Age differences among Japanese on the center for epidemiologic studies depression scale: An ethnocultural perspective on somatization

Age differences among Japanese on the center for epidemiologic studies depression scale: An ethnocultural perspective on somatization
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DOI:
10.1016/0277-9536(96)00005-6
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发表时间:
1996-09-01
影响因子:
5.4
通讯作者:
Roberts, RE
Roberts, RE
中科院分区:
医学2区
文献类型:
--
作者:
Iwata, N;Roberts, RE

文献摘要

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日本版流行病学研究中心抑郁量表(CES-D)采用斜向旋转主成分(PC)分析,并检查内部一致性,使用的数据来自2016名年龄在19-63岁的成年雇员。分析集中在ce - d这些心理测量特性的年龄差异上。alpha系数在所有年龄组中都足够高,但低于美国研究报告。积极影响物品降低了内部一致性。PC分析为每个年龄组提取了四个因素。抑郁影响项不归为一个因素;有些与躯体或人际因素相结合,其余的构成最小的因素。这三个主要因素,“身体+抑郁”,“人际+消极”和“积极影响”在不同年龄组之间具有可比性,除了50-63岁的人群。对于那些年龄在50-63岁之间的人来说,前两个因素被合并成一个较大的“一般性焦虑”因素,这表明抑郁情绪的概念更加统一。虽然“积极情绪”在跨文化中是稳定的,但在日本,它与其他项目衡量的抑郁症状无关。“人际关系+消极情绪”在日本人中是独特的,这表明人际关系与日本人的抑郁情绪存在关联。讨论了日本年龄特异性民族文化因素对抑郁症症状的影响。版权所有爱思唯尔科学有限公司
The Japanese version of the Center for Epidemiologic Studies Depression Scale (CES-D) was subjected to principal component (PC) analysis with oblique rotation, as well as an examination of internal consistency, using data obtained from 2,016 adult employees aged 19-63 years. Analyses focused on age differences in these psychometric properties of the CES-D. Coefficient-alpha was sufficiently high for all age groups but was lower than reported in U.S. studies. Positive affect items lowered internal consistency. The PC analyses extracted four factors for each age group. Depressive affect items did not group into one factor; some were combined with somatic or interpersonal items, and the remainder constituted the smallest factor. These three main factors, 'somatic + depressed', 'interpersonal + negative' and 'positive affect' were comparable across age groups except for those aged 50-63 years. For those aged 50-63 years, the first two factors were combined into a large 'general dysphoria' factor, suggesting a more unified conceptualization of depressive mood. Although 'positive affect' was stable cross-culturally, it was not related to depressive symptomatology as measured by the other items, for Japanese. The 'interpersonal + negative' appears unique for Japanese, indicating the association of interpersonal relations with depressive mood in Japanese. The effects of age-specific ethnocultural factors in Japan on depressive symptomatology are discussed. Copyright (C) 1996 Elsevier Science Ltd