Factor Analysis of the CES-D 12 among a Community Sample of Black Men
Factor Analysis of the CES-D 12 among a Community Sample of Black Men
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DOI：
10.1177/1557988319834105
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发表时间：
2019-03-20
影响因子：
2.3
通讯作者：
Powell, Wizdom
中科院分区：
文献类型：
--
作者：
Adams, Leslie B.;Gottfredson, Nisha;Powell, Wizdom
流行病学研究中心抑郁症（CES-D）量表是基于人群的研究中最广泛使用的评估抑郁症的措施之一。很少有人知道黑人男性所表达的抑郁症的不同范围，与其他种族和民族背景的男性相比，他们的抑郁症状的慢性化和残疾程度更高。本研究采用探索性和验证性因素分析，在以社区为基础的样本黑人男性（n = 683）的维度结构的CES-D 12项量表。两个潜在的因素出现的规模，最适合的数据：人际关系的负面影响（INA）和减少的积极影响（DPA）。“我觉得我所做的一切都是努力”这一项从最终测量中删除，得到了11项量表。修订版CES-D-11的总评分在两个潜在因素（Cronbach α = 0.83 [INA]和0.73 [DPA]）和模型拟合（chi（2）= 165.58，TLI = 0.967，CFI = 0.974，RMSEA = 0.065）上显示出可接受的内部一致性。结果与其他人口统计学群体的CES-D因素分析不同，包括与其他男性亚群的研究，例如抑郁情绪和人际关系问题因素合并为一维结构。研究结果表明，“努力”项目从CES-D 12中应谨慎解释黑人男性。未来的研究应该继续解开黑人男性表达抑郁情绪的不同途径。
The Center for Epidemiologic Studies Depression (CES-D) scale is one of the most widely used measures for assessing depression in population-based research. Little is known about the varying range of symptomatology expressed by Black men, who report higher chronicity and disability of their depressive symptoms compared to men of other racial and ethnic backgrounds. This study assessed the dimensional structure of the CES-D 12-item scale using exploratory and confirmatory factor analysis in a community-based sample of Black men (n = 683). Two latent factors emerged from the scale that best fit the data: interpersonal negative affect (INA) and diminished positive affect (DPA). The item "I felt like everything I did was an effort" was removed from the final measure, resulting in an 11-item scale. The total score for the revised CES-D-11 displayed acceptable internal consistency on both latent factors (Cronbach's alpha = 0.83 [INA] and 0.73 [DPA]) and model fit (chi(2) = 165.58, TLI = 0.967, CFI = 0.974, RMSEA = 0.065). Results differ from CES-D factor analyses in other demographic groups, including studies with other male subpopulations, such that depressed mood and interpersonal problems factors are merged as a unidimensional construct. Findings suggest that the "effort" item from the CES-D 12 should be interpreted with caution among Black men. Future studies should continue to disentangle the divergent pathways in which Black men express depressed mood.