Validation of the Eight-Item Center for Epidemiologic Studies Depression Scale (CES-D) Among Older Adults

Karim, Jahanvash; Weisz, Robert; Bibi, Zainab; Rehman, Shafiq ur

doi:10.1007/s12144-014-9281-y

Cited by 275 publications

(208 citation statements)

References 87 publications

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“…Within the HRS, the CES‐D‐8 items were not surveyed in the case of a proxy respondent. These measures have all been validated in an older adult population …”

Section: Methodsmentioning

confidence: 99%

Association Between Spousal Caregiver Well‐Being and Care Recipient Healthcare Expenditures

Ankuda

Maust

Kabeto

et al. 2017

J American Geriatrics Society

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Background/Objectives Disabled older adults are a high-cost population often relying on spouses for caregiving. We aim to measure the association of spousal depression, general health, fatigue and sleep with patient future healthcare expenditures and Emergency Department (ED) utilization. Design Prospective cohort study. Setting/Participants 3,101 home-dwelling spousal dyads where one individual (“patient”) is age ≥65 with ≥1 disabilities in activities of daily living or instrumental activities of daily living and enrolled in Medicare Part B within the Health and Retirement Study. Exposure Caregiver sleep (Jenkins Sleep Scale), depressive symptoms (Center for Epidemiological Studies Depression-8 Scale), and self-reported general health measures. Measurements Primary outcome was patient Medicare expenditures. Secondary outcome was patient ED utilization. Follow-up was 6 months. Results Caregiver depressive symptoms score and 6 of 17 caregiver wellbeing measures were prospectively associated with higher patient expenditures after minimal adjustment (p<0.05). Higher patient expenditures remained significantly associated with presence of caregiver fatigue (cost increase, $1,937 [95% CI, $770–$3,105]) and caregiver sadness (cost increase, $1,323 [95% CI, $228–$2,419]) after full adjustment. Four of 17 caregiver wellbeing measures, including severe fatigue, were significantly associated with patient ED utilization after minimal adjustment (p<0.05). Greater odds of patient ED utilization remained significantly associated with caregiver fatigue (odds ratio, 1.24 [95% CI, 1.01–1.52]) and caregiver fair/poor health status (odds ratio, 1.23 [95% CI, 1.04–1.45]) after full adjustment. Caregiver total sleep score was not associated with patient outcomes. Conclusions Poor caregiver wellbeing, particularly severe fatigue, is independently and prospectively associated with higher patient Medicare expenditures and ED utilization.

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“…Within the HRS, the CES‐D‐8 items were not surveyed in the case of a proxy respondent. These measures have all been validated in an older adult population …”

Section: Methodsmentioning

confidence: 99%

Association Between Spousal Caregiver Well‐Being and Care Recipient Healthcare Expenditures

Ankuda

Maust

Kabeto

et al. 2017

J American Geriatrics Society

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“…33,34 ” The scale ranged from 0-20 and had high internal consistency (Cronbach α = 0.92; McDonald’s ω = 0.94). Depressive symptoms were measured using the 8-item version of the Center for Epidemiologic Studies Depression Scale 35,36 —range: 0-24, Cronbach α = 0.79 and McDonald’s ω = 0.88.…”

Section: Methodsmentioning

confidence: 99%

Socioeconomic, Psychosocial and Behavioral Characteristics of Patients Hospitalized With Cardiovascular Disease

Dupre

Nelson

Lynch

et al. 2017

The American Journal of the Medical Sciences

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Background Recent studies have drawn attention to nonclinical factors to better understand disparities in the development, treatment and prognosis of patients with cardiovascular disease. However, there has been limited research describing the nonclinical characteristics of patients hospitalized for cardiovascular care. Methods Data for this study come from 520 patients admitted to the Duke Heart Center from January 1, 2015 through January 10, 2017. Electronic medical records and a standardized survey administered before discharge were used to ascertain detailed information on patients’ demographic (age, sex, race, marital status and living arrangement), socioeconomic (education, employment and health insurance), psychosocial (health literacy, health self-efficacy, social support, stress and depressive symptoms) and behavioral (smoking, drinking and medication adherence) attributes. Results Study participants were of a median age of 65 years, predominantly male (61.4%), non-Hispanic white (67.1%), hospitalized for 5.11 days and comparable to all patients admitted during this period. Results from the survey showed significant heterogeneity among patients in their demographic, socioeconomic and behavioral characteristics. We also found that the patients’ levels of psychosocial risks and resources were significantly associated with many of these nonclinical characteristics. Patients who were older, women, nonwhite and unmarried had generally lower levels of health literacy, self-efficacy and social support, and higher levels of stress and depressive symptoms than their counterparts. Conclusions Patients hospitalized with cardiovascular disease have diverse nonclinical profiles that have important implications for targeting interventions. A better understanding of these characteristics will enhance the personalized delivery of care and improve outcomes in vulnerable patient groups.

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“…The 8‐item Centre for Epidemiologic Studies Depression (CESD) scale was used to measure self‐reported depressive symptoms in the past week at baseline. Depressive symptoms included feeling depressed, feeling that everything was an effort, having restless sleep, not feeling happy, feeling lonely, not enjoying life, feeling sad, and feeling like you could not get going (Karim et al, ). This measure has been validated for use in older European populations (Karim et al, ).…”

Section: Methodsmentioning

confidence: 99%

Depressive symptoms, prediabetes, and incident diabetes in older English adults

Graham

Schmitz

2016

Int J Geriat Psychiatry

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Validation of the Eight-Item Center for Epidemiologic Studies Depression Scale (CES-D) Among Older Adults

Cited by 275 publications

References 87 publications

Association Between Spousal Caregiver Well‐Being and Care Recipient Healthcare Expenditures

Association Between Spousal Caregiver Well‐Being and Care Recipient Healthcare Expenditures

Socioeconomic, Psychosocial and Behavioral Characteristics of Patients Hospitalized With Cardiovascular Disease

Depressive symptoms, prediabetes, and incident diabetes in older English adults

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