SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D
SCREENING FOR DEPRESSION IN WELL OLDER ADULTS - EVALUATION OF A SHORT-FORM OF THE CES-D
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DOI：
10.1016/s0749-3797(18)30622-6
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发表时间：
1994-03-01
影响因子：
5.5
通讯作者：
PATRICK, DL
中科院分区：
文献类型：
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作者：
ANDRESEN, EM;MALMGREN, JA;PATRICK, DL
我们推导并测试了流行病研究中心抑郁量表(CES-D)的缩写形式，在一家大型健康维护组织的老年样本中进行了信度和效度测试。由10个项目组成的筛选问卷CESD-10与CES-D的20个项目的完整版本(kappa=.97，P<；.001)相比，显示出良好的预测准确性。在完整问卷中，抑郁症状的分值大于或等于16，而在包含10个条目的版本中，抑郁症状的分值大于或等于10。我们还讨论了其他潜在的分界值。CESD-10与较差的健康状况得分呈预期正相关(r=0.37)，与积极情绪呈显著负相关(r=-.63)。CESD-10的重测相关性与其他研究的重测相关性相似(r=0.71)。我们在12个月后再次使用CESD-10，得分稳定，相关系数r=0.59。
We derived and tested a short form of the Center for Epidemiologic Studies Depression Scale (CES-D) for reliability and validity among a sample of well older adults in a large Health Maintenance Organization. The 10-item screening questionaire, the CESD-10, showed good predictive accuracy when compared to the full-length 20-item version of the CES-D (kappa = .97, P < .001). Cutoff scores for depressive symptoms were greater-than-or-equal-to 16 for the full-length questionnaire and greater-than-or-equal-to 10 for the 10-item version. We discuss other potential cutoff values. The CESD-10 showed an expected positive correlation with poorer health status scores (r = .37) and a strong negative correlation with positive affect (r = -.63). Retest correlations for the CESD-10 were comparable to those in other studies (r = .71). We administered the CESD-10 again after 12 months, and scores were stable with strong correlation of r = .59.