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 journalArticlepeer-review

    48 Scopus citations

    Abstract

    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
    Volume47
    Issue number3
    DOIs
    StatePublished - Jun 1993

    Keywords

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

    ASJC Scopus subject areas

    • Psychiatry and Mental health
    • Biological Psychiatry

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