Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 21499
ORIGINAL ARTICLE
Year : 2015  |  Volume : 18  |  Issue : 3  |  Page : 121-125

Post-stroke depression in a sub-Saharan Africans: Validation of the Japanese Stroke Scale for Depression


Department of Medicine, Neurology Unit, University of Benin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
F A Imarhiagbe
Department of Medicine, Neurology Unit, University of Benin Teaching Hospital, P.O. Box 7184, GPO, Benin City
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1118-8561.169285

Rights and Permissions

Background: Japanese Stroke Scale for Depression (JSS-D) is not a validated instrument for post stroke depression (PSD) in sub-Saharan Africans. Methods: Ninety-two subjects on follow-up in a stroke clinic were consecutively assessed for demographic and clinical variables, and all were subsequently assessed for depression with the JSS-D. Functional ability was assessed with Rankin score and good functional recovery was defined as Rankin score of ≤2. Stroke type was determined using cranial computed tomography or magnetic resonance imaging as cerebral infarct or intracerebral hemorrhage. Data was compared between subjects with and without PSD. Symmetric agreement between JSS-D and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM IV) criteria for depression was compared on Cohen's kappa statistics and the sensitivity, specificity of JSS-D was tested on a receiver operated characteristics (ROC) curve. Results: PSD occurred in 17 (18.5%) of study subjects. Mean age was not significantly different between PSD and no PSD, P = 0.226, but there was a difference in the sex distribution (P = 0.034) with a male sex preponderance for both groups. Rankin score was higher in PSD and significantly different both at discharge and the time of evaluation (P = 0.019 and 0.003). JSS-D agreed with DSM IV criteria for mild depression significantly on Cohen's kappa statistics, kappa = 0.69, P < 0.0001. The sensitivity and specificity of JSS-D on ROC curve were 94.1% and 97.2% respectively at a JSS-D cut-off value of 2.37, area under the curve = 0.99, P = < 0.0001. Conclusion: JSS-D could be used for PSD with acceptable sensitivity and specificity in sub-Saharan Africans.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3957    
    Printed200    
    Emailed0    
    PDF Downloaded260    
    Comments [Add]    
    Cited by others 2    

Recommend this journal