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Factorial validity of the Center for Epidemiologic Studies Depression Scale short form in older population in China

Published online by Cambridge University Press:  14 October 2013

Huajuan Chen  and
Ada C. Mui
Huajuan Chen*
Affiliation:
George Warren Brown School of Social Work, Washington University in St. Louis, MO, USA
Ada C. Mui
Affiliation:
Columbia University School of Social Work, New York, NY, USA Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, China
*
Correspondence should be addressed to: Huajuan Chen, MSW, George Warren Brown School of Social Work, Washington University in St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130, USA. Phone: +(1)646-427-7141; Fax: +(1)314-935-8511. Email: huajuan.chen@go.wustl.edu.
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Abstract

Background:

The objective of this study was to explore the factor structure of a shortened ten-item Center for Epidemiologic Studies Depression Scale (CES-D 10) used in a national survey in China.

Methods:

This secondary research is based on the wave I (2011) of the China Health Aging Retirement and Longevity Study (CHARLS). CHARLS recruited a nationally representative community sample of households with members aged 45 years or above. A subsample of 742 respondents aged 60 years and older were used for this study. Confirmatory factor analyses were conducted to test three competing models and determine the best-fit model for the elderly Chinese sample. Factorial invariance across gender was also examined. R2 coefficient was used to measure the reliability of each item.

Results:

Confirmatory factor analysis supported the two-factor model as having the best fit. Depressive affect and somatic symptoms were the first factor while positive affect was loaded as the second factor. The multi-group analysis showed that the two-factor structure varied across the male and female groups in China (χ2 (df = 86) = 144.13, p < 0.001). Moreover, gender differences were indicated by individual item reliability scores, mean score, and prevalence rate of depressive symptoms.

Conclusion:

The CES-D 10 Scale indicated adequate reliability and validity for the community-dwelling older population in China. In addition, the data revealed that perception and expression of depressive feelings was different between male and female elderly people.

Keywords

CES-D short formolder Chinesefactor analysis

Information

Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 1 , January 2014 , pp. 49 - 57
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Andresen, E. M., Malmgren, J. A., Carter, W. B. and Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10, 77–84.CrossRefGoogle Scholar
Bentler, P. M. (1990). Comparative Fit Indexes in structural models. Psychological Bulletin, 107, 238–246.CrossRefGoogle ScholarPubMed
Boey, K. W. (1999). Cross-validation of a short form of the CES-D in Chinese elderly. International Journal of Geriatric Psychiatry, 14, 608–617.3.0.CO;2-Z>CrossRefGoogle Scholar
Bollen, K. A. (1989). Structural Equations with Latent Variables. New York: John Wiley and Sons.CrossRefGoogle Scholar
Bradley, K. L., Bagnell, A. L. and Brannen, C. L. (2010). Factorial validity of the Center for Epidemiological Studies Depression 10 in adolescents. Issues in Mental Health Nursing, 31, 408–412.CrossRefGoogle Scholar
Brown, A. T. (2006). Confirmatory Factor Analysis for Applied Research. New York: Guilford Press.Google Scholar
Browne, M. W. and Cudeck, R. (1993). Alternative ways of assessing model fit. In Bollen, K. A. and Long, J. S. (eds.), Testing Structural Model (pp. 136–162). CA: Sage.Google Scholar
Carpenter, J.et al. (1998). Psychometrics for two short forms of the Center for Epidemiologic Studies-Depression Scale. Issues in Mental Health Nursing, 19, 481–494.CrossRefGoogle ScholarPubMed
Cheng, S. and Chan, A. C. M. (2005). The Center for Epidemiologic Studies Depression Scale in older Chinese: thresholds for long and short forms. International Journal of Geriatric Psychiatry, 20, 465–470.CrossRefGoogle Scholar
Cheng, S., Chan, A. C. and Fung, H. H. (2006). Factorial structural of a short version of the Center for Epidemiologic Studies-Depression Scale. International Journal of Geriatric Psychiatry, 21, 333–336.CrossRefGoogle Scholar
Cho, M. J. and Kim, K. H. (1998). Use of the Center for Epidemiologic Studies Depression (CESD) Scale in Korea. Journal of Nervous and Mental Disease, 186, 304–310.CrossRefGoogle Scholar
Chung, K. F. and Wong, M. C. (2004). Experiences of stigma among Chinese mental health patients in Hong Kong. Psychiatric Bulletin, 28, 451–454.CrossRefGoogle Scholar
Hu, L. T. and Bentler, P. M. (1999). Cut-off criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRefGoogle Scholar
Kline, R. B. (2010). Principles and Practice of Structural Equation Modeling, 3rd edn. New York: Guilford Press.Google Scholar
Kohout, J. F., Evans, A. D. and Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D Depression Symptoms Index. Journal of Aging and Health, 5, 179–193.CrossRefGoogle ScholarPubMed
Lee, A. Y. and Chokkanathan, S. (2008). Factor structure of the 10-item CES-D Scale among community dwelling older adults in Singapore. International Journal of Geriatric Psychiatry, 23, 592–597.CrossRefGoogle ScholarPubMed
Leung, K., Chen, C., Lue, B. and Hsu, S. (2007). Social support and family functioning on psychological symptoms in elderly Chinese. Archives of Gerontology and Geriatrics, 44, 203–213.CrossRefGoogle ScholarPubMed
Mui, A. C. (2010). Productive ageing in China: a human capital perspective. China Journal of Social Work, 3, 112–124.CrossRefGoogle Scholar
Mui, A. C. and Kang, S. K. (2006). Acculturation stress and depression among Asian immigrant elders. Social Work, 51, 243–255.CrossRefGoogle ScholarPubMed
Mui, A. C., Burnette, D. and Chen, L. M. (2001). Cross-cultural assessment of geriatric depression: a review of the CES-D and the GDS. Journal of Mental Health and Aging, 7, 137–164.Google Scholar
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRefGoogle Scholar
Saint Arnault, D., Sakamoto, S. and Moriwaki, A. (2005). The association between negative self-descriptions and depressive symptomology: does culture make a difference? Archives of Psychiatric Nursing, 19, 93–100.CrossRefGoogle Scholar
Schroevers, J. M., Sanderman, R., Sonderen, V. E. and Ranchor, V. A. (2000). The evaluation of the Center for Epidemiologic Studies Depression (CES-D) Scale: depressed and positive affect in cancer patients and healthy reference subjects. Quality of Life Research, 9, 1015–1029.CrossRefGoogle Scholar
Shafer, A. B. (2006). Meta-analysis of the factor structures of four depression questionnaires: beck, CES–D, Hamilton, and Zung. Journal of Clinical Psychology, 62, 123–146.CrossRefGoogle ScholarPubMed
Shrout, P. E. and Yager, T. J. (1989). Reliability and validity of screening scales: effects of reducing scale length. Journal of Clinical Epidemiology, 42, 69–78.CrossRefGoogle ScholarPubMed
Sutin, A. R.et al. (2013). The trajectory of depressive symptoms across the adult life span. JAMA Psychiatry, 70, 803–811.CrossRefGoogle ScholarPubMed
Yu, C. Y. and Muthen, B. (2002). Evaluation of Model Fit Indices for Latent Variable Models with Categorical and Continuous Outcomes (Technical report). Los Angeles, CA: Graduation School of Education and Information Studies, University of California at Los Angeles.Google Scholar
Yu, S., Lin, Y. and Hsu, W. (2013). Applying structural equation modeling to report psychometric properties of Chinese version 10-item CES-D depression scale. Quality and Quantity, 47, 1511–1518. doi:10.1007/s11135-011-9604-0.CrossRefGoogle Scholar
Zhang, W.et al. (2012). Validating a shortened depression scale (10 Item CES-D) among HIV-positive people in British Columbia, Canada. PLOS ONE, 7, 1–5.Google ScholarPubMed
Zhao, Y.et al. (2013). China Health and Retirement Longitudinal Study_2011–2012 national baseline users’ guide. Available at: http://charls.ccer.edu.cn/uploads/document/2011-charls-wave1/application/CHARLS_users__guide_ofnationalbaseline_survey-js-yz-Lei_wang-js_ys_js-ys-zhao_ys_20130407.pdf; last accessed 20 February 2013.Google Scholar