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韩梅, 贾存显. 农村不同人群CES-D抑郁量表信度及效度评价[J]. 中国公共卫生, 2012, 28(10): 1265-1267. DOI: 10.11847/zgggws2012-28-10-01
引用本文: 韩梅, 贾存显. 农村不同人群CES-D抑郁量表信度及效度评价[J]. 中国公共卫生, 2012, 28(10): 1265-1267. DOI: 10.11847/zgggws2012-28-10-01
HAN Mei, JIA Cun-xian. Reliability and validity of Center for Epidemiological Studies Depression Scale in different rural populations[J]. Chinese Journal of Public Health, 2012, 28(10): 1265-1267. DOI: 10.11847/zgggws2012-28-10-01
Citation: HAN Mei, JIA Cun-xian. Reliability and validity of Center for Epidemiological Studies Depression Scale in different rural populations[J]. Chinese Journal of Public Health, 2012, 28(10): 1265-1267. DOI: 10.11847/zgggws2012-28-10-01

农村不同人群CES-D抑郁量表信度及效度评价

Reliability and validity of Center for Epidemiological Studies Depression Scale in different rural populations

  • 摘要: 目的评价流调中心抑郁水平评定量表(CES-D)在农村自杀死亡和正常对照人群信息人测量的信度和效度。方法采用序贯抽样方法对山东省邹城、高唐、莒南县抽取的202例自杀死亡病例和271名正常对照人群的信息人进行问卷调查;采用Cronbach'sα系数、相关系数评价量表的内部一致性信度,采用结构效度、效标效度和区分效度来评价量表的效度。结果CES-D量表在病例组和对照组信息人中的Cronbach'sα系数分别为0.917和0.849,各条目得分与删除此条目后量表得分的相关系数分别为0.255~0.815和0.168~0.684(均P<0.01),量表的内部一致性较好;探索性因子分析表明,20个条目提取出情感障碍和躯体症状、积极情绪和人际冲突3个因子,累积方差贡献率为52.539%;对随机抽取的69名对照组信息人进行效标效度分析,结果表明CES-D量表情感和躯体症状、积极情绪因子和抑郁总分与Beck绝望量表(BHS)绝望得分均呈正相关关系(P<0.05),量表具有较好的效标效度;473名调查对象中抑郁者59例,非抑郁者414人,抑郁组情感障碍和躯体症状、积极情绪、人际冲突和抑郁总分分别为(17.44±5.86)、(9.00±4.51)、(0.88±1.68)和(27.32±9.05)分,均高于非抑郁组的(1.73±2.80)、(1.20±1.97)、(0.08±0.42)和(3.00±3.92)分,差异均有统计学意义(P<0.001),量表具有较好的区分效度。结论CES-D量表具有较好的信度和效度,适用于农村不同人群抑郁的评价。

     

    Abstract: ObjectiveTo assess the reliability and validity of Center for Epidemiological Studies Depression Scale (CES-D)among the informants of suicides and controls.MethodsTotally 202 suicide informants and 271 control informants were consecutively sampled and investigated with the questionnaire.Cronbach'sα and Pearson's correlation were used to assess the internal consistency reliability.Exploratory factor analysis,criterion validity and discriminant validity were used to test the validity of the scale.Results The Cronbach'sα of CES-D were 0.917 and 0.849 in case and control group,respectively.The corrected item-total correlations in suicides and controls were 0.255-0.815 and 0.168-0.684, respectively(both P<0.01),suggesting the scale had good internal consistency reliability.Three factors were extracted by using exploratory factor analysis from 20 items(including affective and somatic symptoms,positive emotion,and interpersonal problems),which could explain 52.539% of total variance.In addition,69 samples were randomly sampled from the control informants.There were positive correlations between affective and somatic symptoms,positive emotion,CES-D and Beck Hopelessness Scale(BHS).The scale showed good criterion validity.There were 59 depressed subjects and 414 non-depressed subjects among the 473 informants.The scores of affective and somatic symptoms,positive emotion,interpersonal problems and CES-D were 17.44±5.86,9.00±4.51,0.88±1.68,and 27.32±9.05 in depression group,which were all higher than non-depression group(1.73±2.80,1.20±1.97,0.08±0.42,and 3.00±3.92),with significant differences between depression and non-depression group(all P<0.001).The scale was proved having good discriminant validity.ConclusionCES-D has high reliability and validity and is applicable to assess depression in rural residents.

     

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