Related Experiment Video
Updated: Jun 20, 2026
Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
Validation of the stroke aphasic depression questionnaire using the brief assessment schedule depression cards in an
Vicki L Hacker1, Daniel Stark, Shirley Thomas
1Shropshire and Wrekin NHS Trust, Telford, UK. vicki.hacker@googlemail.com
Insights
The Stroke Aphasic Depression Questionnaire (SADQ H10) is a valid observer-rated tool for screening depression in acute stroke patients. It showed significant correlation and discrimination against the BASDEC, supporting its clinical use.
Area of Science:
- Neurology
- Psychiatry
- Clinical Psychology
Background:
- Depression is a common complication following stroke.
- Accurate and timely depression screening is crucial for acute stroke patient management.
- Existing screening tools may require validation in specific stroke populations.
Purpose of the Study:
- To validate the observer-rated Stroke Aphasic Depression Questionnaire (hospital version: SADQ H10).
- To assess the SADQ H10's performance against the Brief Assessment Schedule Depression Cards (BASDEC).
- To determine the utility of the SADQ H10 in identifying depression in acute stroke patients.
Main Methods:
- A naturalistic audit with a cross-sectional design was employed.
- 125 patients on an acute in-patient stroke unit were assessed.
- Data collection included routine care assessments using both BASDEC and SADQ H10.
Main Results:
- The BASDEC identified 40 patients as depressed and 85 as non-depressed.
- A significant positive correlation was found between the SADQ H10 and BASDEC scores.
- Receiver Operating Curve (ROC) analysis confirmed the SADQ H10's ability to discriminate between depressed and non-depressed patients.
Conclusions:
- The findings support the SADQ H10 as a reliable depression screening tool for acute stroke.
- The SADQ H10 demonstrates good validity and discriminative ability in this patient group.
- Implementation of the SADQ H10 can aid in the early detection of depression post-stroke.
Objective:
To validate the Stroke Aphasic Depression Questionnaire (hospital version: SADQ H10), an observer-rated measure of depression, against the brief assessment schedule depression cards (BASDEC) in acute stroke.
Method:
This naturalistic audit utilized a cross-sectional design. As part of routine care, 125 patients on an acute in-patient stroke unit were assessed with the BASDEC and SADQ H10.
Results:
The BASDEC classified 40 patients as depressed and 85 as non-depressed. The SADQ H10 and BASDEC significantly correlated. An ROC (receiver operating curve) analysis showed that the SADQ H10 discriminated between depressed and non-depressed acute stroke patients.
Conclusions:
The results support the use of the SADQ H10 as a depression screen in acute stroke.
