The Utility of the Ces-D as a Depression Screening Measure among Low-Income Women Attending Primary Care Clinics

Thomas, Janet L.; Jones, Glenn N.; Scarinci, Isabel C.; Mehan, Daniel J.; Brantley, Phillip J.

doi:10.2190/fufr-pk9f-6u10-jxrk

Cited by 187 publications

(152 citation statements)

References 37 publications

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“…Second, the CES-D does not guarantee the presence of clinically significant depression. The positive predictive validity of a CES-D screen of C16 for major depressive disorder was relatively low (0.28) in at least one sample of low income women, meaning that two-thirds of women who screened positive did not meet criteria for major depressive disorder [30]. Similarly, though a woman's positive CES-D screen at three points suggests recurrence of symptoms, our use of the term ''always'' depressed is not strictly accurate, since there were long stretches between these visits when symptoms may have abated.…”

Section: Discussionmentioning

confidence: 98%

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

Audelo

Kogut

Harley

et al. 2016

Matern Child Health J

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Objective Although previous studies have examined the impact of maternal depression on child overweight and obesity, little is known about the relationship in Latino families, who suffer from high risks of depression and obesity. We prospectively investigated the association between depressive symptoms in women with young children and child overweight and obesity (overweight/obesity) at age 7 years among Latino families. Methods Participants included 332 singletons with anthropometric measures obtained at 7 years from the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study, a birth cohort study. Maternal depression was assessed using the Center for Epidemiologic Studies-Depression (CES-D) scale when the children were 1, 3.5, and 7 years. Overweight and obesity was measured by body mass index (kg/m 2 ) at age 7 years. Results 63 % of women had CES-D scores consistent with depression in at least one of the 3 given assessments. Compared to children whose mothers were never depressed, children whose mothers were depressed at all three assessments had 2.4 times the adjusted odds of overweight/ obesity at age 7 years (95 % CI 1.1-5.6). However, a single positive maternal depression screen was not associated with child overweight/obesity and there was no difference in the odds of overweight/obesity by the age of the child when maternal depression occurred. Conclusion Chronic maternal depression during a child's early life was associated with child overweight/obesity at 7 years. Addressing maternal depression is a critical component of comprehensive obesity prevention and treatment strategies for Latino children.

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Section: Discussionmentioning

confidence: 98%

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

Audelo

Kogut

Harley

et al. 2016

Matern Child Health J

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“…[28][29][30] We defined depressive symptoms as a CES-D score of Ն16. This cutoff point corresponds to 80th percentile scores for community samples and has a 95% sensitivity for diagnosing major depressive disorder (MDD) among low-income women, although the specificity and positive predictive value for MDD are low (70% and 0.28, respectively).…”

Section: Study Variablesmentioning

confidence: 99%

Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

Chung¹,

McCollum²,

et al. 2004

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ABSTRACT. Objectives. To determine the relationships between maternal depressive symptoms and the use of infant health services, parenting practices, and injury-prevention measures.Methods. A prospective, community-based survey of women attending Philadelphia public health centers between February 2000 and November 2001 was conducted. Women were surveyed at 3 time points before and after parturition. Depressive symptoms were determined with the Center for Epidemiologic Studies Depression Scale at each time point. We studied 6 outcomes, clustered into 3 categories: 1) infant health service use (adequate wellchild care and ever being hospitalized); 2) parenting practices (breastfeeding for >1 month and use of corporal punishment); and 3) injury-prevention measures (having a smoke alarm and using the back sleep position).Results. The sample consisted of 774 largely single (74%), uninsured (63%), African American (65%) women, with a mean age of 24 ؎ 6 years and a mean annual income of $8063. Forty-eight percent of women had depressive symptoms at 1 or 2 time points (ever symptoms) and 12% had depressive symptoms at all points (persistent symptoms). Compared with women who never had depressive symptoms (without symptoms), women with persistent symptoms were nearly 3 times as likely to have their child ever hospitalized (adjusted odds ratio: 2.89; 95% confidence interval: 1.61-5.07) and twice as likely to use corporal punishment (adjusted odds ratio: 1.90; 95% confidence interval: 1.08 -3.34). Mothers with persistent depressive symptoms were nearly three-quarters less likely to have smoke alarms in their homes (adjusted odds ratio: 0.28; 95% confidence interval: 0.11-0.70) and one-half as likely to use the back sleep position (adjusted odds ratio: 0.56; 95% confidence interval: 0.35-0.91), compared with women without symptoms. There was no association between maternal depressive symptoms and infant receipt of well-child care or the likelihood of breastfeeding for >1 month.Conclusions. Maternal depressive symptoms persisting from the prepartum to postpartum periods were associated with increased risks of infant hospitalization and use of corporal punishment and with lower likelihood of having a smoke alarm and using the back sleep position. Additional efforts are needed to identify and evaluate mothers with depressive symptoms to improve the health and safety of young infants. Pediatrics 2004; 113:e523-e529. URL: http://www.pediatrics.org/cgi/ content/full/113/6/e523; maternal depression, health services use, preventative health measures, safety, well-child care.ABBREVIATIONS. CES-D, Center for Epidemiologic Studies Depression Scale; MDD, major depressive disorder. D epression affects 12% to 48% of mothers with young children. [1][2][3][4][5] Although depression affects mothers of all socioeconomic groups, the highest rates of maternal depression are reported among low-income women. 1-5 Risk factors for maternal depression other than low income include young maternal age, low education levels, single marital status, no...

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“…Responses are summed for a total score ranging from 0 to 60 with higher scores indicative of more depressive symptoms. Evidence of reliability and validity has been established in lowincome women [35].…”

Section: Study Variablesmentioning

confidence: 99%

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

Dailey

Humphreys

Rankin

et al. 2008

Matern Child Health J

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Objectives-The objective of this study was to describe the occurrence of lifetime trauma exposure in relation to perinatal health outcomes in low-income African American women.Methods-One hundred and sixteen pregnant African American women recruited from two public prenatal clinics participated in this exploratory study. Information was obtained about psychological symptoms, medical conditions, prenatal care utilization, and health behaviors. To measure lifetime trauma exposure, women completed the Trauma History Questionnaire. Maternal and infant outcome data were obtained from the medical records following delivery.Results-The occurrence of trauma exposure was high, with 87% of the women reporting at least one traumatic event. Their mean age was 25 years, 21% were primiparas, and they reported a mean of 4.3 ± 3.5 (median = 3) traumatic events during their lifetime. Crime-related experiences were common and included incidents of family or friends being murdered or killed (40%), robberies (23%), home burglaries (14%), attacks with weapons (13%), and muggings (12%). Lifetime trauma exposure was significantly associated with depressive symptoms, anxiety, and generalized stress. Women with greater lifetime trauma exposure had a higher rate of tobacco use, higher rate of premature rupture of membranes, and longer maternal hospital stay. Conclusion-Low-incomeAfrican American women in this sample experienced a variety of traumatic events. Lifetime trauma exposure was associated with adverse perinatal health. Findings suggest the need to further investigate trauma across the lifespan to better understand the impact of these experiences on the reproductive health and well-being of women and their infants.

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The Utility of the Ces-D as a Depression Screening Measure among Low-Income Women Attending Primary Care Clinics

Cited by 187 publications

References 37 publications

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

Maternal Depression and Childhood Overweight in the CHAMACOS Study of Mexican-American Children

Maternal Depressive Symptoms and Infant Health Practices Among Low-Income Women

An Exploration of Lifetime Trauma Exposure in Pregnant Low-income African American Women

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