Aphasic Depression Rating Scale (ADRS)

 

The Aphasic Depression Rating Scale (ADRS) Evaluation Summary

  What does the tool measure? Depression
  What types of clients can the tool be used for? Patients with aphasia during the subacute stage of stroke.
  Is this a screening or assessment tool? Assessment
Time to administer The amount of time it takes to administer the ADRS has not been reported.
  Versions There are no alternative versions.
Other Languages None
Measurement Properties
  Reliability

– No studies have examined the internal consistency of the ADRS.
– One study has examined the test-retest reliability of the ADRS and reported adequate test-retest agreement between items using kappa statistics, and excellent test-retest on the global score using correlation coefficients.
– One study has examined the inter-rater reliability of the ARDS and reported excellent inter-rater reliability on items using kappa statistics, and excellent inter-rater reliability on the global score using correlation coefficients.
– No studies have examined the intra-rater reliability of the ADRS.

  Validity Construct:
Convergent/Discriminant validity: 
Excellent correlations between the ADRS and the psychiatric rating of depression, ratings made by members of the rehabilitation team and the Hamilton Depression Rating Scale. Adequate to Excellent correlations in patients with right hemisphere stroke only and in patients with left hemisphere stroke only.
  Floor/Ceiling Effects No studies have examined the floor or ceiling effects of the ADRS.
  Sensitivity/ Specificity One study compared the ADRS with the diagnosis made by a psychiatrist. With a score of less than or equal to 9/32 as a threshold, compared with the diagnosis made by the psychiatrist, an overall sensitivity of 0.83 and a specificity of 0.71 was reported.
  Does the tool detect change in patients? Not yet examined.
  Acceptability The ADRS should not be used with individuals who may be depressed but who have not had a stroke, or patients who do not have aphasia.
Feasibility The administration of the ADRS is quick and simple. It is unclear whether training is required to administer the ADRS. The ADRS contains 9 items (insomnia, anxiety-psychic, anxiety – somatic, somatic symptoms, hypchondriasis, loss of weight, apparent sadness, mimic and fatigability) and is scored by adding the score of each individual item.
How to obtain the tool? The ADRS is available in the study by Benaim et al. (2004) or by clicking here.