Factorial validity of the Center for Epidemiological Studies Depression 10 in adolescents.

Factorial validity of the Center for Epidemiological Studies Depression 10 in adolescents.
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DOI:
10.3109/01612840903484105
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发表时间:
2010-06-01
影响因子:
2.1
通讯作者:
Brannen, Cyndi L
Brannen, Cyndi L
中科院分区:
医学4区
文献类型:
--
作者:
Bradley, Kristina L;Bagnell, Alexa L;Brannen, Cyndi L

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流行病学抑郁症中心(CES-D)量表的20项版本在社区样本中检测青少年抑郁症状方面具有良好的验证性和可靠性。缩短版CES-D 10尚未在青少年中得到验证,但在其他人群中表现出较强的心理测量学。本研究的目的是检验CES-D 10在青少年中的析因效度和内部一致性。使用来自156名青少年在以前的社区为基础的研究中的数据,我们测试了三个模型的基本因素的CES-D 10使用结构方程模型(SEM)的基础上,在其他人群中验证的因素模型。由抑郁情绪和积极情绪组成的双因素模型被认为是最适合数据的模型(RMSEA = 0.016,CFI = 0.98,GFI = 0.95,AIC = 97.43,BIC = 191.98)。这些发现与其他成人研究一致,并为使用CES-D 10作为社区青少年抑郁筛查提供了初步支持。鉴于许多青少年不知道自己需要帮助或不愿意寻求帮助,对社区青少年进行简短筛查的效用很大。CES-D 10可在人群水平和卫生诊所用作青少年的抑郁症筛查。
The Center for Epidemiological Studies-Depression (CES-D) Scale's 20-item version is well-validated and reliable for detecting depressive symptoms in adolescents in community samples. A shortened version, CES-D 10 has not been validated with adolescents, but has demonstrated strong psychometrics in other populations. The purpose of this study was to test the factorial validity and internal consistency of the CES-D 10 in adolescents. Using data from 156 adolescents in a previous community-based study, we tested three models of the underlying factors of the CES-D 10 using Structural Equation Modeling (SEM) based on factor models validated in other populations. A two-factor model comprised of depressive affect and positive affect was found to be the model that best fits the data (RMSEA = 0.016, CFI = 0.98, GFI = 0.95, AIC = 97.43, BIC = 191.98). These findings are consistent with other studies in adults and provide initial support for the use of the CES-D 10 as a depression screen for adolescents in the community. The utility of a brief screen for adolescents in the community is high, given that many adolescents do not know they need help or are reluctant to seek help. The CES-D 10 could be used as a depression screen for adolescents at a population level and in health clinics.