Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly

被引:153
作者
Tavares Batistoni, Samila Sather
Neri, Anita Liberalesso
Bretas Cupertino, Ana Paula F.
机构
[1] Univ Estadual Campinas, BR-13081970 Campinas, SP, Brazil
[2] Univ Kansas, Med Ctr, Kansas City, KS 66103 USA
来源
REVISTA DE SAUDE PUBLICA | 2007年 / 41卷 / 04期
关键词
older people; depression; diagnosis; psychology; validation studies;
D O I
10.1590/S0034-89102007000400014
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
OBJECTIVE: To obtain internal construct and criteria validity for the Center of Epidemiological Studies - Depression scale in elderly people. METHODS: The instrument was applied to 903 elderly living in a city in southeastern Brazil, between 2002 and 2003. Results were compared with the Brazilian version of the CES-D applied to a sub-sample of 446 participants. Internal consistency of the two scales was assessed using Cronbach's alpha measured for the items in their total and for the items of each factor obtained for the assessed instrument. To assess the construct validity, the 20 items underwent exploratory factorial analysis to discover their variation pattern and the variance explained according to each factor. RESULTS: The scale presented satisfactory index for internal validity (alpha=0.860), sensibility (74.6%), specificity (73.6%), and for cutoff point > 11. However, it presented a relatively high frequency of false positives compared to the GDS 33.8% vs. 15%. Exploratory factorial analysis of the instrument created factorial structure with three factors: negative affects, problems initiating behaviors, and positive affects. CONCLUSIONS: The instrument seemed to be psychometrically suitable when applied to older people. However, further cross-sectional and longitudinal studies, carried out in different contexts, may explain the effects of somatic and situational variables on the results of the instrument in older people.
引用
收藏
页码:598 / 605
页数:8
相关论文
共 24 条
[1]   Depressive symptoms, depletion, or developmental change? Withdrawal, apathy, and lack of vigor in the geriatric depression scale [J].
Adams, KB .
GERONTOLOGIST, 2001, 41 (06) :768-777
[2]  
Almeida OP, 1999, INT J GERIATR PSYCH, V14, P858, DOI 10.1002/(SICI)1099-1166(199910)14:10<858::AID-GPS35>3.0.CO
[3]  
2-8
[4]  
[Anonymous], 2001, AGING MENT HEALTH
[5]  
[Anonymous], 2000, ESCALAS AVALIACAO CL
[6]  
CARVALHO VFC, 2002, ORG GERONOTOLOGIA, P160
[7]   MEASURING DEPRESSIVE SYMPTOMS IN THE FRAIL ELDERLY [J].
DAVIDSON, H ;
FELDMAN, PH ;
CRAWFORD, S .
JOURNALS OF GERONTOLOGY, 1994, 49 (04) :P159-P164
[8]  
FISK A, 2005, CAMBRIDGE HDB AGE AG
[9]   Association of depressive symptoms and social functioning in primary care service, Brazil [J].
Fleck, MPD ;
Lima, AFBD ;
Louzada, S ;
Schestasky, G ;
Henriques, A ;
Borges, VR ;
Camey, S .
REVISTA DE SAUDE PUBLICA, 2002, 36 (04) :431-438
[10]  
Fletcher RH, 1991, EPIDEMIOLOGIA CLIN