Challenges in assessing depressive symptoms in Fiji: A psychometric evaluation of the CES-D.
Challenges in assessing depressive symptoms in Fiji: A psychometric evaluation of the CES-D.
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DOI：
10.1177/0020764013490871
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Becker A
中科院分区：
文献类型：
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作者：
Opoliner A;Blacker D;Fitzmaurice G;Becker A
CES-D是抑郁症症状学常用的自我报告评估工具。然而，斐济尚未对其心理测量学特性进行评估。本研究旨在评估英语和斐济语白话版本在斐济青少年女学生中的信度和效度。作为健康斐济研究的一部分，斐济族少女(n=523)完成了CES-D。参与者被选择用英语或当地白话回答。对信度(内部一致性、条目-总分相关性和重测估计)、效度(与其他抑郁指标的相关性)和因子结构进行了评估。评估考虑了不同语言版本之间的差异。在这个样本中，CES-D的Cronbach‘s Alpha为0.81，项目-总分相关系数在0.2-0.63之间。一周重测信度(ICC(2))为0.57。与不支持抑郁和自杀情绪的人相比，支持抑郁和自杀情绪的人的CES-D得分更高。对CES-D与二元抑郁和自杀变量的ROC分析得出的AUC约为0.70，并不支持显著干扰的离散截止点。这两个语言组的研究结果是相似的。CES-D在斐济族青少年的英语和斐济语中具有可接受的信度和效度。研究结果支持它在本研究人群中作为抑郁症状的维度测量的有效性。有必要对其在斐济学校和社区人群中发现抑郁症病例的临床效用进行进一步检查。
The CES-D is a commonly used self-report assessment for depressive symptomatology. However, its psychometric properties have not been evaluated in Fiji. The study aims to evaluate the reliability and validity of English language and Fijian vernacular versions in ethnic Fijian adolescent schoolgirls. As part of the HEALTHY Fiji Study, ethnic Fijian female adolescents (n=523) completed the CES-D. Participants selected to respond in English or the local vernacular. Reliability (internal consistency, item-total score correlation, and test-retest estimates), validity (associations with other proxies for depression), and factor structure were assessed. Evaluations considered differences between language versions. In this sample, the CES-D had a Cronbach’s alpha of 0.81 and item-total score correlation coefficients ranged between 0.2–0.63. One week test-retest reliability (ICC(2)) was 0.57. CES-D scores were higher among individuals who endorsed feelings of depression and suicidality compared to those who did not. ROC analyses of the CES-D vs. binary depression and suicidality variables produced AUCs around 0.70 and did not support a discrete cutoff for significant disturbance. Findings were similar across the two language groups. The CES-D has acceptable reliability and validity among ethnic Fijian female adolescents in English and in the Fijian vernacular language. Findings support its utility as a dimensional measure for depressive symptomatology in this study population. Further examination of its clinical utility for case finding for depression in Fijian school-based and community populations is warranted.