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首页> 外文期刊>The International journal of social psychiatry >Challenges in assessing depressive symptoms in Fiji: A psychometric evaluation of the CES-D
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Challenges in assessing depressive symptoms in Fiji: A psychometric evaluation of the CES-D

机译:斐济抑郁症症状评估中的挑战:CES-D的心理评估

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Background and Aim: The CES-D is a commonly used self-report assessment for depressive symptomatology. However, its psychometric properties have not been evaluated in Fiji. This study aims to evaluate the reliability and validity of English language and Fijian vernacular versions in ethnic Fijian adolescent schoolgirls. Methods: As part of the HEALTHY Fiji study, ethnic Fijian female adolescents (N = 523) completed the CES-D. Participants selected to respond in English or the local vernacular. Reliability (internal consistency, item-total score correlation, and test-retest estimates), validity (associations with other proxies for depression) and factor structure were assessed. Evaluations considered differences between language versions. Results: In this sample, the CES-D had a Cronbach's α of 0.81 and item-total score correlation coefficients ranged between 0.2 and 0.63. One week test-retest reliability (ICC(2)) was 0.57. CES-D scores were higher among individuals who endorsed feelings of depression and suicidality compared to those who did not. ROC analyses of the CES-D versus binary depression and suicidality variables produced AUCs around 0.70 and did not support a discrete cut-off for significant disturbance. Findings were similar across the two language groups. Conclusions: The CES-D has acceptable reliability and validity among ethnic Fijian female adolescents in English and in the Fijian vernacular language. Findings support its utility as a dimensional measure for depressive symptomatology in this study population. Further examination of its clinical utility for case finding for depression in Fijian school-based and community populations is warranted.
机译:背景与目的:CES-D是抑郁症症状的常用自我报告评估方法。但是,斐济尚未评估其心理测量特性。这项研究旨在评估英语和斐济话语版本在斐济族青少年女学生中的信度和效度。方法:作为斐济健康研究的一部分,斐济女性青少年(N = 523)完成了CES-D。选择以英语或当地语言回答的参与者。评估了信度(内部一致性,项目总分的相关性和重新测试的估计值),信度(与其他抑郁症代理的关联性)和因素结构。评估考虑了语言版本之间的差异。结果:在该样本中,CES-D的Cronbach'sα为0.81,项目总分相关系数在0.2到0.63之间。一周重测信度(ICC(2))为0.57。与那些没有抑郁和自杀倾向的人相比,CES-D得分更高。对CES-D与二元抑郁和自杀性变量的ROC分析得出的AUC约为0.70,并且不支持明显扰动的离散截止。在两个语言组中发现相似。结论:CES-D在英语和斐济白话语言中的斐济族女性青少年中具有可接受的信度和效度。研究结果支持其作为该研究人群抑郁症状学的一种量度指标。有必要进一步检查其在斐济以学校为基础的社区居民中发现抑郁症的临床效用。

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