Measurement adequacy of the CES-D among a sample of older African-Americans

Measurement adequacy of the CES-D among a sample of older African-Americans
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DOI:
10.1016/s0165-1781(01)00360-2
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发表时间:
2002-01-31
影响因子:
11.3
通讯作者:
DeVellis, RF
DeVellis, RF
中科院分区:
医学2区
文献类型:
--
作者:
Foley, KL;Reed, PS;DeVellis, RF

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本手稿检验了 CES-D 应用于老年非裔美国人 (n=227) 时的测量充分性。所有项目的响应分布都倾向于较少的症状,CES-D 的内部一致性是可以接受的(α = 0.86)。探索性因素分析揭示了抑郁症状的四个潜在因素:(1)抑郁/躯体; (2) 积极; (3)人际交往; (4)社会福祉。主要因素是抑郁症和躯体症状的结合,这是种族群体中常见的单维因素。此外,还出现了第四个之前未被识别的因素,被标记为“社会福祉”。这个因素包括三个可能影响老年人社交互动的项目:食欲、希望和谈话。这些发现为 CES-D 在不同人群中的独特测量特性提供了越来越多的证据。 (C) 2002 Elsevier Science Ireland Ltd. 保留所有权利。
This manuscript examines the measurement adequacy of the CES-D when applied in older African-Americans (n=227). The response distribution was skewed towards less symptomatology on all items, and the internal consistency of the CES-D was acceptable (alpha = 0.86). An exploratory factor analysis revealed four underlying factors of depressive symptomatology: (1) depressive/somatic; (2) positive; (3) interpersonal; and (4) social well-being. The primary factor was a combination of depression and somatic symptoms, a commonly reported uni-dimensional factor among ethnic groups. Additionally, a fourth factor emerged that has not previously been identified, labeled 'social well-being'. This factor consisted of three items that may tap into the social interactions of the elderly: appetite, hopeful, and talk. These findings contribute to the growing body of evidence on the unique measurement properties of the CES-D across diverse populations. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.