scholarly journals Shades of Blue and Gray: A Comparison of the Center for Epidemiologic Studies Depression Scale and the Composite International Diagnostic Interview for Assessment of Depression Syndrome in Later Life

2019 ◽  
Vol 60 (4) ◽  
pp. e242-e253 ◽  
Author(s):  
Linh Dang ◽  
Liming Dong ◽  
Briana Mezuk
Keyword(s):  
Short Form ◽  
Depression Scale ◽  
Composite International Diagnostic Interview ◽  
Later Life ◽  
Epidemiologic Studies ◽  
Diagnostic Interview ◽  
Psychiatric Research ◽  
And Gender ◽  
Ethnicity And Gender ◽  
Design And Methods

Abstract Background and Objectives Psychiatric research lacks the equivalent of a thermometer, that is, a tool that accurately measures mental disorder regardless of context. Instead, the psychometric properties of scales that purport to assess psychopathology must be continuously evaluated. To that end, this study evaluated the diagnostic agreement between the eight-item Center for Epidemiologic Studies Depression Scale (CESD-8) and the Composite International Diagnostic Interview—short form (CIDI-SF) in the Health and Retirement Study (HRS). Research Design and Methods Data come from 17,613 respondents aged >50 from the 2014 wave of the HRS. Kappa coefficients were used to assess the agreement between the 2 instruments on depression classification across a range of thresholds for identifying case status, including variation across subgroups defined by age, race/ethnicity, and gender. Results The point prevalence of depression syndrome estimated by the CESD was higher than that estimated by the CIDI-SF (CESD: 9.9%–19.5% depending on the cutoff applied to the CESD vs CIDI-SF: 7.7%). Assuming CIDI-SF as the gold standard, the CESD yielded a sensitivity of 56.2%–70.2% and specificity of 84.7%–94.0% across the range of cutoffs. The agreement on depression classification was weak (κ = 0.32–0.44). Discussion and Implications Depression cases identified by the CESD have poor agreement with those identified by the CIDI-SF. Conceptually, psychological distress as measured by the CESD is not interchangeable with depression syndrome as measured by the CIDI-SF. Population estimates of depression among older adults based on the CESD should be interpreted with caution.

scholarly journals The Depression Scale as a screening instrument for a subsequent depressive episode in primary healthcare patients

2007 ◽  
Vol 191 (1) ◽  
pp. 50-54 ◽  
Author(s):  
Outi Poutanen ◽  
Anna-Maija Koivisto ◽  
Matti Joukamaa ◽  
Aino Mattila ◽  
Raimo K. R. Salokangas
Keyword(s):  
Primary Care ◽  
Primary Healthcare ◽  
Depressive Episode ◽  
Short Form ◽  
Depression Scale ◽  
Composite International Diagnostic Interview ◽  
Screening Instrument ◽  
Diagnostic Interview ◽  
Scale Scores

BackgroundThere are numerous instruments for screening for depression. A feasible screen is good at both recognising and predicting depression.AimsTo study the ability of the Depression Scale and its items to recognise and predict a depressive episode.MethodA sample of patients attending primary care was examined in 1991–1992 and again 7 years later. The accuracy of the Depression Scale at baseline and at follow-up was tested against the Short Form of the Composite International Diagnostic Interview (CIDI-SF) diagnosis of depression at follow-up. The sensitivity and specificity of the Depression Scale and its items were assessed.ResultsBoth baseline and follow-up Depression Scale scores were consistent with the CIDI–SF diagnoses. It was possible to find single items efficient at both recognising and predicting depression.ConclusionsThe Depression Scale is a useful screening instrument for depression, with both diagnostic and predictive validity.

Center for Epidemiologic Studies Depression Scale - Short Form

2006 ◽  
Author(s):  
Matthew P. Martens ◽  
Jerry C. Parker ◽  
Karen L. Smarr ◽  
James E. James E. Hewett ◽  
Bin Ge ◽  
...  
Keyword(s):  
Short Form ◽  
Depression Scale ◽  
Epidemiologic Studies

Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach

2001 ◽  
Vol 35 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Gordon Parker ◽  
Gordon Parker ◽  
Therese Hilton ◽  
Dusan Hadzi-Pavlovic ◽  
Jatinder Bains
Keyword(s):  
Mood State ◽  
Depression Scale ◽  
Composite International Diagnostic Interview ◽  
Depressive Mood ◽  
Physical Symptoms ◽  
Diagnostic Interview ◽  
Medical Illness ◽  
Medically Ill ◽  
High Internal Consistency ◽  
Comparison Measures

Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depressive mood state nuances. Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness. Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure. Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms.

Patterns of alcohol consumption and psychiatric disorders among Ontario adults

1997 ◽  
Vol 24 (3) ◽  
pp. 533-556 ◽  
Author(s):  
Helen Ross ◽  
Jürgen Rehm ◽  
Gordon Walsh
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Psychiatric Disorders ◽  
Problem Drinking ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
University Of Michigan ◽  
And Gender ◽  
The University ◽  
The Relationship

This study examined the relationship between patterns of alcohol consumption, including problem drinking, and psychiatric disorders in the general population. The paper utilizes data on 8,116 adults age 15–64 living in households who were interviewed for the Ontario Health Survey and the Mental Health Supplement. The University of Michigan Composite International Diagnostic Interview (UM-CIDI) was administered by trained lay interviewers to generate lifetime DSM-III-R diagnoses. Unlike previous studies, the results of this study provided no evidence of a U-shaped or J-shaped curve or relationship between alcohol use and mental health. Lifetime abstainers had the lowest risks for all mental disorders examined, while former at-risk drinkers (those who had not had a drink in the previous year but at one time regularly drank more than 12 drinks a week) had the highest risks, even after adjustment for age and gender.

scholarly journals Masculine Traits and Depressive Symptoms in Older and Younger Men and Women

2015 ◽  
Vol 12 (1) ◽  
pp. 19-29 ◽  
Author(s):  
Elizabeth C. Price ◽  
Jeffrey J. Gregg ◽  
Merideth D. Smith ◽  
Amy Fiske
Keyword(s):  
Depressive Symptoms ◽  
Internalizing Symptoms ◽  
Depression Scale ◽  
Externalizing Symptoms ◽  
Epidemiologic Studies ◽  
Assessment Tools ◽  
Age Group ◽  
Men And Women ◽  
Younger Men ◽  
And Gender

Evidence suggests that men who strongly endorse masculine traits display an atypical presentation of depression, including more externalizing symptoms (e.g., anger or substance use), but fewer typical, internalizing symptoms (e.g., depressed mood or crying). This phenomenon has not been adequately explored in older adults or women. The current study used the externalizing subscale of the Masculine Depression Scale in older and younger men and women to detect atypical symptoms. It was predicted that individuals who more strongly endorsed masculine traits would have higher scores on the measure of externalizing symptoms relative to a measure of typical depressive symptoms Center for Epidemiologic Studies–Depression Scale. It was anticipated that results would differ by age-group but not by gender. Multigroup path analysis was used to test the hypothesis. The hypothesized path model, in which endorsement of masculine traits was associated with lower scores on the Center for Epidemiologic Studies–Depression Scale and with scores on the externalizing, but not internalizing, factor of the Masculine Depression Scale, fit the data well. Results differed significantly by age-group and gender. Masculine individuals reported lower levels of typical depressive symptoms relative to externalizing symptoms, but further research is needed within age- and gender groups. Results are consistent with the gendered responding framework and suggest that current assessment tools, which tend to focus on internalizing symptoms of depression, may not detect depression in individuals who endorse masculine traits.

scholarly journals The Moderating Effects of Coping Strategies on Major Depression in the General Population

2002 ◽  
Vol 47 (2) ◽  
pp. 167-173 ◽  
Author(s):  
JianLi Wang ◽  
Scott B Pat ten
Keyword(s):  
Major Depression ◽  
General Population ◽  
Coping Strategies ◽  
Life Stress ◽  
Depressive Disorders ◽  
Short Form ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
World Health ◽  
Moderating Effects

Objectives: To evaluate the moderating effects of various coping strategies on the as sociation between stressors and the prevalence of major depression in the general population. Methods: Subjects from the Alberta buy- incomponent of the 1994 –1995 National Population Health Survey (NPHS) were included in the analysis ( n = 1039). Each subject was asked 8 questions about coping strategies that dealt with unexpected stress from family problems and personal crises. Major depression was measured using the World Health Organization's (WHO) Composite International Diagnostic Interview-Short Form (CIDI- SF) for major depression. The im pacts of coping strategies in relation to psychological stres sors on the prevalence of major depression were de ter mined by examining interactions between coping and life stress on major depression using logistic regression modelling. Results: No robust impact of coping strategies in relation to various categories of stress evaluated in the NPHS was observed. There was evidence that the use of “pray and seek religious help” and “talks to others about the situations” as coping strategies by women moderated the risk of major depression in the presence of financial stress and relation ship stress (with a partner). Using emotional expression as a coping strategy by women might de crease the risk of major depression in the presence of 1 or more re cent life events, personal stress, relationship stress (with a partner), and environmental stress. Conclusion: Different coping strategies may have a differential impact on the prevalence of major depression in specific circumstances. These findings may be important both to prevent and to treat depressive disorders.

scholarly journals Duration of depressive symptoms and mortality risk: The English Longitudinal Study of Ageing (ELSA)

2016 ◽  
Vol 208 (4) ◽  
pp. 337-342 ◽  
Author(s):  
James White ◽  
Paola Zaninotto ◽  
Kate Walters ◽  
Mika Kivimäki ◽  
Panayotes Demakakos ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Mortality Risk ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Symptom Duration ◽  
Functional Impairments ◽  
Hazard Ratios ◽  
And Gender ◽  
English Longitudinal Study

BackgroundThe relationship between the duration of depressive symptoms and mortality remains poorly understood.AimsTo examine whether the duration of depressive symptoms is associated with mortality risk.MethodData (n = 9560) came from the English Longitudinal Study of Ageing (ELSA). We assessed depressive symptom duration as the sum of examinations with an eight-item Center for Epidemiologic Studies Depression Scale score of ⩾3; we ascertained mortality from linking our data to a national register.ResultsRelative to those participants who never reported symptoms, the age- and gender-adjusted hazard ratios for elevated depressive symptoms over 1, 2, 3 and 4 examinations were 1.41 (95% CI 1.15–1.74), 1.80 (95% CI 1.44–2.26), 1.97 (95% CI 1.57–2.47) and 2.48 (95% CI 1.90–3.23), respectively (P for trend <0.001). This graded association can be explained largely by differences in physical activity, cognitive function, functional impairments and physical illness.ConclusionsIn this cohort of older adults, the duration of depressive symptoms was associated with mortality in a dose–response manner.

scholarly journals Comorbid Depression among Untreated Illicit Opiate Users: Results from a Multisite Canadian Study

2005 ◽  
Vol 50 (9) ◽  
pp. 512-518 ◽  
Author(s):  
T Cameron Wild ◽  
Nady el-Guebaly ◽  
Benedickt Fischer ◽  
Suzanne Brissette ◽  
Serge Brochu ◽  
...  
Keyword(s):  
Major Depression ◽  
Drug Use ◽  
Service Use ◽  
Short Form ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Quebec City ◽  
Comorbid Depression ◽  
Chi Square ◽  
Targeted Interventions

Objectives: This study aimed to describe patterns of major depression (MDD) in a cohort of untreated illicit opiate users recruited from 5 Canadian urban centres, identify sociodemographic characteristics of opiate users that predict MDD, and determine whether opiate users suffering from depression exhibit different drug use patterns than do participants without depression. Method: Baseline data were collected from 679 untreated opiate users in Vancouver, Edmonton, Toronto, Montreal, and Quebec City. Using the Composite International Diagnostic Interview Short Form for Major Depression, we assessed sociodemographics, drug use, health status, health service use, and depression. We examined depression rates across study sites; logistic regression analyses predicted MDD from demographic information and city. Chi-square analyses were used to compare injection drug use and cocaine or crack use among participants with and without depression. Results: Almost one-half (49.3%) of the sample met the cut-off score for MDD. Being female, white, and living outside Vancouver independently predicted MDD. Opiate users suffering from depression were more likely than users without depression to share injection equipment and paraphernalia and were also more likely to use cocaine ( Ps < 0.05). Conclusions: Comorbid depression is common among untreated opiate users across Canada; targeted interventions are needed for this population.

scholarly journals Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age

2017 ◽  
Vol 31 (5) ◽  
pp. 760-782 ◽  
Author(s):  
Mai Stafford ◽  
Toni C. Antonucci ◽  
Paola Zaninotto
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Growth Models ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
And Gender ◽  
Bidirectional Associations ◽  
Negative Support ◽  
Positive Support ◽  
Over Time

Objective: We describe changes in depressive symptoms and positive and negative social support from the spouse/partner in a representative sample of older people in England. Method: Men and women aged 50+ ( N = 7,171) from the English Longitudinal Study of Ageing reported social support and depressive symptoms (Center for Epidemiologic Studies Depression Scale) on up to five occasions between 2002-2003 and 2010-2011. Parallel process latent growth models estimated their bidirectional associations, adjusted for gender, wealth, education, and limiting illness. Results: In age- and gender-adjusted models, positive spousal support decreased and negative support increased over time, especially among women. Greater increases over time in depressive symptoms were seen in those with lower positive support or higher negative support at baseline. More baseline depressive symptoms predicted greater declines in positive support and greater increases in negative support from the spouse. Discussion: Improving older couple’s relationship quality may help reduce depressive symptoms.

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