Performance of the 10-item Center for Epidemiologic Studies Depression scale for caregiving research
- PMID: 26770693
- PMCID: PMC4687763
- DOI: 10.1177/2050312113514576
Performance of the 10-item Center for Epidemiologic Studies Depression scale for caregiving research
Abstract
Objectives: The Center for Epidemiologic Studies Depression (CESD) scale has been useful in a broad spectrum of health research on patient and population outcomes. A brief version is used when depressive symptoms are not the primary focus. Rasch (item response) analysis previously demonstrated potential problems with positively worded items. We tested the 10-item CESD (CESD-10) scale and considered an 8-item version with both psychometric and Rasch analyses.
Methods: This was a special sample of 2067 caregivers from three existing US databases. We describe item response patterns and internal constancy in addition to Rasch scale results.
Results: There were few problems with missing data, and internal consistency was high (alpha = 0.86-0.88) for both CESD versions. Rasch analysis indicated that one of the positive items ("hopeful about future") could be dropped.
Conclusions: We partly confirmed prior work that suggested dropping positive items for the CESD-10. Among caregivers, item-level problems and scaling problems seem minimal. At present, there is not a strong rationale for dropping the CESD-10 positive items: the one poorly performing positive item might be explained by the special caregiver sample.
Keywords: Psychometrics; caregiving; depression; questionnaires/standards.
Conflict of interest statement
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