Prediction of major depression and dysthymia from CES-D scores among ethnic minority adolescents
Prediction of major depression and dysthymia from CES-D scores among ethnic minority adolescents
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DOI：
10.1097/00004583-199805000-00012
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发表时间：
1998-05-01
影响因子：
13.3
通讯作者：
Carlton, BS
中科院分区：
文献类型：
--
作者：
Prescott, CA;McArdle, JJ;Carlton, BS
目的：夏威夷原住民心理健康研究发展计划是对居住在夏威夷的青少年进行的流行病学纵向研究。本文考察了流行病学研究中心抑郁量表(CES-D)对重度抑郁症(MD)和恶劣心境障碍(DD)的DSM-III-R诊断的预测作用，并调查了预测是否因性别和种族而不同。方法：从7000多名完成CES-D考试的学生中随机抽取556名青少年进行儿童诊断性访谈。结果：6个月患病率：MD=8.5%，DD=4.7%，MDDD=9.9%。女性的患病率明显更高，但在考虑了CES-D得分后，在大多数分析中，性别不再预测抑郁症。当使用16分作为分界值时，夏威夷原住民的分类准确率低于非夏威夷人。然而，在考虑了性别和年级水平的组差异后，CES-D的预测效度没有种族差异。CES-D因子1分为MD、DD和MDDD三个因子，总分或三个因子同时存在。结论：这些结果支持CES-D在夏威夷原住民和其他少数民族背景的青少年中筛查抑郁症的有效性。
Objective: The Native Hawaiian Mental Health Research Development Program is an epidemiological longitudinal study of adolescents residing in Hawaii. This article examines the utility of the Center for Epidemiologic Studies-Depression Scale (CES-D) for predicting DSM-III-R diagnoses of major depression (MD) and dysthymic disorder (DD) and investigates whether prediction differs by gender and ethnicity. Method: Diagnostic Interview Schedule for Children interviews were conducted with 556 adolescents randomly selected from among more than 7,000 students who had completed the CES-D. Results: Six-month prevalence rates were as follows: MD = 8.5%, DD = 4.7%, either (MDDD) = 9.9%. Prevalence rates were significantly higher among females, but after CES-D scores were accounted for, gender no longer predicted depression in most analyses. When a cutoff score of 16 was used, classification accuracy was lower for Native Hawaiians than non-Hawaiians. However, after group differences in gender and grade level were accounted for, the predictive validity of the CES-D did not differ by ethnicity. CES-D factor 1 scores identified MD, DD, and MDDD about as well as the total score or all three factors together. Conclusions: These results support the validity of the CES-D for screening for depression among adolescents of Native Hawaiian and other minority backgrounds.