Measurement properties of the Center for Epidemiologic Studies Depression Scale (CES-D 10): Findings from HCHS/SOL

Patricia González, Alicia Nuñez, Erin Merz, Carrie Brintz, Orit Weitzman, Elena L Navas, Alvaro Camacho, Christina Buelna, Frank J Penedo, Sylvia Wassertheil-Smoller, Krista Perreira, Carmen R Isasi, James Choca, Gregory A Talavera, Linda C Gallo, Patricia González, Alicia Nuñez, Erin Merz, Carrie Brintz, Orit Weitzman, Elena L Navas, Alvaro Camacho, Christina Buelna, Frank J Penedo, Sylvia Wassertheil-Smoller, Krista Perreira, Carmen R Isasi, James Choca, Gregory A Talavera, Linda C Gallo

Abstract

The Center for Epidemiologic Studies Depression Scale (CES-D) is a widely used self-report measure of depression symptomatology. This study evaluated the reliability, validity, and measurement invariance of the CES-D 10 in a diverse cohort of Hispanics/Latinos from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). The sample consisted of 16,415 Hispanic/Latino adults recruited from 4 field centers (Miami, FL; San Diego, CA; Bronx, NY; Chicago, IL). Participants completed interview administered measures in English or Spanish. The CES-D 10 was examined for internal consistency, test-retest reliability, convergent validity, and measurement invariance. The total score for the CES-D 10 displayed acceptable internal consistencies (Cronbach's alpha's = .80-.86) and test-retest reliability (r values = .41-.70) across the total sample, language group and ethnic background group. The total CES-D 10 scores correlated in a theoretically consistent manner with the Spielberger State-Trait Anxiety Inventory, r = .72, p < .001, the Patient Health Questionnaire-9 depression measure, r = .80, p < .001, the Short Form-12's Mental Component Summary, r = -.65, p < .001, and Physical Component Summary score, r = -.25, p < .001. A confirmatory factor analysis showed that a 1-factor model fit the CES-D 10 data well (CFI = .986, RMSEA = .047) after correlating 1 pair of item residual variances. Multiple group analyses showed the 1-factor structure to be invariant across English and Spanish speaking responders and partially invariant across Hispanic/Latino background groups. The total score of the CES-D 10 can be recommended for use with Hispanics/Latinos in English and Spanish. (PsycINFO Database Record

Conflict of interest statement

Conflict of Interest. The authors report no conflicts of interest. The authors along are responsible for the content and writing of this paper.

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Source: PubMed

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