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Factor structure of the Cornell Scale for Depression in Dementia among Japanese poststroke patients
Author(s)Andrea S Schreiner, Tomoko Morimoto
Journal titleInternational Journal of Geriatric Psychiatry, vol 17, no 8, August 2002
Pagespp 715-722
KeywordsDepression ; Dementia ; Symptoms ; Stroke ; Evaluation ; Japan.
Annotation101 Japanese post-stroke patients and their caregivers were interviewed; the Cornell Scale for Depression in Dementia (CSDD) was used. Data were also collected from patient charts. The four-factor solution for post-stroke subjects was analagous to that found for Alzheimer's disease (AD) patients with two main exceptions: patients' physical complaints were unrelated to depressed mood in stroke patients; and agitation and psychosis loaded with depressed mood in stroke patients rather than as a separate unique factor as in AD patients. However, in the exploratory 5-factor model, agitation and suicidal ideation comprised a unique factor. Using standard cut-off scores for the CSDD, 58.2% of post-stroke patients had scores suggesting possible depression. CSDD scores were not related to functional ability, or stroke characteristics such as aphasia or right- or left-sided paralysis. However, scores were significantly higher among those two or more years post-stroke. Feelings of irritability, anxiety, sadness, and sleep problems were most prevalent. Despite prevalence of depressive symptoms, none of the subjects were currently receiving any mental health treatment. Findings suggest that symptoms differ by post-stroke duration, which may necessitate different treatment approaches. (RH).
Accession NumberCPA-020903206 A
ClassmarkENR: EA: CT: CQA: 4C: 7DT

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