On the application of the CES‐D with the elderly: dimensional structure and artifacts resulting from oppositely worded items

Matschinger, Herbert; Schork, Astrid; Riedel‐Heller, Steffi G.; Angermeyer, Matthias C.

doi:10.1002/mpr.94

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…Furthermore, application of the CES-D is restricted in individuals with cognitive impairment [37]. To ensure validity of CES-D assessment, we decided to exclude individuals with a MMSE score below 19 (also if they had no prevalent dementia diagnosis), following a recommendation of Watson [25].…”

Section: Discussionmentioning

confidence: 99%

Depression and Incident Dementia. An 8-Year Population-Based Prospective Study

et al. 2013

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AimsThe aim of the study was to investigate the impact of depression (categorical diagnosis; major depression, MD) and depressive symptoms (dimensional diagnosis and symptom patterns) on incident dementia in the German general population.MethodsWithin the Leipzig Longitudinal Study of the Aged (LEILA 75+), a representative sample of 1,265 individuals aged 75 years and older were interviewed every 1.5 years over 8 years (mean observation time 4.3 years; mean number of visits 4.2). Cox proportional hazards and binary logistic regressions were used to estimate the effect of baseline depression and depressive symptoms on incident dementia.ResultsThe incidence of dementia was 48 per 1,000 person-years (95% confidence interval (CI) 45–51). Depressive symptoms (Hazard ratio HR 1.03, 95% CI 1.01–1.05), and in particular mood-related symptoms (HR 1.08, 95% CI 1.03–1.14), showed a significant impact on the incidence of dementia only in univariate analysis, but not after adjustment for cognitive and functional impairment. MD showed only a significant impact on incidence of dementia in Cox proportional hazards regression, but not in binary logistic regression models.DiscussionThe present study using different diagnostic measures of depression on future dementia found no clear significant associations of depression and incident dementia. Further in-depth investigation would help to understand the nature of depression in the context of incident dementia.

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Section: Discussionmentioning

confidence: 99%

Depression and Incident Dementia. An 8-Year Population-Based Prospective Study

et al. 2013

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“…This instrument is frequently used to measure current depressive symptoms and identify possible cases of depressive disorders in the general population (Hertzog et al, 1990; Kessler et al, 1992; Vera et al, 1991), and in cancer patients (Given et al, 1994; Kurtz et al, 1994; Pasacreta, 1997). The CES-D scale has also been shown to be suitable for administration to different ethnic and age groups (Noh et al, 1992; Matschinger et al, 2000), as well as in the medically ill elderly inpatients (Schein and Koenig, 1997). To be useful for research and clinical application, the CES-D must adequately capture the construct of depression in diverse populations.…”

Section: Introductionmentioning

confidence: 99%

An assessment of the CES-D scale factor structure in black women: The Black Women's Health Study

Makambi¹,

Williams²,

Taylor³

et al. 2009

Psychiatry Research

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This study investigates the dimensional structure of the Center for Epidemiologic Studies Depression (CES-D) scale in U.S. Black women with and without history of cancer via single-group and multigroup analyses. The CES-D questionnaire was administered in 1999 to 50,774 black women who are participants in the Black Women's Health Study (BWHS). For our analysis, we utilized a group of 690 women with a history of at least one of the three types of cancer (breast cancer, colon cancer or lung cancer) and an age-matched group of 1,380 healthy women with no history of any cancer or other chronic conditions including myocardial infarctions, stroke, angina, diabetes, lupus, and sarcoidosis. Three a priori hypothesized models were tested via confirmatory factor analysis: single-, three-and four-factor structures. The four-factor model provided the best fit and remained largely invariant across the groups when tested via multi-group comparisons. Two internal consistency measures of the scale (Cronbach's α coefficient and split-half coefficient) were also shown to be satisfactory. We concluded that the CES-D scale is appropriate for use in black women regardless of their cancer status.

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