Psychometric evaluation of a self-report scale to measure adolescent depression: the CESDR-10 in two national adolescent samples in the United States.

Psychometric evaluation of a self-report scale to measure adolescent depression: the CESDR-10 in two national adolescent samples in the United States.
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DOI:
10.1016/j.jad.2014.02.009
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发表时间:
2014-04
影响因子:
6.6
通讯作者:
Eaton, William W.
Eaton, William W.
中科院分区:
医学2区
文献类型:
--
作者:
Haroz, Emily E.;Ybarra, Michele L.;Eaton, William W.

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有必要简单的工具,以筛选抑郁症的青少年是有效的,可靠的和免费提供。本研究的目的是调查的心理测量学特性的10个项目版本的CESD-R(CESDR-10)在两个国家的青少年样本。样本1包括N=3777名青年(平均年龄15.7岁),样本2包括N=1150名青少年(平均年龄14.5岁)。我们进行了验证性因素分析,评估了结构效度,检查了差异项目功能,并评估了内部一致性信度(α)。结果表明,CESDR-10普遍具有较强的心理测量特性。CFA单因素模型显示出良好的模型拟合。结构效度部分支持样本1,主要支持样本2的基础上检查的特征。CESDR-10在两个样本中均表现出几何和度量不变性,在性别中表现出完全测量不变性。样本或性别之间的辨别参数或临床显著差异项目功能无显著差异。本研究未评估标准相关效度。进一步的研究应评估的规模相比,精神病诊断。此外,本研究采用了基于网络的管理格式,这可能会影响参与者的答案。在未来的研究中,CESDR-10应该在其他环境中进行管理,以更彻底地建立其普遍性。在临床和非临床环境中,时间压力使得简短但有效的筛查措施至关重要。研究结果支持未来使用CESDR-10。
There is a need for brief instruments to screen for depression in adolescents that are valid, reliable and freely available. The aim of this study was to investigate the psychometric properties of a 10-item version of the CESD-R (CESDR-10) in two national adolescent samples. Sample 1 consisted of N=3777 youths (mean age 15.7) and Sample 2 contained N=1150 adolescents (mean age 14.5). We performed confirmatory factor analysis, evaluated construct validity, examined differential item functioning, and assessed internal consistency reliability (α). The results suggest generally strong psychometric properties for the CESDR-10. The CFA 1-factor model showed good model fit. Construct validity was partially supported in Sample 1 and mostly supported for Sample 2 based upon the characteristics examined. The CESDR-10 showed configural and metric invariance across both samples and full measurement invariance across sex. There were no notable differences in discrimination parameters or clinically significant differential item functioning between samples or sexes. Criterion related validity was not assessed in this study. Further studies should evaluate the scale in comparison to a psychiatric diagnosis. In addition, this study utilized a web-based format of administration which may influence participants’ answers. In future studies, the CESDR-10 should be administered in other settings to more thoroughly establish its generalizability. In clinical and non-clinical settings alike, time pressures make the availability of brief but valid screening measures critical. Findings support future use of the CESDR-10.
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