Brief measurement devices can alleviate respondent burden and lower refusal rates in surveys. This article reports on a field test of two shorter forms of the Center for Epidemiological Studies Depression (CES-D) symptoms index in a multisite survey of persons 65 and older. Factor analyses demonstrate that the briefer forms tap the same symptom dimensions as does the original CES-D, and reliability statistics indicate that they sacrifice little precision. Simple transformations are presented to show how scores from the briefer forms can be compared to those of the original.
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References
1.
Berkman, L. F. , Berkman, C. S., Kasl, S., Freeman, D. H., Leo, L., Ostfeld, A. M., Comnoni-Huntley, J., & Brody, J. A. (1986). Depressive symptoms in relation to physical health and functioning in the elderly. American Journal of Epidemiology, 124, 372-388.
2.
Carmines, E. G. , & Zeller, R. A. (1979). Reliability and validity assessment. Beverly Hills, CA: Sage.
3.
Comstock, G. W. , & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine, 6, 551-563.
4.
Cornoni-Huntley, J. , Brock, D. B., Ostfeld, A. M., Taylor, J. O., & Wallace, R. B. (Eds.). (1986). Established populations for epidemiological studies of the elderly: Resource data book (NIH Publication No. 86-2443). Washington, DC: U.S. Public Health Service.
5.
Cornoni-Huntley, J. , Foley, D. J., White, L. R., Suzman, R., Berkman, L. F., Evans, D. A., & Wallace, R. B. (1985). Epidemiology of disability in the oldest old: Methodological issues and preliminary findings. Milbank Memorial Fund Quarterly, 63, 350-376.
6.
Frerichs, R. R. , Aneshenel, C. S., & Clark, V. A. (1981). Prevalence of depression in Los Angeles County. American Journal of Epidemiology, 113, 691-699.
7.
Goldberg, E. L. , Comstock, G. W., & Hornstra, R. K. (1979). Depressed mood and subsequent physical illness. American Journal of Psychiatry, 136, 530-534.
8.
Gorsuch, R. L. (1983). Factor analysis. Hillsdale, NJ: Lawrence Erlbaum.
9.
Hankin, T. R. , & Locke, B. Z. (1982). The persistence of depressive symptomatology among prepaid group practice enrollees: An exploratory study. American Journal of Public Health, 72, 1000-1007.
10.
Himmelfarb, S. , & Murrell, S. A. (1983). Reliability and validity of five mental health scales in older persons. Journal of Gerontology, 38, 333-339.
11.
Huisani, B. A. , Neff, J. A., Harrington, J. B., Hughes, M. D., & Stone, R. H. (1980). Depression in rural communities: Validating the CES-D scale. Journal of Community Psychology, 8, 20-27.
12.
Kohout, F. J. (1984). Statistics for social scientists (2nd ed.). Malabar, FL: Krieger.
13.
Kohout, F. J. (1992). The pragmatics of survey field work among the elderly. In R. B. Wallace & R. F. Woolson (Eds.), The epidemiological study of the elderly (pp. 91-119). New York: Oxford University Press.
14.
Markush, R. E. , & Favero, R. V. (1973). Epidemiological assessment of stressful life events, depressed mood, and psychophysiological symptoms: A preliminary report. In B. S. Dohrenwend & B. P. Dohrenwend (Eds.), Stressful life events: Their nature and effects (pp. 171-190). New York: Wiley.
15.
Murrell, S. A. , Himmelfarb, S., & Wright, K. (1983). Prevalence of depression and its correlates in older adults. American Journal of Epidemiology, 117, 173-185.
16.
Myers, J. K. , & Weissman, M. M. (1980). Use of a self-report symptom scale to detect depression in a community sample. American Journal of Psychiatry, 137, 1081-1084.
17.
Nunnally, J. C. (1978). Psychometric theory. New York: McGraw-Hill.
18.
O'Hara, M. W. , Kohout, F. J., & Wallace, R. B. (1985). Depression among the rural elderly: A study of prevalence and correlates. Journal of Nervous and Mental Diseases, 173, 582-589.
19.
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.
20.
Roberts, R. E. (1980). Reliability of the CES-D scale in different ethnic contexts. Psychiatry Research, 2, 125-134.
21.
Ross, C. E. , & Mirowsky, J. (1984). Components of depressed mood in married men and women. American Journal of Epidemiology, 119, 997-1004.
22.
Sayetta, R. B. , & Johnson, D. P. (1980). Basic data on depressive symptomatology, United States 1974-75. Vital and Health Statistics (Series 11, No. 216, DHEW Publication No. 80-1666). Washington, DC: U.S. Government Printing Office.
23.
Weissman, M. M. , Sholomskas, D., Pottenger, M., Prusoff, B. A., & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106, 203-214.
