Assessment of Mood States in Aphasia

Depression is common in patients with stroke and other neurological conditions. Accurate assessment and diagnosis is critical in understanding the causes of mood disturbance in these patients and in establishing effective treatments. Examination of mood states, however, is difficult in patients with aphasia, impaired emotional expression, and other communication and cognitive difficulties. Most standardized measures of mood are inappropriate for this population due to the instruments' linguistic, attention, and other cognitive demands. The Visual Analog Mood Scales (VAMS) are psychometrically sound measures, developed specifically for neurologically impaired patients in general and aphasic patients in particular. These very brief scales assess eight mood states: sad, happy, tense, afraid, tired, energetic, confused, and angry. The utility of these scales in clinical practice is presented, as are specific recommendations and guidelines for the assessment of mood in patients with aphasia and other communication deficits.

[1]  J. Arruda,et al.  Measurement of mood states in stroke patients: validation of the visual analog mood scales. , 1999, Archives of physical medicine and rehabilitation.

[2]  K. Shulman,et al.  Disinhibition syndromes, secondary mania and bipolar disorder in old age. , 1997, Journal of affective disorders.

[3]  D. Nyenhuis,et al.  Standardization and validation of the visual analog mood scales , 1997 .

[4]  E P Ahearn,et al.  The use of visual analog scales in mood disorders: a critical review. , 1997, Journal of psychiatric research.

[5]  R. Schulz,et al.  Assessment of depression in patients with brain pathology: the case of stroke. , 1997, Psychological bulletin.

[6]  R. Robinson,et al.  Neuropsychiatric consequences of stroke. , 1997, Annual review of medicine.

[7]  J. Arruda,et al.  Assessment of mood state in patients undergoing electroconvulsive therapy: the utility of visual analog mood scales developed for cognitively impaired patients. , 1996, Convulsive therapy.

[8]  R. King.  Quality of life after stroke. , 1996, Stroke.

[9]  H. Ellgring,et al.  Spontaneous and posed facial expression in Parkinson's Disease , 1996, Journal of the International Neuropsychological Society.

[10]  K. Black,et al.  The dexamethasone suppression test for diagnosing depression in stroke patients. , 1996, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[11]  R. Leiguarda,et al.  Neuropsychological, psychiatric, and cerebral blood flow findings in vascular dementia and Alzheimer's disease. , 1996, Stroke.

[12]  Jeffrey L. Cummings,et al.  The spectrum of behavioral changes in Alzheimer's disease , 1996, Neurology.

[13]  L. Teri,et al.  Depression in Alzheimer's Disease Patients: Caregivers as Surrogate Reporters , 1995, Journal of the American Geriatrics Society.

[14]  R. Ramasubbu,et al.  Factors Complicating the Diagnosis of Depression in Cerebrovascular Disease, Part Ii — Neurological Deficits and Various Assessment Methods* , 1994, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[15]  P. Masand,et al.  Methylphenidate treatment of poststroke depression in a patient with global aphasia. , 1994, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[16]  M. Sabbagh,et al.  Laughter and crying in neurologic disorders , 1994 .

[17]  J. Cummings.  Depression in Neurologic Diseases , 1994 .

[18]  R. Robinson,et al.  Emotional Lability after Stroke , 1993, The Australian and New Zealand journal of psychiatry.

[19]  D. Mehr,et al.  Mental Dysfunction and Resource Use in Nursing Homes , 1993, Medical care.

[20]  F Angeleri,et al.  The Influence of Depression, Social Activity, and Family Stress on Functional Outcome After Stroke , 1993, Stroke.

[21]  C. Wallesch,et al.  Depression in acute and chronic aphasia: symptoms, pathoanatomical-clinical correlations and functional implications. , 1993, Journal of neurology, neurosurgery, and psychiatry.

[22]  R. Marin,et al.  The sources of convergence between measures of apathy and depression. , 1993, Journal of affective disorders.

[23]  D. Caplan,et al.  The Relationship of Depression to Symptomatology and Lesion Site in Aphasic Patients , 1991, Cortex.

[24]  R. Marin,et al.  Reliability and validity of the apathy evaluation scale , 1991, Psychiatry Research.

[25]  R. Stern,et al.  Depressive symptoms following stroke. , 1991, The American journal of psychiatry.

[26]  G A Chase,et al.  Psychiatric symptoms and nursing home placement of patients with Alzheimer's disease. , 1990, The American journal of psychiatry.

[27]  R G Robinson,et al.  The impact of poststroke depression on recovery in activities of daily living over a 2-year follow-up. , 1990, Archives of neurology.

[28]  K. Ragnarsson,et al.  Relationship among CT scans, neurological exam, and neuropsychological test performance in right-brain-damaged stroke patients. , 1988, Journal of clinical and experimental neuropsychology.

[29]  G. Alexopoulos,et al.  Cornell scale for depression in dementia , 1988, Biological Psychiatry.

[30]  A J Lees,et al.  Bradyphrenia in Parkinson's disease and psychomotor retardation in depressive illness. An experimental study. , 1987, Brain : a journal of neurology.

[31]  J. Cummings,et al.  Neuropsychiatric aspects of multi-infarct dementia and dementia of the Alzheimer type. , 1987, Archives of neurology.

[32]  R. Rosse,et al.  Effects of Cortical Lesion Location on Psychiatric Consultation Referral for Depressed Stroke Inpatients , 1986, International journal of psychiatry in medicine.

[33]  D. Kaloupek,et al.  Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. , 1986, Stroke.

[34]  M. Reding,et al.  Antidepressant therapy after stroke. A double-blind trial. , 1986, Archives of neurology.

[35]  E. Kaplan,et al.  Depression Influences Intellectual Impairment in Stroke Patients , 1986, British Journal of Psychiatry.

[36]  R. Robinson,et al.  A two‐year longitudinal study of post‐stroke mood disorders: findings during the initial evaluation. , 1983, Stroke.

[37]  P V Rabins,et al.  The impact of dementia on the family. , 1982, JAMA.

[38]  A J Rush,et al.  Diagnosis and neuroanatomical correlates of depression in brain-damaged patients. Implications for a neurology of depression. , 1981, Archives of general psychiatry.

[39]  Robert G. Robinson,et al.  Depression in aphasic patients: Frequency, severity, and clinical-pathological correlations , 1981, Brain and Language.

[40]  E. Ross,et al.  The aprosodias. Functional-anatomic organization of the affective components of language in the right hemisphere. , 1981, Archives of neurology.

[41]  D. Benson.  Psychiatric Aspects of Aphasia , 1973, British Journal of Psychiatry.

[42]  G. Gainotti.  Emotional behavior and hemispheric side of the lesion. , 1972, Cortex; a journal devoted to the study of the nervous system and behavior.

[43]  R. Aitken.  Measurement of feelings using visual analogue scales. , 1969, Proceedings of the Royal Society of Medicine.

[44]  B. Christensen,et al.  Depression following traumatic brain injury. , 1998, Archives of physical medicine and rehabilitation.

[45]  J. Arruda,et al.  Visual analogue mood scales to measure internal mood state in neurologically impaired patients: Description and initial validity evidence , 1997 .

[46]  C. Lyketsos,et al.  Major and minor depression in Alzheimer's disease: prevalence and impact. , 1997, The Journal of neuropsychiatry and clinical neurosciences.

[47]  H. Sackeim,et al.  Psychomotor symptoms of depression. , 1997, The American journal of psychiatry.

[48]  Stern.  Assessment of Mood States in Neurodegenerative Disease: Methodological Issues and Diagnostic Recommendations. , 1996, Seminars in clinical neuropsychiatry.

[49]  K. Black.  Diagnosing depression after stroke. , 1995, Southern medical journal.

[50]  M. Mark,et al.  Parkinson's disease and depression: the relationship to disability and personality. , 1994, The Journal of neuropsychiatry and clinical neurosciences.

[51]  P. Lichtenberg,et al.  Geriatric rehabilitation and the older adult family caregiver: stages of caregiving. , 1993, NeuroRehabilitation.

[52]  E. Ross,et al.  Issues in the diagnosis of post-stroke depression. , 1991 .

[53]  D. Perkins.  10 – Use of Neuroendocrine Tests in the Psychiatric Assessment of the Medically Ill Patient , 1991 .

[54]  P J Whitehouse,et al.  Psychiatric symptoms associated with Alzheimer's disease. , 1990, The Journal of neuropsychiatry and clinical neurosciences.

[55]  D. Lancker,et al.  Development and validation of the Neuropsychology Behavior and Affect Profile. , 1989 .

[56]  P Bech,et al.  Mini-compendium of rating scales for states of anxiety depression mania schizophrenia with corresponding DSM-III syndromes. , 1986, Acta psychiatrica Scandinavica. Supplementum.

[57]  V. Leirer,et al.  Development and validation of a geriatric depression screening scale: a preliminary report. , 1982, Journal of psychiatric research.

[58]  G Beaumont,et al.  The measurement of depression. , 1977, The Journal of international medical research.

[59]  M. Lorr,et al.  Profile of mood states , 1971 .