The purpose of this article is to empirically determine the factor structure of the original Radloff's (1977) Center for Epidemiological Studies-Depression Scale (CES-D), on Indian caregivers of the elderly population. The CES-D was administered to 255 caregivers via face to face interviews. The confirmatory factor analysis results did not support the original four-factor theoretical structure, but did suggest a three-factor model. In addition the three-factor version showed high internal consistency among the sub scales. The results of the present study indicate that the revised CES-D scale reflects the difference in the manifestation of depression in caregivers of the elderly in the Indian community in Allahabad, India. This scale should be validated further by replication. Implications for future research are presented.
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References
1.
AndersonJ. C., & GerbingD. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103, 411.
2.
BakerF., & LightfootO. (1993). Psychiatric care of ethnic elders. In GawA. (Ed.), Culture, ethnicity, and mental health (pp. 517–552). Washington, DC: American Psychiatric Press.
3.
BariaF. (July, 2001). Art of living: Absolute health (p. 33). India: India Abroad, M6.
4.
BentlerP. M. (1985). Theory and implementation of EQS. A structural equations program. Los Angels: BMDP Statistical Software.
5.
BhagvadaG. (1905). Translated by BesantA. & DasB.. London and Benares Theosophical Publishing Society.
6.
BhuiK.BhugraD., & GoldbergD. (2000). Cross-cultural validity of the Amritsar Depression Inventory and the General Health Questionnaire amongst English and Punjabi primary care attenders. Social Psychiatry Psychiatric Epidemiology, 35(6), 248–254.
7.
BollenK. A. (1989). Structural equations with latent variables. New York: John Wiley & Sons.
CheungC., & BagleyC. (1998). Validating an American scale in Hong Kong: The Center for Epidemiological Studies Depression Scale. The Journal of Psychology, 132(2), 169–186.
10.
CohenL. (1998). No aging in India: Alzheimer's, the bad family and other modern things. California: University of California Press.
11.
CorocanK., & FischerJ. (1987). Measures for clinical practice: A sourcebook. New York: Free Press.
12.
DandekarK. (1996). Elderly in India. New Delhi: Vedam Books.
13.
DavarB. (1999). Mental health of Indian women: A feminist agenda. New Delhi: Sage Publications.
14.
DiwanS.JonnalagaddaS., & GuptaR. (2004). Structural differences in depressive symptoms among English and Non-English speaking older Asian Indian immigrants to the U.S. Journal of Applied Gerontology, 23(4), 370–384.
15.
FurnhamA., & MalikR. (1994). Cross cultural beliefs about “depression.”The International Journal of Social Psychiatry, 40(2), 106–23.
16.
GanguliM.DubeS.JohnstonJ.PandavR.ChandraV., & DodgeH. (1999). Depressive symptoms, cognitive impairment and functional impairment in a rural elderly population in India: A Hindi version of the Geriatric Depression Scale (GDS-H). International Journal of Geriatric Psychiatry, 14, 807–820.
17.
GuptaR., & YickA. (2001). Validation of the CES-D Scale for older Chinese immigrants. Journal of Mental Health and Aging, 7(2), 56–70.
HongW.ChanL.ZhengD., & WangC. (1992). Neurasthenia in Chinese students at UCLA. Psychiatric Annals, 22(4), 199–201.
20.
IwataN.SaitoK., & RobertsR. E. (1994). Responses to a self-administered depression scale among younger adolescents in Japan. Psychiatry Research, 53(3), 275–287.
21.
JambunathanJ. (1992). Understanding depression in India. The Nursing Journal of India, 3(11), 266–270.
22.
JamunaD. (1997). Stress dimensions among caregivers of the elderly. Indian Journal of Medical Research, 106, 381–388.
23.
JhinganH.SagarR., & PandeyR. (2001). Prognosis of late onset depression in the elderly: A study from India. International Psychogeriatrics, 13(1), 51–61.
24.
JoreskogK. G., & SorbomD. (1982). Recent developments in structural equation modeling. Journal of Marketing Research, 19, 404–417.
25.
KleinmanA., & KleinmanJ. (1985). Somatization. The interconnections in Chinese society among culture, depressive experiences and the meaning of pain. In KleinmanA. & GoodB. (Eds.), Culture and depression: Studies in the anthropology and cross-cultural psychiatry of affect disorder (pp. 429–490). Berkeley, CA: University of California Press.
26.
KohS. D.CecaK. M.KohT. H., & LiuW. T. (1986). Mental health and stresses in Asian American elderly. Chicago: Pacific/Asian American Mental Health Research Center.
27.
KuoW. H. (1984). Prevalence of depression among Asian-Americans. Journal of Nervous & Mental Disease, 172(8), 449–457.
28.
LaunganiP. (1992). Cultural variations in understanding and treatment of psychiatric disorders: India and England. Counselling Psychology Quarterly, 5(3), 231–244.
29.
LeeE., & ChanF. (1986). The use of diagnostic interview schedule with Vietnamese refugees. Asian American Psychological Association Journal, 1, 36–38.
30.
LinT. Y. (1983). Psychiatry and Chinese culture. Western Journal of Medicine, 139(6), 862–867.
31.
MestrovicS. (1986). Magic and psychiatric commitment in India. International Journal of Law and Psychiatry, 9, 431–449.
32.
MurthyR. S. (1977). Reaching the unreached. Journal of Psychiatry, 19(2), 19–21.
33.
MinturnL., & HitchcockJ. T. (1963). The Rajputs of Khalapur, India. In WhitingB. B. (Eds.), Six cultures: Studies of child rearing (pp. 203–245). New York: John Wiley.
MumfordD.BavingtonJ.BhatnagarK.HussainY.MirzaS.NaraghiM. (1991). The Bradford Somatic Inventory: A multiethnic inventory of symptoms reported by anxious and depressed patients in Britain and the Indo-Pakistan Subcontinent. British Journal of Psychiatry, 158, 379–386.
36.
NohS.AvisonW. R., & KasparV. (1992). Depressive symptoms among Korean immigrants: Assessment of a translation of the Center for Epidemiologic Studies—Depression Scale. Psychological Assessment, 4(1), 84–91.
37.
NohS.KasparV., & ChenX. (1998). Measuring depression in Korean immigrants: Assessing validity of the translated Korean version of CES-D scale. Cross-Cultural Research, 32(4), 358–377.
38.
OdutoyeK., & ShahA. (1999). The characteristics of Indian subcontinent origin elders newly referred to a psychogeriatric service. International Journal of Geriatric Psychiatry, 14, 446–453.
39.
PatelV.PereiraJ., & MannA. (1998). Somatic and psychological models of common mental disorder in primary care in India. Psychological Medicine, 28, 133–143.
40.
PuriD. K.KumarS.MalhotraA., & PuriM. (1995). Depression in general clinical practice a diagnostic problem. Journal Indian Medical Association, 93(3), 103–104.
41.
RadloffL. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
42.
RaguramR.WeissM.ChannabasavannaS., & DevinsG. (1996). Stigma, depression, and somatization in South India. American Journal of Psychiatry, 153(8), 1043–1049.
43.
RankinS. H.GalbraithM. E., & JohnsonS. (1993). Reliability and validity data for a Chinese translation of the Center for Epidemiological Studies-Depression. Psychological Reports, 73(3), 1291–1298.
44.
RaoV. (2000). Depression in Indian history. Journal of the Indian Medical Association, 98(5), 219–223.
45.
SchulzR., & BeachS. R. (1999). Caregiving as a risk factor for mortality: The caregiver health affects study. The Journal of the American Medical Association, 282, 2215–2219.
46.
SethiB. B. (1980). Social factors and mental illness. An analysis of first admissions in the psychiatric hospital. Indian Journal of Psychiatry, 22(3), 18–28.
47.
SethiB. B.NathawatS. S., & GuptaS. C. (1973). Depression in India. Journal of Social Psychology, 91(1), 3–13.
48.
SilveiraE., & EbrahimS. (1998). Social determinants of psychiatric morbidity and well being in immigrant elders and whites in East London. International Journal of Geriatric Psychiatry, 13, 801–812.
49.
SoldoB., & MyllyluomaJ. (1983). Caregivers who live with dependent elderly. The Gerontologist, 23, 605–611.
50.
TaboraB., & FlaskerudJ. H. (1994). Depression among Chinese Americans: A review of literature. Issues in Mental Health Nursing, 15, 569–584.
51.
TandonT. (1981). Process of transmission of values in the Indian child. In SinhaD. (Eds.), Socialization of the Indian child (pp. 11–29). New Delhi: The Concept Publishing Company.
52.
Tanaka-MatsumiJ., & MarsellaA. J. (1976). Cross cultural variations in the phenomenological experience of depression. Journal of Cross Cultural Psychology, 7, 379–396.
53.
TejaJ.NarangR., & AggarwalA. (1971). Depression across cultures. British Journal of Psychiatry, 119, 253–260.
54.
VergheseA., & BeigA. (1974). Neurosis in Vellore Town—An epidemiological study. Indian Journal of Psychiatry, 17(1), 16–18.
YingY. (1988). Depressive symptomology among Chinese-Americans as measured by the CES-D. Journal of Clinical Psychology, 44(5), 739–746.
57.
YingY. (2000). The conception of depression in Chinese Americans. In KurasakiK. S.OkazakiS., & SueS. (Eds.), Asian American mental health: Assessment theories and methods (pp. 173–183). New York: Kluwer Academic Publishers.
