Use of the CES-D in an American Indian village

Philip D. Somervell, Janette Beals, John (Dave) Kinzie, James Boehnlein, Paul Leung, Spero M. Manson

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

In this paper, we examine the performance of a pencil-and-paper screening questionnaire on depressive symptoms (the Center for Epidemiologic Studies Depression Scale, or CES-D) in a sample of 120 adult American Indians belonging to a single Northwest Coast tribe. Results of factor analyses suggest that somatic complaints and emotional distress are not well differentiated from each other in this population. CES-D scores (which have shown good sensitivity and specifity for depressive disorders in this sample) also show weak and apparently nonsignificant trends to be elevated in the presence of other psychiatric diagnoses (including alcoholism) or general impairment. However, because of the use of a convenience sample (rather than a probability sample), analyses of associations between study factors - including comorbidity - are liable to produce spurious results due to selection bias (including Berkson bias). On this basis, we suggest that the use of probability samples should assume a high priority in cross-cultural studies. The study of the entire population of interest is another solution to the sampling problem, particularly in small communities.

Original languageEnglish (US)
Pages (from-to)503-517
Number of pages15
JournalCulture, Medicine and Psychiatry
Volume16
Issue number4
DOIs
StatePublished - Dec 1992
Externally publishedYes

Fingerprint

Sampling Studies
North American Indians
American Indian
village
Depression
Selection Bias
Depressive Disorder
Population Groups
Mental Disorders
Population
Alcoholism
Statistical Factor Analysis
Comorbidity
Epidemiologic Studies
trend
comorbidity
cultural studies
alcoholism
complaint
ethnic group

ASJC Scopus subject areas

  • Anthropology
  • Social Sciences (miscellaneous)
  • Psychiatry and Mental health

Cite this

Use of the CES-D in an American Indian village. / Somervell, Philip D.; Beals, Janette; Kinzie, John (Dave); Boehnlein, James; Leung, Paul; Manson, Spero M.

In: Culture, Medicine and Psychiatry, Vol. 16, No. 4, 12.1992, p. 503-517.

Research output: Contribution to journalArticle

Somervell, Philip D. ; Beals, Janette ; Kinzie, John (Dave) ; Boehnlein, James ; Leung, Paul ; Manson, Spero M. / Use of the CES-D in an American Indian village. In: Culture, Medicine and Psychiatry. 1992 ; Vol. 16, No. 4. pp. 503-517.
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