EFFECTS OF LANGUAGE AND ETHNIC STATUS ON RELIABILITY AND VALIDITY OF THE CENTER FOR EPIDEMIOLOGIC STUDIES-DEPRESSION SCALE WITH PSYCHIATRIC-PATIENTS
EFFECTS OF LANGUAGE AND ETHNIC STATUS ON RELIABILITY AND VALIDITY OF THE CENTER FOR EPIDEMIOLOGIC STUDIES-DEPRESSION SCALE WITH PSYCHIATRIC-PATIENTS
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DOI：
10.1097/00005053-198910000-00001
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发表时间：
1989-10-01
影响因子：
1.9
通讯作者：
RHOADES, HM
中科院分区：
文献类型：
--
作者：
ROBERTS, RE;VERNON, SW;RHOADES, HM
从562例精神病患者的数据进行了分析，以评估种族地位（盎格鲁/墨西哥裔）和语言（英语/西班牙语）的流行病学中心抑郁量表的信度和效度的影响。结果表明，没有系统的变化，无论是relativity（重测，内部一致性），维度，或能力的CES-D量表，以检测临床抑郁症之间的盎格鲁人或墨西哥血统的人根据语言使用西班牙语为主，英语为主，或双语。然而，数据表明，这种特殊的筛查工具不能充分区分临床抑郁症患者和非抑郁症患者。这些结果证实了最近的几个问题的实用性CES-D量表作为抑郁症筛查工具。总之，现有的证据表明，CES-D量表检测重度抑郁症的能力是如此有限，以至于进一步使用该工具作为筛查似乎是不必要的，至少在治疗环境中是如此。
Data from 562 psychiatric patients were analyzed to assess the effects of ethnic status (Anglo/Mexican origin) and language (English/Spanish) on the reliability and validity of the Center for Epidemiologic Studies-Depression Scale. The results indicate no systematic variation in either relaibility (test-retest, internal consistency), dimensionality, or ability of the CES-D Scale to detect clinical depression among Anglos or persons of Mexican origin classified according to language use as Spanish dominant, English dominant, or bilingual. However, the data indicate that this particular screening instrument does not adequately discriminate between patients with clinical depression and those without depression. These results corroborate several recent that question the utility of the CES-D Scale as a depression screening instrument. Taken together, the available evidence suggests that the ability of the CES-D Scale to detect major depression is so limited that further use of the instruments as a screening would seem unwarranted, at least in treatment settings.