卒中后抑郁筛查工具的概括性评价  

Scoping review of post-stroke depression screening tools

作　　者：王亚杰 夏经菊[1] 郑方遒[2] 郑立敏[1] 王丹彤 Wang Yajie;Xia Jingju;Zheng Fangqiu;Zheng Limin;Wang Dantong(Department of Neurology,the People's Hospital of Liaoning Province,Shenyang 110000,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110000,China)

机构地区：[1]辽宁省人民医院神经内科,沈阳110000 [2]辽宁中医药大学,沈阳110000

出　　处：《国际脑血管病杂志》2024年第4期272-279,共8页International Journal of Cerebrovascular Diseases

摘　　要：目的对卒中后抑郁(post-stroke depression,PSD)评估工具进行概括性评价。方法检索8个中英文数据库,检索时限为建库至2022年12月31日。依据概括性评价理论框架,提取相关信息,对检索结果进行分析。结果最终纳入文献44篇,20篇为评估工具的开发,24篇为评估工具的信度、效度、敏感性和特异性检验。结论目前已有针对PSD患者的特异性评估工具,但缺乏信度和效度检验,未来应增强对特异性评估工具的检验。选择非特异性评估工具时,应选择敏感性高的评估工具。评估结果受到很多因素影响,在选择评估工具时要综合评估工具的使用条件、评估者和患者自身条件等因素。ObjectiveTo generally evaluate the evaluation tools of post-stroke depression(PSD).MethodsEight Chinese and English databases were retrieved,with a search deadline from the database establishment until December 31,2022.Based on the theoretical framework of scope review,the relevant information was extracted and search results were analyzed.Results44 articles were included,20 of which were for the development of evaluation tools,and 24 were for the reliability,validity,sensitivity,and specificity tests of evaluation tools.ConclusionsAt present,specific evaluation tools for patients with PSD have been available,but there is a lack of reliability and validity tests.In the future,the tests of specific evaluation tools should be strengthened.When choosing non-specific evaluation tools,high sensitivity evaluation tools should be selected.The evaluation results are influenced by many factors,and when selecting evaluation tools,it is necessary to generally evaluate factors such as the conditions of tool use,evaluator,and patient's own conditions.

关 键 词：卒中 抑郁症 群体筛查 结果可重复性 敏感性和特异性 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]