Can the Center for Epidemiologic Studies Depression Scale Be Used to Screen for Depression in Children and Adolescents? An Updated Systematic Review

Park, Seong-Hi; Kwon, Young Mi

doi:10.1007/s10578-023-01553-6

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…The Center for Epidemiologic Studies Depression Scale for Children (CES-DC) is a well-used and validated instrument in both primary care settings [ 9 ] and community settings [ 10 , 11 ] and for adolescents with different cultural backgrounds [ 12 ]. The CES-DC was developed as the child version of the Center for Epidemiologic Studies Depression Scale [ 13 ], which has easier understanding expressions for children and adolescents aged 7–23 years old and is especially reliable for adolescents [ 14 , 15 ]. Following the adult version [ 16 ], the CES-DC is composed of 20 items with a focus on depressive symptomology covering six important symptom clusters, including depressive mood, feelings of guilt and worthlessness, a sense of helplessness and hopelessness, psychomotor retardation, loss of appetite, and sleep disturbance.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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Changes in depressive symptoms and antibody production following influenza vaccination in adolescents and adults

Ehrlich,

Lyle,

Corallo

et al. 2024

Vaccine

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Adolescent depression treatment pathways in Primary Care – protocol for a longitudinal Cohort Study Describing Naturalistic Flow of Treatment and Evaluating Effectiveness and Cost- effectiveness of Interpersonal Counseling Compared to Treatment as Usual

Linnaranta,

Myllyniemi,

Salusjärvi

et al. 2024

Preprint

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Background:Implementation of evidence-based interventions is one of the proposed responses to increased demand for treatment of adolescent depression. While the efficacy of interpersonal psychotherapy to treat depression of adolescents (IPT-A) is well established, the effectiveness and cost-effectiveness of the shorter adolescent interpersonal counseling (IPC-A) remains open. Objective: We present a protocol for a prospective evaluation of the naturalistic treatment flow of adolescents with sustained depression, and effectiveness and cost-effectiveness of IPC-A, as compared to treatment as usual or no treatment of sustained depression. Methods: We will collect a prospective cohort of grade 7 to 9 adolescents (13–16-year-olds) in selected Finnish schools using convenience sampling (n=9000). We will compare three groups as defined at 6 months (targeting with IPC-A, n=100; with treatment as usual (TAU), n=200; or no treatment, n=100). The primary outcome measure will be the proportion of adolescents who received specialized psychiatric services by 2 years after baseline. Secondary outcome measures will include longitudinal changes in PHQ-9-A scores by 12 months, positive mental health, social inclusion, and quality of life. Cost-effectiveness will be evaluated using survey data at 12 months, and an economic evaluation using register data and information on service use 12 months before and up to 10 years after baseline. A universal evaluation of all adolescents, independent of mood, will provide prospective description of adolescents a) with sustained depression over the follow-up period (Patient Health Questionnaire 9 items, adolescent version, PHQ-9-A ≥ 10 in two measurements over 6 months), b) with a self-reported need and motivation for support, c) with therapeutic intervention, and d) benefits and harms of treatment. We will describe the treatment received and predictors of treatment and outcome based on reports from adolescents, caretakers, and therapists, as well as electronic patient records. Impact of training in IPC-A on competence and access to treatment will be evaluated. Conclusions: The study will describe need for, pathways to, and content of mental health services for depressed adolescents. The results can improve detection and equal access to care, and inform decision -makers about the best practices for prevention, including utility of the implementation of IPC-A. Trial registration: ClinicalTrials.com NCT06390462 registered 2024-03-19

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Can the Center for Epidemiologic Studies Depression Scale Be Used to Screen for Depression in Children and Adolescents? An Updated Systematic Review

Cited by 3 publications

References 41 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

Changes in depressive symptoms and antibody production following influenza vaccination in adolescents and adults

Adolescent depression treatment pathways in Primary Care – protocol for a longitudinal Cohort Study Describing Naturalistic Flow of Treatment and Evaluating Effectiveness and Cost- effectiveness of Interpersonal Counseling Compared to Treatment as Usual

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