Factorial structure of the CES-D among American Indian adolescents

Dick, Rhonda Wiegman; Beals, Janette; Keane, Ellen; Manson, Spero M.

doi:10.1006/jado.1994.1007

Cited by 63 publications

(55 citation statements)

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“…Drawing on previous research with North American Indigenous adolescents (Beals et al, 1991; Chapleski et al, 1997; Dick et al, 1994; Manson et al, 1990), we hypothesized that a three-factor structure, consisting of interpersonal difficulties, positive affect, and a combination of depressed affect and somatic complaints, would best explain responses to the CES-D in our sample. This hypothesis was not supported; specifically, the four-factor, three-factor, two-factor, and one-factor with correlated errors (for the positive affect items) models provided a roughly equivalent fit to the data.…”

Section: Discussionmentioning

confidence: 99%

“…The CES-D (Radloff, 1977) is one of the most widely used measures of depressive symptoms and has been included in a number of studies with Indigenous samples (e.g., Beals, Manson, Keane, & Dick, 1991; Chapleski, Lamphere, Kaczynski, Lichtenberg, & Dwyer, 1997; Dick, Beals, Keane, & Manson, 1994; Manson, Ackerson, Dick, Baron, & Fleming, 1990). The CES-D was developed to assess symptoms associated with major depression, specifically, “depressed mood, feelings of guilt and worthlessness, feelings of helplessness and hopelessness, psychomotor retardation, loss of appetite and sleep disturbances” (Radloff, 1977, p. 386).…”

Section: The Center For Epidemiologic Studies Depression Scalementioning

confidence: 99%

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A longitudinal examination of the measurement properties and predictive utility of the Center for Epidemiologic Studies Depression Scale among North American Indigenous adolescents.

Armenta¹,

Sittner²,

Whitbeck³

et al. 2014

Psychological Assessment

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We examined the longitudinal measurement properties and predictive utility of the Center for Epidemiologic Studies Depression Scale (CES-D) from early to late adolescence among a sample of North American Indigenous youths. Participants were 632 North American Indigenous adolescents (n = 632; 50.3% girls; M age at baseline = 11.11 years) participating in an 8-year, 8-wave longitudinal study. Via in-person interviews, participants completed the CES-D at Waves 1, 3, 5, and 7, and the major depressive disorder (MDD) module of the Diagnostic Interview Schedule for Children at Waves 1, 4, 6, and 8. Confirmatory factor analyses indicated that responses to the CES-D were similarly explained by 2-, 3-, and 4-factor models, as well as a 1-factor model with correlations between the error variances for the positively worded items. Longitudinal measurement equivalence analyses indicated full structural (i.e., factor structure), metric (i.e., factor loadings), and scalar (i.e., observed item intercepts) equivalence for each factor structure. Substantive analyses showed that the CES-D was significantly associated with MDD both concurrently and prospectively, although these effects were smaller than might be expected. Finally, the CES-D negative affect and somatic complaints subscales were the strongest and most consistent predictors of MDD. Among our sample of North American Indigenous youths, the measurement properties of the CES-D were stable from early to late adolescence. Moreover, somatic difficulties and depressed affect were the strongest predictors of MDD.

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Section: Discussionmentioning

confidence: 99%

Section: The Center For Epidemiologic Studies Depression Scalementioning

confidence: 99%

A longitudinal examination of the measurement properties and predictive utility of the Center for Epidemiologic Studies Depression Scale among North American Indigenous adolescents.

Armenta¹,

Sittner²,

Whitbeck³

et al. 2014

Psychological Assessment

View full text Add to dashboard Cite

show abstract

“…It is composed of 20-items, administered as a self-report instrument (Radloff, 1977). The CES-D has been used in several published studies with American Indian participants (Baron et al, 1990; Manson et al, 1990; Somervell et al, 1993; Beals et al, 1991; Dick et al, 1994). The CES-D is described in previous SHS publications as a “non clinical measure of depressive symptomatology” (Plaud et al, 1997).…”

Section: Methodsmentioning

confidence: 99%

Relationship between glycemic control and depression among American Indians in the Strong Heart Study

Calhoun

Beals

Carter

et al. 2010

Journal of Diabetes and its Complications

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Objectives To examine the relationship between depression and glycemic control in the Strong Heart Study (SHS), a longitudinal study of cardiovascular disease in American Indians. Methods This cross sectional analysis focused on the relationship between depression, diabetes, and glycemic control among 2,832 individuals ≥age 15. Depression was measured by the CES-D scale and diabetes by American Diabetes Association criteria. An ordered logit regression model was used to assess whether diabetes was related to level of depression (none, mild, moderate, severe). Multiple logistic regression was used to explore the relationship between A1c and severe depression in participants with diabetes. Results Rates of depression were higher in men and women with diabetes when compared to those without diabetes, respectively (p<.05). For every 1-unit increase in A1c, the odds of severe depression increased by 22% (OR 1.22, 95% CI: 1.05–1.42). Female gender (OR 2.97, 95% CI: 1.32–6.69) and BMI (OR 1.04, 95% CI: 1.00–1.08) also were significantly associated with increased risk for severe depression. Although BMI appears to be significantly associated with increased risk for severe depression, the magnitude of this effect was small. Conclusions Individuals with diabetes have higher rates of depression than those without diabetes, consistent with other populations. There is a positive relationship between severity of depression and A1c levels; men and women with severe depression have higher A1c levels than those with moderate-to-no depression.

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“…The shorter form has been validated in geriatric and adult populations with a two factor model (DA 409 and PA) most consistently supported (Irwin, Artin, & Oxman, 1999;Lee & Chokkanathan, 2008), although there is also evidence for a three factor model (Cheng, Chan, & Fung, 2006). Other studies in adolescents have supported one, two, and three factor models as the best fit for the CES-D 20 (Dick, Beals, Keane, & Manson, 1994;Edman et al, 1999). In adolescents, the 20-item form has been validated across African-Americans and Caucasian-Americans with consistent reliability and factor structure (Hales et al, 2006).…”

mentioning

confidence: 88%

Factorial Validity of the Center for Epidemiological Studies Depression 10 in Adolescents

Bradley

Bagnell

Brannen

2010

Issues in Mental Health Nursing

219

168

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The Center for Epidemiological Studies-Depression (CES-D) Scale's 20-item version is well-validated and reliable for detecting depressive symptoms in adolescents in community samples. A shortened version, CES-D 10 has not been validated with adolescents, but has demonstrated strong psychometrics in other populations. The purpose of this study was to test the factorial validity and internal consistency of the CES-D 10 in adolescents. Using data from 156 adolescents in a previous community-based study, we tested three models of the underlying factors of the CES-D 10 using Structural Equation Modeling (SEM) based on factor models validated in other populations. A two-factor model comprised of depressive affect and positive affect was found to be the model that best fits the data (RMSEA = 0.016, CFI = 0.98, GFI = 0.95, AIC = 97.43, BIC = 191.98). These findings are consistent with other studies in adults and provide initial support for the use of the CES-D 10 as a depression screen for adolescents in the community. The utility of a brief screen for adolescents in the community is high, given that many adolescents do not know they need help or are reluctant to seek help. The CES-D 10 could be used as a depression screen for adolescents at a population level and in health clinics.

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Factorial structure of the CES-D among American Indian adolescents

Cited by 63 publications

References 0 publications

A longitudinal examination of the measurement properties and predictive utility of the Center for Epidemiologic Studies Depression Scale among North American Indigenous adolescents.

A longitudinal examination of the measurement properties and predictive utility of the Center for Epidemiologic Studies Depression Scale among North American Indigenous adolescents.

Relationship between glycemic control and depression among American Indians in the Strong Heart Study

Factorial Validity of the Center for Epidemiological Studies Depression 10 in Adolescents

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