Abstract:

Objective To adapt stroke aphasic depression questionnaire-hospital version (SADQ-H10) into Chinese version, and test its repeatability, reliability and validity. Methods 120 patients with poststroke aphasia from Beijing Tiantan hospital from January 2016 to February 2018 were included in this study. All the patients were assessed with SADQ-H10, Hamilton depression scale (HAMD), and Beck depression inventory (BDI). A randomly selected sample of 42 patients were re-evaluated with SADQ-H10 within 1-2 week(s) after the first evaluation. Based on the evaluation results, the repeatability, reliability and validity of the Chinese version of SADQ-H10 were tested. Results 110 patients completed SADQ-H10 (91.7%). The time of completing the SADQ-H10 ranged from 3 to 10 minutes. The test-retest reliability was 0.821 (P <0.01). The Cronbach's α coefficient was 0.87 (P <0.01). The content validity ratio (CVR) was 1. With HAMD as the criterion, the validity coefficient was 0.890 (P <0.01), while with BDI as the criterion, the validity coefficient was 0.853 (P <0.01). The paired Chi-square test showed that all P values were greater than 0.05. Conclusion SADQ-H10 has good repeatability, reliability and validity. It may be used as a tool to evaluate the depression in Chinese patients with poststroke aphasia.

Key words: Aphasia; Depression scale; Reliability; Validity

摘要：

目的 汉化10条目医院版卒中失语抑郁问卷（stroke aphasic depression questionnaire-hospital version， SADQ-H10），评价该量表在卒中后失语伴抑郁患者中的可接受度、信度和效度，为评价卒中后失语患 者的抑郁提供标准化测量工具。 

方法 对SADQ-H10原版进行汉化，选取2016年1月-2018年2月在首都医科大学附属北京天坛医院神 经内科就诊的120例卒中后失语患者作为研究对象，进行SADQ-H10测评，同时完成汉密尔顿抑郁量表 （Hamilton depression scale，HAMD）及Beck抑郁自评量表（Beck depression inventory，BDI）测评为效标，并随 机选取其中42例患者于1～2周后复测SADQ-H10。根据测评结果分析SADQ-H10的可接受度、信度、效度。 

结果 SAD Q-H10的完成率为91.7%（110例），测评时间最短3 min，最长10 min。重测信度0.821 （P <0.01），克隆巴赫系数0.87（P <0.01）。内容效度指数为1。以HAMD为效标，相关系数为0.890 （P <0.01），以BDI为效标，相关系数为0.853（P <0.01）。配对卡方检验进行区分效度检验，结果显示P 值均>0.05。 

结论 SADQ-H10汉化版简洁易懂，使用方便，量表可接受度较好。量表具有良好的信度和效度，对 中国卒中后失语患者抑郁的诊断具有良好的诊断效能。

关键词: 失语; 抑郁量表; 信度; 效度