Validating the Center for Epidemiological Studies Depression Scale for Children in Rwanda.
Validating the Center for Epidemiological Studies Depression Scale for Children in Rwanda.
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DOI：
10.1016/j.jaac.2012.09.003
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发表时间：
2012-12
影响因子：
13.3
通讯作者：
Beardslee WR
中科院分区：
文献类型：
--
作者：
Betancourt T;Scorza P;Meyers-Ohki S;Mushashi C;Kayiteshonga Y;Binagwaho A;Stulac S;Beardslee WR
我们评估了流行病学研究中心儿童抑郁量表（CES-DC）作为卢旺达儿童和青少年抑郁症筛查的有效性。虽然CES-DC被广泛用于高收入国家的抑郁症筛查，但其在低收入和文化多样性环境（包括撒哈拉以南非洲）中的有效性尚不清楚。CES-DC是根据卢旺达儿童和青少年抑郁样问题的当地表现选择的。为了检验标准的有效性，我们比较了CES-DC评分抑郁症诊断的结构化诊断访谈，迷你国际神经精神访谈儿童（MINI KID），在367名卢旺达儿童和青少年的样本，年龄在10至17岁。照顾者和儿童或青少年的自我报告赞同存在局部抑郁样问题agahinda kenshi（持续悲伤）和kwiheba（严重绝望）也进行了检查，以确定与MINI KID诊断的一致性。CES-DC具有良好的内部信度（α = .86）和重测信度（r = .85）。与MINI KID诊断相比，CES-DC的受试者工作特征曲线下面积为0.825，表明卢旺达儿童和青少年区分抑郁和非抑郁的能力很强。在该参考样本中，≥ 30的临界点对应于81.9%的灵敏度和71.9%的特异性。MINI KID诊断与抑郁样问题的局部表达一致。CES-DC在卢旺达的临床筛查和评估中表现出良好的心理测量特性，应考虑在这种和其他低资源环境中使用。需要群体样本来确定非参考样本中的可推广临界点。
We assessed the validity of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) as a screen for depression in Rwandan children and adolescents. Although the CES-DC is widely used for depression screening in high-income countries, its validity in low-income and culturally diverse settings, including sub-Saharan Africa, is unknown. The CES-DC was selected based on alignment with local expressions of depression-like problems in Rwandan children and adolescents. To examine criterion validity, we compared CES-DC scores to depression diagnoses on a structured diagnostic interview, the Mini International Neuropsychiatric Interview for Children (MINI KID), in a sample of 367 Rwandan children and adolescents aged 10 through 17 years. Caregiver and child or adolescent self-reports endorsing the presence of local depression-like problems agahinda kenshi (persistent sorrow) and kwiheba (severe hopelessness) were also examined for agreement with MINI KID diagnosis. The CES-DC exhibited good internal reliability (α = .86) and test-retest reliability (r = .85). The area under the receiver operating characteristic curve for the CES-DC was 0.825 when compared to MINI KID diagnoses, indicating a strong ability to distinguish between depressed and nondepressed children and adolescents in Rwanda. A cut point of ≥ 30 corresponded with a sensitivity of 81.9% and a specificity of 71.9% in this referred sample. MINI KID diagnosis was well aligned with local expressions of depression-like problems. The CES-DC demonstrates good psychometric properties for clinical screening and evaluation in Rwanda, and should be considered for use in this and other low-resource settings. Population samples are needed to determine a generalizable cut point in nonreferred samples.
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影响因子：
4.4
作者：
Betancourt, Theresa S.;Bass, Judith;Borisova, Ivelina;Neugebauer, Richard;Speelman, Liesbeth;Onyango, Grace;Bolton, Paul
通讯作者：
Bolton, Paul
DOI：
10.1177/070674370505000302
发表时间：
2005-03-01
影响因子：
4
作者：
McDermott, Brett M.;Lee, Erica M.;Gibbon, Peter
通讯作者：
Gibbon, Peter
影响因子：
5
作者：
FENDRICH, M;WEISSMAN, MM;WARNER, V
通讯作者：
WARNER, V
DOI：
10.1080/09540121.2010.516333
发表时间：
2011-01-01
影响因子：
1.7
作者：
Betancourt, Theresa S.;Rubin-Smith, Julia E.;Safren, Steven
通讯作者：
Safren, Steven
DOI：
10.1016/s1056-4993(18)30031-2
发表时间：
2001-10-01
影响因子：
2.4
作者：
Stichick, T
通讯作者：
Stichick, T