SADQ-10 or 21?

Answers

• Posted By Lauren Bechard 9 years ago
  Posted By Lauren Bechard 9 years ago

  Hi Tiziana – thank-you for your questions!

  I’ve reached out to some other contacts who may know about the specific cut-offs for the SADQH-10, and will let you know what they come back with.

  In the meantime, there is a similar topic in another forum (link below), which may help you out in terms of deciding which tools to use and when the best times to administer depression screens are. Multiple depression screening tools are discussed in that forum, and a depression screening decision tree has been provided in the final post on page 2 of the forum.

  https://www.strokecommunity.ca/forums/topic/post-stroke-depression/page/2/

  I hope this helps!

  – Lauren

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• Posted By Donelda Sooley 9 years ago
  Posted By Donelda Sooley 9 years ago

  Hi Tiziana,
  Reference Bennett HE, Thomas SA, Austen R, Morris AMS and Lincoln NB (2006). Validation of screening measures for assessing
  mood in stroke patients, British Journal of Clinical Psychology (2006), 45, 367–376. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17147102

  For all versions of the SADQ a score of 0-3 is selected for each question. The total score is produced by adding the individual scores from each question. Scores range from 0-30 in the SADQ H 10 version. Higher scores represent lower mood. The SADQ H 10 has cut-off values of 5/6. According to Bennett et al (2006, p 375) “On the basis of these results, it is recommended that the SADQ-H 10 may be used as a screening measure (cut-off 5/6) to identify stroke patients who require further assessment of their mood.”

  The cut-off values indicate a lower figure that is the highest likely to be obtained by people without low mood and a higher figure that is the lowest likely to be obtained by people with low mood. Therefore anyone with a score of 6 or more should have further assessment of their mood.

  I would only use the SADQ-H10 on those persons who have a severe aphasia and are unable to participate with screening using a non-aphasia depression screening tool, even with the assistance of a skilled communication partner (i.e. skilled in the use of Supported Communication for Adults with Aphasia, SCA).

  Hope this is helpful, Donelda

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• Posted By Lauren Bechard 9 years ago
  Posted By Lauren Bechard 9 years ago

  Hi @donelda,

  Thank-you for your finding and sharing that paper!

  Do you (or anyone reading this post!) have any other resources or experience-based knowledge that you could share about timelines for depression screening, particularly for people with aphasia following stroke?

  Chapter 18 of the Evidenced-Based Review of Stroke Rehabilitation (EBRSR; last update in 2013) provides some information regarding timelines for post-stroke depression, with highest prevalence in the first month following discharge from acute care and a trend for symptoms to resolve within the first year (episodes typically lasting 7-8 months). They do say, however, that depressive symptoms following discharge may be due to persons with stroke going through a “transition” period as they come to terms with their new life circumstances. In the evidence summary table provided, only 4 of the studies included indicated inclusion of people with aphasia following stroke, and no specific recommendations regarding depression screening/timelines for aphasia are made. (source document – http://www.ebrsr.com/sites/default/files/chapter18_depression_final_16ed.pdf)

  Similarly, in the Stroke Rehabilitation Clinician Handbook from EBRSR published in 2014, no timelines about depression screening are provided. The document only says that aphasia presents a barrier for persons with stroke to communicate their feelings… (source document – http://www.ebrsr.com/sites/default/files/Chapter%207_Post-Stroke%20Depression%20and%20Community%20Reintegration_June%2018%202014.pdf)

  Also, having checked the EBRSR Chapter 14 on Aphasia (http://www.ebrsr.com/sites/default/files/Chapter14_Aphasia_FINAL_16ed.pdf), I couldn’t find any answers about depression screening there either.

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