SCREENING FOR DEPRESSIVE DISORDER IN CHILDREN AND ADOLESCENTS - VALIDATING THE CENTER FOR EPIDEMIOLOGIC STUDIES DEPRESSION SCALE FOR CHILDREN
SCREENING FOR DEPRESSIVE DISORDER IN CHILDREN AND ADOLESCENTS - VALIDATING THE CENTER FOR EPIDEMIOLOGIC STUDIES DEPRESSION SCALE FOR CHILDREN
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DOI：
10.1093/oxfordjournals.aje.a115529
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发表时间：
1990-03-01
影响因子：
5
通讯作者：
WARNER, V
中科院分区：
文献类型：
--
作者：
FENDRICH, M;WEISSMAN, MM;WARNER, V
儿童流行病学研究中心抑郁量表（CES-DC）是流行病学研究中心抑郁量表的修改版本，根据父母的诊断，在儿童、青少年和年轻人的高或低抑郁风险样本中进行了探索。先证者父母是耶鲁大学重度抑郁症家庭研究的参与者，他们的孩子年龄在6到23岁之间。从1982年到1986年，对后代的诊断和自我报告信息分两波收集，间隔2年。研究结果支持ce - dc作为抑郁症状测量方法的可靠性和有效性，特别是对女孩和12-18岁的儿童和青少年。根据第三版《精神疾病诊断与统计手册》（DSM-III）的定义，患有重度抑郁症或心境恶劣的儿童与其他所有受访者相比得分较高。CES-DC缺乏诊断特异性；被诊断为DSM-III的儿童在这方面得分较高。15岁及以上是筛查儿童和青少年是否患有重度抑郁症或心境恶劣的最佳分界点。得分低于这个临界值（假阴性）的抑郁受访者比真阳性的人表现出更好的社会适应能力；非抑郁的受访者得分高于这个临界值（假阳性），表现出比真阴性更差的调整。因子分析用于构建一个简短的，四项版本的量表。这个简略的量表被证明是有用的。
The utility of the Center for Epidemiologic Studies Depression Scale for Children (CES-DC), a modified version of the Center for Epidemiologic Studies Depression Scale, was explored in a sample of children, adolescents, and young adults at high or low risk for depression according to their parents'' diagnosis. Proband parents were participants in the Yale Family Study of Major Depression who had children between the ages of 6 and 23 years. Diagnostic and self-report information on offspring was collected over two waves, spaced 2 years apart, from 1982 to 1986. Support was obtained for the reliability and validity of the CES-DC as a measure of depressive symptoms, especially for girls and for children and adolescents aged 12-18 years. Children with major depressive disorder or dysthymia, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III), had elevated scores in comparison with all other respondents. The CES-DC lacked diagnostic specificity; children with a range of current DSM-III diagnoses had elevated scores on the measure. A cutoff point of 15 and above for screening children and adolescents for current major depressive disorder or dysthymia may be optimal. Depressed respondents scoring below this cutoff point (false negatives) showed better social adjustment than true positives; nondepressed respondents scoring above this cutoff point (false positives) showed worse adjustment than true negatives. Factor analysis was used to construct an abbreviated, four-item version of the scale. The abbreviated scale was shown to be useful as a screen.