April Opoliner1, Deborah Blacker2, Garrett Fitzmaurice3, Anne Becker4. 1. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA aopoline@hsph.harvard.edu. 2. Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA Department of Psychiatry, Massachusetts General Hospital, Boston,MA, USA. 3. Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA McLean Hospital, Belmont, MA, USA. 4. Department of Psychiatry, Massachusetts General Hospital, Boston,MA, USA Department of Global Health and Social Medicine, Harvard Medical School.
Abstract
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.
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.
Authors: Eddy Eustache; Margaret E Gerbasi; Mary C Smith Fawzi; J Reginald Fils-Aimé; Jennifer Severe; Giuseppe J Raviola; Rupinder Legha; Sarah Darghouth; David J Grelotti; Tatiana Thérosmé; Ermaze L Pierre; Emmeline Affricot; Yoldie Alcindor; Anne E Becker Journal: Int J Soc Psychiatry Date: 2017-04-03
Authors: Inge Petersen; Sara Evans-Lacko; Maya Semrau; Margaret M Barry; Dan Chisholm; Petra Gronholm; Catherine O Egbe; Graham Thornicroft Journal: Int J Ment Health Syst Date: 2016-04-11
Authors: Rupinder K Legha; Margaret E Gerbasi; Mary C Smith Fawzi; Eddy Eustache; Tatiana Therosme; J Reginald Fils-Aime; Giuseppe J Raviola; Emmeline Affricot; Ermaze Louis Pierre; Yoldie Alcindor; Jennifer Severe; Katherine A Boyd; David J Grelotti; Sarah Darghouth; Andrew Rasmussen; Anne E Becker Journal: Confl Health Date: 2020-02-28 Impact factor: 2.723