Validade e confiabilidade da versão Brasileira da Center for Epidemiological Scale - Depression (CES-D) em idosos Brasileiros

Abstract

Foram identificados indicadores de validade de construto e de confiabilidade interna para a Center for Epidemiological Scale-Depression (CES-D) aplicada a idosos recrutados na comunidade, em um estudo que envolveu duas medidas sucessivas. A amostra foi composta de 347 idosos (73% mulheres) com idade média de 71,96 anos (DP=8,45), os quais foram submetidos à versão brasileira da CES-D em duas ocasiões, com um tempo médio de 15,7 meses (DP=4,57) entre as medidas. Os dados da segunda medida da CES-D foram submetidos à análise fatorial confirmatória, que revelou adequação do ajuste do modelo anterior com três fatores ("afetos negativos", "dificuldades de iniciar comportamentos", "afetos positivos"). O índice de consistência interna foi 0,82 para a escala, 0,77 para o fator 1, 0,59 para o fator 2 e 0,47 para o fator 3. A prevalência de depressão foi a mesma nas duas medidas (34%).

Quedas recorrentes e fatores de risco em idosos institucionalizados

“…Additional data was also collected in each wave as follows: Data on long-term medications (taken daily for over 30 consecutive days) and chronic diseases -classified according to the Anatomical Therapeutic Chemical Classification System 12 and International Classification of Diseases, 10 th Edition (ICD-10) 13 , respectively, obtained from the patients' medical records. Patient physical and mental health-related data, obtained directly from the participants using the following validated instruments: depression -the Geriatric Depression Scale(GDS) 14,15 ; daytime sleepinessthe Epworth Sleepiness Scale(ESS) 16 ; fatigue-two questions from the Center for Epidemiological Studies-Depression Scale (CES-D) 17 ; cognitive level-Pfeiffer's Questionnaire 7 ; dizziness in the last year -question elaborated by the authors. Data used to assess functional independence obtained from the Barthel Index 18 administered to the participants' carers.…”

Higher prevalence of major depressive symptoms in Brazilians aged 14 and older

“…25 Finally, other Brazilian studies have detected the best performance of the CES-D when using the cutoff score of 14 for high school students 26 and 11 among Brazilian elderly. 27 Socioeconomic issues, cultural differences, and the way people express their feelings may be important factors to determine the most appropriate cutoff point.…”

Association between maternal depressive symptoms with child malnutrition or child excess weight

“…In the prenatal period, a standardized questionnaire and the Center for Epidemiologic Studies Depression Scale (CES-D) 15 were applied at the time of the interview. Identification data, as well as socioeconomic, demographic, sexual and reproductive health ones were collected.…”

“…The answers are ordered from never, seldom, most often or always; items 4, 8, 12 and 16 are inverted, as they evaluate positive aspects. 15 There are studies on the CED-D scale that indicate a sensitivity of 0.95 and specificity of 0.70 for clinical depression compared to the Diagnostic Interview Schedule for the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). The cut-off point used was based on studies by Li, Liu & Odouli, who proposed a cut-off of 22 points or more for detection of severe depressive symptoms.…”