Dimensions of the Center of Epidemiological Studies–Depression Scale for People with Arthritis from the UK

1998 ◽  
Vol 83 (3) ◽  
pp. 915-919 ◽  
Author(s):  
Julie H. Barlow ◽  
Chris C. Wright

The aim of this study was to investigate the factor structure and to conduct an item analysis of the Center for Epidemiological Studies–Depression Scale (CES–D) among people with arthritis from the UK. This 20-item self-report scale was designed by Radloff in 1977 to measure depressive symptomatology in the general population. Data were drawn from a national study and collected through self-administered questionnaires mailed to participants, each of whom had a confirmed diagnosis of arthritis. Reliability and structure of the scale were examined using standard item analysis, internal consistency (Cronbach alpha), and principal components analysis. A four-dimensional structure was identified: Self-worth, Depressed Affect, Positive Affect, and Somatic Disturbance; three items loaded on two factors and were excluded from consideration. Comparisons with previous studies indicated some differences in the subscales and showed that, in this sample, two subscales might be artifacts of measurement. In samples of people with arthritis from the UK, use of the total score may not reflect accurate depressive symptomatology and the subscale scores should be used with caution.

1993 ◽  
Vol 5 (2) ◽  
pp. 147-156 ◽  
Author(s):  
Margaret Gatz ◽  
Boo Johansson ◽  
Nancy Pedersen ◽  
Stig Berg ◽  
Chandra Reynolds

The Center for Epidemiological Studies Depression scale (CES-D) was administered in Swedish to two representative samples, one aged 84 to 90 (mean = 87), the second aged 29 to 95 (mean = 61). There were both linear and quadratic differences with age: the oldest individuals were highest on depressive symptoms, but younger adults were higher than middle-aged. Dimensions or subscales identified by previous studies were generally replicated, including a sadness and depressed mood factor, a psychomotor retardation and loss of energy factor, and a well-being factor (on which items are reverse-scored to indicate depression). The findings support cross-national use of the CES-D to assess self-reported symptoms of depression in adults and older adults.


2005 ◽  
Vol 39 (4) ◽  
pp. 262-265 ◽  
Author(s):  
Jon J Pfaff ◽  
Jon J Pfaff ◽  
Osvaldo P Almeida

Objective: To determine the characteristics of depressed older patients whose mental health status is detected by their general practitioner (GP). Method: Cross-sectional analytical design of 218 patients scoring above the cut-off (≥ 16) of the Center for Epidemiological Studies – Depression Scale (CES-D), from a sample of 916 consecutive patients aged 60 years or over attending one of 54 randomly selected GPs in Western Australia. Prior to their medical consultation, patients completed a self-report questionnaire, which included questions about depressive symptomatology (CES-D). Following the consultation, general practitioners recorded the patient's presenting complaint(s), medication information, and mental health details on a patient summary sheet. Results: Among these 218 patients, 39.9% (87/218) were correctly classified as depressed by their GP. Detection of depressive symptomatology was associated with patients who acknowledged taking sleeping tablets (OR = 2.6, 95% CI = 1.3–5.4), had CES-D scores indicative of major depression (≥ 22) (OR = 2.8, 95% CI = 1.4–5.6) and were thought to be at risk for suicide (OR = 35.1, 95% CI = 4.5–274.2). Conclusions: While GPs are most apt to detect depression among older patients with prominent mental health symptoms, many patients in this age group silently experience significant depressive symptomatology and miss the opportunity for effective treatment. The routine use of screening tools in primary care is recommended to enhance the detection rate of depression in older adults.


2005 ◽  
Vol 73 (1) ◽  
pp. 47-58 ◽  
Author(s):  
Lisa J. Crockett ◽  
Brandy A. Randall ◽  
Yuh-Ling Shen ◽  
Stephen T. Russell ◽  
Anne K. Driscoll

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S877-S878
Author(s):  
Manuel Herrera Legon ◽  
Daniel Paulson

Abstract Objective: The vascular depression hypothesis posits that cerebrovascular burden confers risk for late-life depression. Though neuroanatomical correlates of vascular depression (prefrontal white matter hyperintensities) are well established, little is known about cognitive correlates; the identification of which may suggest therapeutic targets. Aims of this study are to examine the hypothesis that the relationship between cerebrovascular burden and depressive symptoms is moderated by brooding, a type of rumination. Method: A sample of 52 community-dwelling, stroke-free, individuals over the age of 70, without history of severe mental illness or dementia completed the Ruminative Responses Scale, and provided self-report (cardiac disease, hypertension, diabetes, high cholesterol) CVB data. The Geriatric Depression Scale was used to assess depressive symptomatology. Results: Results of a bootstrapped model were that self-reported measures of CVB predicted depressive symptomatology. This relationship was significantly moderated by brooding. Among older adults, those who self-reported high CVB and medium to elevated levels of rumination experienced disproportionately more depressive symptomatology. Conclusions: These findings suggest that brooding rumination may be one correlate of the vascular depression syndrome. Future research should examine neuroanatomical correlates of rumination among older adults, and further explore brooding as a therapeutic target for those with late-life depression.


1993 ◽  
Vol 73 (3_part_1) ◽  
pp. 1019-1046
Author(s):  
Judy A. Andrews ◽  
Peter M. Lewinsohn ◽  
Hyman Hops ◽  
Robert E. Roberts

In preparation for a community-based study of depression in adolescence, several pilot studies were conducted with samples of adolescents. The purpose of these studies was to evaluate the reliability and association with depression of several instruments when used with older (14- to 18-year-old) adolescents. These instruments included measures of cognitions, body image, self-esteem, self-awareness, social interactions with peers and family, social support, micro- and macrostressful life events, anxiety and tension, positive affect, antisocial or oppositional behavior, suicidal ideation, and vocabulary. The internal consistency reliability and stability of most of the instruments were satisfactory. In addition, most instruments were associated with a measure of depression, Radloff's Center for Epidemiological Studies-Depression Scale. Several of the scales were successfully abbreviated using techniques based on factor analysis and item analysis.


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Elisabeth M. J. Huis In ‘T Veld ◽  
Ceylan Makine ◽  
Arie Nouwen ◽  
Çağatay Karşıdağ ◽  
Pinar Kadıoğlu ◽  
...  

The Problem Areas in Diabetes (PAID) scale is a widely used self-report measure that can facilitate detection of diabetes-specific emotional distress in clinical practice. The aim of this study was to assess the factor structure and validity of the Turkish version of the PAID. A validation study was conducted among 154 patients with insulin-naïve type 2 diabetes. Participants completed the PAID, Centre for Epidemiological Studies Depression Scale (CES-D), Insulin Treatment Appraisal Scale (ITAS), and World Health Organization-Five Well-Being Index (WHO-5) questionnaires. Exploratory factor analyses yielded a 2-factor structure, identifying a 15-item “diabetes distress” factor and a 5-item “support-related issues” factor. The total PAID-score and the two dimensions were associated with higher levels of depression and poor emotional well-being. In the present study, the Turkish version of the PAID had satisfactory psychometric properties, however, the factorial structure was found to differ from factor solutions from other countries.


1985 ◽  
Vol 57 (2) ◽  
pp. 535-541 ◽  
Author(s):  
Alexander Tolor ◽  
Vincent M. Murphy

The High School Social Readjustment Scale, a measure of stressful life events, and the center for Epidemiological Studies Depression Scale, a short self-report scale measuring depressive symptomatologies, were administered twice to 285 high school students over a 6-mo. interval. Both measures were statistically reliable. On both test administrations girls, but not boys, displayed a significant relationship between stress and depression.


2019 ◽  
Vol 8 (4) ◽  
pp. 185-189
Author(s):  
Naeem Aslam ◽  
Kashfa Mahreen

Background: Urinary incontinence (UI) is a highly prevalent in elderly people. The aim of the study was to see the relationship between urinary incontinence, depression, and life satisfaction in elderly patients. Moreover, it aimed to investigate the predictive role of UI in geriatric depression and life satisfaction in elderly patients. Methods: This was the cross-sectional study. 83 patients (45% male and 55% female) with a mean age of 69 years (51-102 years) were included in this study. Self-report measures were used. Geriatric Depression Scale, Questionnaire for Urinary Incontinence Diagnosis, and life Satisfaction Scale were used for data collection. Results: Results showed that geriatric depression is significantly positively associated with the UI and negatively associated with the Life satisfaction. UI is also negatively associated with Life satisfaction. In addition, age is significantly positively associated with geriatric depression and UI. Duration of illness is significantly positively associated with depression, whereas, education is negatively associated with depression and UI. Regression analysis showed that UI positively predicted the geriatric depression and negatively predicted the life satisfaction. Conclusion: UI positively predicts Geriatric depression and lowers the life satisfaction. Timely assessment and effective management of UI may reduce the depressive symptomatology and enhance life satisfaction. Understanding the associations between these variables can have substantial implications for both clinical work and research in this area.


2010 ◽  
Vol 16 (12) ◽  
pp. 1500-1506 ◽  
Author(s):  
Nadine Akbar ◽  
Kimia Honarmand ◽  
Nancy Kou ◽  
Brian Levine ◽  
Neil Rector ◽  
...  

Background: Neuropsychological batteries are long and require expertise to administer. For this reason, the Multiple Sclerosis Neuropsychological Questionnaire (MSNQ) was developed as it is quick and easy to complete. The informant version of the scale has proven to be a useful screen for cognitive impairment in multiple sclerosis (MS). Objective: The objective was to validate an Internet version of the MSNQ. Methods: The following psychometric data were collected at home over the Internet in 82 MS patients: (a) patient self-report version MSNQ (P-MSNQ), (b) informant version MSNQ (I-MSNQ), and (c) Center for Epidemiological Studies Depression Scale (CES-D). Thereafter patients underwent in-office testing with the Brief Repeatable Battery of Neuropsychological Tests (BRB-N). The sensitivity and specificity of the Internet MSNQ to detect cognitive impairment relative to the BRB-N was determined using receiver operating characteristic (ROC) curve analysis. Results: Thirty-five percent of the sample was cognitively impaired. The P-MSNQ was correlated with depression and two tests of the BRB-N. The I-MSNQ was correlated with depression and all five tests of the BRB-N. A cut-off score of 26 on the I-MSNQ gave a sensitivity and specificity of 72% and 60% respectively. Test-retest and internal reliability analyses were strong for both the P-MSNQ and I-MSNQ. Conclusion: This is the first attempt at an Internet validation of the MSNQ. The modest sensitivity and specificity values suggest that further research is needed before either the patient or informant version of the MSNQ can be used for neuropsychological screening purposes over the Internet.


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