Screening for depressive symptoms - Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a multiethnic group of patients with diabetes in Singapore

Screening for depressive symptoms - Validation of the Center for Epidemiologic Studies Depression Scale (CES-D) in a multiethnic group of patients with diabetes in Singapore
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DOI:
10.2337/dc07-2019
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发表时间:
2008-06-01
期刊:
影响因子:
16.2
通讯作者:
Chong, Siow Ann
Chong, Siow Ann
中科院分区:
医学1区
文献类型:
--
作者:
Stahl, Dorit;Sum, Chee Fang;Chong, Siow Ann

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目的--我们在新加坡的一个糖尿病中心的多种族糖尿病成人受试者样本中,确定了流行病学研究中心抑郁量表(CES-D)与基于DSM-IV的诊断量表、神经精神病学临床评估时间表(SCAN)的信度和效度。(74.7%的中国人,11.1%的马来人,和14.2%的印度人)完成了CES-D的文化适应版本; 291名受试者进行了管理的SCAN inventory.RESULTS -的CES-D(截止分数16)显示高阴性预测值超过90%,在所有三个民族。中国和印度被试的抑郁症状(CES-D)和抑郁(SCAN)的患病率存在显著差异(CES-D 27.4 vs. 43.2%,P = 0.006);(SCAN 15.0 vs. 31.1%,P = 0.01)。结论-CES-D被证明是一个可靠的工具,用于识别本研究多种族背景下的抑郁症状患者。
OBJECTIVE - We determined the reliability and validity of the Center for Epidemiologic Studies Depression Scale (CES-D) against the DSM-IV-based diagnostic inventory, Schedule for Clinical Assessment in Neuropsychiatry (SCAN), in a multiethnic sample of adult subjects with diabetes attending a diabetes center in Singapore.RESEARCH DESIGN AND METHODS - A total of 522 subjects (74.7% Chinese, 11.1% Malay, and 14.2% Indian) completed culturally adapted versions of the CES-D; 291 subjects were administered the SCAN inventory.RESULTS - The CES-D (cutoff score 16) showed high negative predictive values of more than 90% in all three ethnic groups. The prevalence of depressive symptoms (CES-D) and depression (SCAN) was significantly different between the Chinese and Indian subjects (CES-D 27.4 vs. 43.2%, P = 0.006); (SCAN 15.0 vs. 31.1%, P = 0.01).CONCLUSIONS - The CES-D proved to be a reliable instrument for identifying patients with depressive symptoms in the multiethnic setting of this study.