Criterion validity of the center for epidemiologic studies depression scale in a population sample from an American Indian village

Philip D. Somervell, Janette Beals, Spero M. Manson, J. David Kinzie, James Boehnlein, Paul Leung

Research output: Contribution to journalArticle

47 Scopus citations


The criterion validity of the Center for Epidemiologic Studies Depression Scale (CES-D) is examined in 120 adult Northwest Coast American Indians. The criterion was a DSM-III-R diagnosis derived from the Lifetime version of the Schedule for Affective Disorders and Schizophrenia. Sensitivity for major depression was 100% (95% confidence limits 36%, 100%); specificity was 82.1% (75.1%, 89%). For a broad category of depressive disorders (n=9), sensitivity was 77.8% and specificity was 84.7%. Cut points based on receiver operating characteristic analyses did not greatly improve the performance of the CES-D. The use of factor scores instead of total scores made little difference.

Original languageEnglish (US)
Pages (from-to)255-266
Number of pages12
JournalPsychiatry Research
Issue number3
StatePublished - Jun 1993



  • Diagnosis
  • affective disorder
  • cross-cultural
  • sensitivity/specificity
  • symptom scales

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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