Propiedades psicométricas del Centro de Estudios Epidemiológicos, Escala de depresión para adolescentes en Bulgaria

Tsocheva, Ivelina; Uzun, Bilge; Essau, Cecilia A.

doi:10.30552/ejihpe.v8i1.225

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…Contrary to existing studies [ 7 , 48 ] that reported higher depressive symptom scores in late adolescents, no age difference was observed in the general depression factor. This finding aligns with the results of Tsocheva et al‘s (2018) study [ 42 ]. Furthermore, in contrast to previous findings [ 18 ], late adolescents reported significantly lower levels of positive affect compared to early adolescents.…”

Section: Discussionsupporting

confidence: 93%

“…Concerning gender differences in depressive symptoms, a previous meta-analysis suggests that girls tend to report higher levels of depressive symptoms than boys [ 41 ]. In studies validating the CES-DC, girls generally report higher total scale scores and subscale scores for depressive affect and somatic symptoms compared to boys [ 18 , 20 , 42 ]. Yet, research on Chinese adolescents shows varied results; some studies find girls reporting more depressive symptoms [ 43 – 45 ], while a recent meta-analysis indicates no significant gender differences [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the age difference, previous studies have found that the prevalence rate of depressive symptoms among late adolescents is higher than that of younger adolescents [ 7 , 44 , 48 ]. Using CES-DC, many studies provide evidence for the higher levels of depressive symptoms in late adolescence than in early adolescence across different cultures [ 18 , 20 , 49 ], but also studies reporting no age difference [ 42 ]. In studies using Chinese samples, higher-grade adolescents have a higher prevalence rate of depressive symptoms than the lower grade in secondary schools (see meta-analysis, [ 7 ]).…”

Section: Introductionmentioning

confidence: 99%

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A bifactor representation of the Center for Epidemiological Studies Depression Scale for children: gender and age invariance and implications for adolescents’ social and academic adjustment

Zhao,

Niu,

Huang

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background The Center for Epidemiological Studies Depression Scale for Children (CES-DC) is a widely used scale for screening depressive symptoms in children and adolescents. This study aims to uncover the optimal factor structure of the DES-DC and presents an alternate conceptualization of adolescent depression by estimating bifactor models and several competing models using a sample of Chinese adolescents. Methods The participants were 533 adolescents (49.7% boys, 49.7% girls, 3 participants did not report) between 12 and 18 years of age attending public secondary schools in the middle part of mainland China. Data were collected in classrooms using a questionnaire survey. A structural equation modeling approach was used to estimate and compare a series of competing models for the DES-DC. Results A Bifactor exploratory structural equation model (Bi-ESEM) with the best model fit was retained for representing the current data. Tests of measurement invariance demonstrated strict measurement equivalence across gender and age. No gender and age differences have been found in the general depression factor. Findings provided evidence for the composite reliability and construct validity of DES-DC. Depressive symptoms positively related to the Big Five trait neuroticism, negative emotions, loneliness, social anxious behaviors, and disruptive behaviors during school and negatively related to agreeableness, conscientiousness, extraversion, physical health status, school connectedness, and academic self-efficacy. Conclusions This study provides support for the one general factor construct of the CES-DC and the continuum concept structure of adolescent depression. Moreover, this research offers empirical evidence for comparing depression symptoms among adolescent populations with diverse genders and age groups. Additionally, the findings replicate and expand upon the implications of depressive symptoms on adolescents’ traits, well-being, social-relational adjustment, and academic adaptation.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A bifactor representation of the Center for Epidemiological Studies Depression Scale for children: gender and age invariance and implications for adolescents’ social and academic adjustment

Zhao,

Niu,

Huang

et al. 2024

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

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Universal depressive symptom screening in middle schools in Istanbul: An epidemiologic study

Yildiz Silahli,

Baris,

Qutranji

et al. 2025

Journal of Affective Disorders

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Reliability and structural validity of the Danish Short 4-item version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC4) in adolescents

2022

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Background The 4-item version of the Center of Epidemiological Studies Depression Scale (CES-DC4) is a self-reported questionnaire used to measure depressive symptoms in adolescents, but the psychometric properties of the scale have been tested to only a limited extent. The aim of this study was to examine the reliability and structural validity of the Danish CES-DC4 in 9th graders. Methods Using a sample of 72 adolescents 15 to 17 years of age from five 9th grade classes, the reliability of the CES-DC4 was determined by a test–retest study at a 2-week interval. Descriptive statistics of the adolescents were presented, and internal consistency, structural validity, reliability, and agreement between tests were evaluated. The structural validity of the scale was tested by confirmatory factor analysis (CFA), and the sumscores of the test and retest were presented. Results The estimated Cronbach’s α was 0.61 (95% CI 0.50; 0.71). Inter-item and item-rest correlations indicated that one of the four items (item 20) did not fit well on the scale. CFA found a one-factor model suited for the scale, but the factor loadings indicated that item 20 contributed the least to measure the factor (0.29). Sum scores ranged from 0–9 within a possible interval of 0–12. There were no signs of systematic error of the scale. Limits of Agreement (-3.01; 3.79) were broad. The standard error of measurement (SEM = 1.25 point (95% CI.1.05; 1.47)) and intraclass correlation (ICC(2,1) = 0.60 (95% CI: 0.44; 0.73)) calculations showed low reliability of the CES-DC4. Conclusion This study found low reliability of the CES-DC4 with low estimates of ICC and Cronbach’s α. The CES-DC4 needs revision, and removal of item 20 and adding more items from the CES-DC should be considered.

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Propiedades psicométricas del Centro de Estudios Epidemiológicos, Escala de depresión para adolescentes en Bulgaria

Cited by 4 publications

References 29 publications

A bifactor representation of the Center for Epidemiological Studies Depression Scale for children: gender and age invariance and implications for adolescents’ social and academic adjustment

A bifactor representation of the Center for Epidemiological Studies Depression Scale for children: gender and age invariance and implications for adolescents’ social and academic adjustment

Universal depressive symptom screening in middle schools in Istanbul: An epidemiologic study

Reliability and structural validity of the Danish Short 4-item version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC4) in adolescents

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