Birmingham, UK

Objective: To assess the utility of the Stroke Aphasia Depression Scale (SADQ) to identify emotional distress among individuals living in a care home setting.

Design: A prospective comparison of the SADQ and the depression subsection of the Hospital Anxiety and Depression Scale (HADS).

Setting: Care homes in Oxfordshire.

Participants: Eighty-two care home residents without major communication or cognitive problems.

Measures: Participants completed the HADS. The SADQ was completed on behalf of each resident by his or her principal carer.

Results: Spearman's rank correlation between the two measures was statistically significant (r=0.447, P B< 0.01). Receiver operator characteristics plots revealed an optimal cut-off point of 14 on the SADQ which gave sensitivity and specificity of 77% and 78% respectively.

Conclusion: The SADQ, an observational measure, can identify emotional distress in non-aphasic patients in a care home setting. It would be reasonable to use it with people with communication and cognitive problems who are unable to take part in conventional assessments.


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