Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China
Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China
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DOI：
10.1017/s1041610213001701
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发表时间：
2014-01-01
影响因子：
7
通讯作者：
Mui, Ada C.
中科院分区：
文献类型：
--
作者：
Chen, Huajuan;Mui, Ada C.
背景：本研究的目的是探讨中国全国调查中使用的流行病学研究中心抑郁量表（CES-D 10）的缩短版十项量表（CES-D 10）的因素结构。方法：这项二次研究基于中国健康老龄化退休与长寿研究（CHARLS）第一波（2011）。 CHARLS 招募了具有全国代表性的社区样本，其中成员年龄为 45 岁或以上。本研究使用了 742 名 60 岁及以上受访者的子样本。进行验证性因素分析来测试三个竞争模型并确定最适合中国老年人样本的模型。还检查了跨性别的阶乘不变性。采用R-2系数衡量各项目的信度。结果：验证性因素分析支持双因素模型具有最佳拟合。抑郁情感和躯体症状是第一个因素，而积极情感是第二个因素。多组分析显示，中国男性和女性群体的双因素结构存在差异（chi(2) (df = 86) = 144.13，p < 0.001）。此外，性别差异还通过单项信度得分、平均得分和抑郁症状患病率来体现。结论：CES-D 10量表对于中国社区老年人群具有足够的信度和效度。此外，数据显示，男性和女性老年人对抑郁情绪的感知和表达存在差异。
Background:The objective of this study was to explore the factor structure of a shortened ten-item Center for Epidemiologic Studies Depression Scale (CES-D 10) used in a national survey in China.Methods:This secondary research is based on the wave I (2011) of the China Health Aging Retirement and Longevity Study (CHARLS). CHARLS recruited a nationally representative community sample of households with members aged 45 years or above. A subsample of 742 respondents aged 60 years and older were used for this study. Confirmatory factor analyses were conducted to test three competing models and determine the best-fit model for the elderly Chinese sample. Factorial invariance across gender was also examined. R-2 coefficient was used to measure the reliability of each item.Results:Confirmatory factor analysis supported the two-factor model as having the best fit. Depressive affect and somatic symptoms were the first factor while positive affect was loaded as the second factor. The multi-group analysis showed that the two-factor structure varied across the male and female groups in China (chi(2) (df = 86) = 144.13, p < 0.001). Moreover, gender differences were indicated by individual item reliability scores, mean score, and prevalence rate of depressive symptoms.Conclusion:The CES-D 10 Scale indicated adequate reliability and validity for the community-dwelling older population in China. In addition, the data revealed that perception and expression of depressive feelings was different between male and female elderly people.