Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression

Objectives. The optimal tool for identifying postsroke depression (PSD) is yet to be identified. In the present study, we rely on the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) as a meaningful criterion to investigate the psychometric properties of the HRQOLISP-E, a ne...

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Main Authors: Akin Ojagbemi, Mayowa Owolabi, Joshua Akinyemi, Bruce Ovbiagele
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2017/6515769
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author Akin Ojagbemi
Mayowa Owolabi
Joshua Akinyemi
Bruce Ovbiagele
author_facet Akin Ojagbemi
Mayowa Owolabi
Joshua Akinyemi
Bruce Ovbiagele
author_sort Akin Ojagbemi
collection DOAJ
description Objectives. The optimal tool for identifying postsroke depression (PSD) is yet to be identified. In the present study, we rely on the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) as a meaningful criterion to investigate the psychometric properties of the HRQOLISP-E, a new context-specific screening tool for PSD developed from a large cross-cultural sample. Methods. We assessed baseline data being collected as part of an intervention to improve one-year blood pressure control among recent (≤one month) stroke survivors. Depression was measured using the HADS-D and the HRQOLISP-E. We determined sensitivity, specificity, likelihood ratios, and posttest probability. The area under a receiver operator curve (AUC) and the most appropriate HRQOLISP-E cut-off were also determined using standard procedures. Results. Using data derived from 387 recent stroke survivors, the HRQOLISP-E showed high agreement with the HADS-D, sensitivity = 73.7%, specificity = 79.3%, and posterior test probability = 88% (95% CI = 84%–91%). The AUC was 0.81 (95% CI = 0.76–0.86). The HRQOLISP-E cut-off, corresponding to HADS-D score ≥ 8, was 20/21 (out of a total score of 30). Conclusions. Within limitations of using the HADS-D as a referent criterion, the present results provide justification for further development of the HRQOLISP-E as the first stroke-specific screening tool for depression.
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spelling doaj-art-32ee4de9f2fa48c39183409bdc78ac7e2025-08-20T02:24:22ZengWileyBehavioural Neurology0953-41801875-85842017-01-01201710.1155/2017/65157696515769Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke DepressionAkin Ojagbemi0Mayowa Owolabi1Joshua Akinyemi2Bruce Ovbiagele3College of Medicine, University of Ibadan, Ibadan, NigeriaCollege of Medicine, University of Ibadan, Ibadan, NigeriaCollege of Medicine, University of Ibadan, Ibadan, NigeriaKwame Nkrumah University of Science and Technology, Kumasi, GhanaObjectives. The optimal tool for identifying postsroke depression (PSD) is yet to be identified. In the present study, we rely on the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) as a meaningful criterion to investigate the psychometric properties of the HRQOLISP-E, a new context-specific screening tool for PSD developed from a large cross-cultural sample. Methods. We assessed baseline data being collected as part of an intervention to improve one-year blood pressure control among recent (≤one month) stroke survivors. Depression was measured using the HADS-D and the HRQOLISP-E. We determined sensitivity, specificity, likelihood ratios, and posttest probability. The area under a receiver operator curve (AUC) and the most appropriate HRQOLISP-E cut-off were also determined using standard procedures. Results. Using data derived from 387 recent stroke survivors, the HRQOLISP-E showed high agreement with the HADS-D, sensitivity = 73.7%, specificity = 79.3%, and posterior test probability = 88% (95% CI = 84%–91%). The AUC was 0.81 (95% CI = 0.76–0.86). The HRQOLISP-E cut-off, corresponding to HADS-D score ≥ 8, was 20/21 (out of a total score of 30). Conclusions. Within limitations of using the HADS-D as a referent criterion, the present results provide justification for further development of the HRQOLISP-E as the first stroke-specific screening tool for depression.http://dx.doi.org/10.1155/2017/6515769
spellingShingle Akin Ojagbemi
Mayowa Owolabi
Joshua Akinyemi
Bruce Ovbiagele
Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
Behavioural Neurology
title Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
title_full Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
title_fullStr Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
title_full_unstemmed Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
title_short Criterion Validity of the “HRQOLISP-E”: A New Context-Specific Screening Tool for Poststroke Depression
title_sort criterion validity of the hrqolisp e a new context specific screening tool for poststroke depression
url http://dx.doi.org/10.1155/2017/6515769
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AT joshuaakinyemi criterionvalidityofthehrqolispeanewcontextspecificscreeningtoolforpoststrokedepression
AT bruceovbiagele criterionvalidityofthehrqolispeanewcontextspecificscreeningtoolforpoststrokedepression