Validity of the beck depression inventory, hospital anxiety and depression scale, SCL-90, and hamilton depression rating scale as screening instruments for depression in stroke patients

Psychosomatics. 2002 Sep-Oct;43(5):386-93. doi: 10.1176/appi.psy.43.5.386.


Most instruments used to assess poststroke depression have never been specifically validated in stroke patients. This study evaluated the depression screening abilities of three questionnaires and one observer-rated scale in 202 consecutive patients 1 month after they experienced their first-ever ischemic stroke. At their respective optimum cutoff values, the sensitivity of the self-rated scales varied between 80% and 90%, while the specificity was about 60%. For the observer-rated scale (Hamilton Depression Rating Scale), sensitivity was 78.1%, and specificity was 74.6%. The instruments clearly performed better in men than in women. Despite this difference, it was concluded that all scales were acceptable screening instruments for poststroke depression.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / etiology*
  • Depressive Disorder, Major / diagnosis*
  • Depressive Disorder, Major / etiology*
  • Female
  • Hospitalization
  • Humans
  • Male
  • Psychiatric Status Rating Scales
  • Reproducibility of Results
  • Stroke / psychology*
  • Stroke Rehabilitation*
  • Surveys and Questionnaires*