Factor Structure and Invariance Analysis of the Center for Epidemiologic Studies Depression Scale – Revised (CESD-R) in a Brazilian Population

Estrutura Fatorial e Análise de Invariância da Center for Epidemiologic Studies Depression Scale – Revised (CESD-R) em uma População Brasileira

Andre Faro , Daiane Nunes dos Santos , William W. Eaton

Suma Psicológica, (2021), 28(1), pp. 10-16.

Received 7 September 2019
Accepted 4 September 2020

https://doi.org/10.14349/sumapsi.2021.v28.n1.2

Resumen

Introdução: A Center for Epidemiologic Studies Depression Scale – Revised (CESD-R) foi elaborada para fornecer um eficiente diagnóstico de sintomas de depressão, seguindo a proposta original da CESD, que é uma das escalas para rastreamento da depressão mais utilizadas mundialmente. Esta pesquisa avaliou a estrutura fatorial da CESD-R em uma população não-clínica no Brasil. Método: Realizaram-se análises fatoriais exploratória (AFE) e confirmatória (AFC) com duas amostras compostas por adultos. Também foi verificada a invariância do modelo por sexo e local de residência do participante. A amostra total foi composta por 1427 adultos, tendo sido dividida em duas subamostras. A primeira subamostra (n = 400) foi utilizada para a AFE e a segunda (n = 1027) para a AFC. Resultados: A AFE indicou uma estrutura interna composta por um único fator, que explicou 53.2% de variância. A AFC atestou unidimensionalidade da medida. Os índices de ajuste e indicadores de confiabilidade apresentaram valores acima do esperado, sem modificações na estrutura inicial. O modelo foi invariante em relação às variáveis investigadas em quatro diferentes níveis (configural, métrico, escalar e estrito). Conclusões: Os presentes achados suportam a utilidade da CESD-R
e sugerem sua validade para aplicação na população brasileira.


Palabras clave:
Depressão, CESD-R, análise fatorial exploratória, análise fatorial confirmatória, análise de invariância

Abstract

Introduction: The Center for Epidemiologic Studies Depression Scale – Revised (CESD-R) was developed to provide an efficient screening scale for depression syndrome, mimicking the original CESD, one of the most widely used screening tools to measure depressive symptoms globally. This investigation examined the factor structure of the CESD-R with a non-clinical Brazilian population. Method: We performed exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) of two adult samples, and also conducted invariance analysis by sex and place of residence of the participants. The full sample consisted of 1,427 adults, divided into two groups. The first sample (n = 400) was used for the EFA and the second sample (n = 1027) for the CFA. Results: The EFA indicated an internal structure composed of a single factor, which explained 53.2% of the variance. The CFA attested to the unidimensionality of the measure. Fit indices and reliability indicators showed values higher than expected, without modifications in the initial structure. The model was invariant in relation to the variables investigated at four different levels (configural, metric, scalar, and strict). Conclusions: Our findings support the utility of the CESD-R and suggest its validity for application to the Brazilian population in general.


Keywords:
Depression, CESD-R, exploratory factor analysis, confirmatory factor analysis, invariance analysis

Artículo Completo
Bibliografía

Batistoni, S. S. T., Neri, A. L., & Cupertino, A. P. F. B. (2007). Validity of the Center for Epidemiological Studies Depression scale among Brazilian elderly. Revista de Saúde Pública, 41(4), 598-605. https://doi.org/10.1590/S0034-89102007000400014

Beagley, M. C., Peterson, Z. D., Strasshofer, D. R., & Galovski, T. E. (2018). Sex differences in posttraumatic stress and depressive symptoms in police officers following exposure to violence in Ferguson: The moderating effect of empathy. Policing: An International Journal, 41(5), 623-635. https://doi.org/10.1108/PIJPSM-01-2017-0007

Byrne, B. M. (2010). Structural equation modelling with EQS: Basic concepts, applications, and programming (2nd ed.). Mahwah, NJ: Erlbaum.

Carleton, R. N., Thibodeau, M. A., Teale, M. J., Welch, P. G., Abrams, M. P., Robinson, T., & Asmundson, G. J. (2013). The Center for Epidemiologic Studies Depression Scale: A review with a theoretical and empirical examination of item content and factor structure. PLoS ONE, 8, e58067. https://doi.org/10.1371/journal.pone.0058067

Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modelling, 14, 464-504. https://doi.org/10.1080/10705510701301834

Chung, K., Jeon, M-J., Park, J., Lee, S., Kim, C. O., & Park, J. Y. (2018). Development and evaluation of a mobile-optimized daily self-rating depression screening app: A preliminary study. PLoS ONE, 13(6), e0199118. https://doi.org/10.1371/journal.pone.0199118

Damásio, B. F. (2012). Uso da análise fatorial exploratória em psicologia. Avaliação Psicológica: Interamerican Journal of Psychological Assessment, 11(2), 213-228. https://bit.ly/3parClC

Eaton, W. W., Alexandre, P., Bienvenu, O.J., Clarke, D., Martins, S.S., Nestadt, G., & Zablotsky, B. (2012c). The burden of mental disorders. In W.W. Eaton (Ed.), Public Mental Health (pp. 3-30). New York (NY): Oxford University Press.

Eaton, W. W., Mojtabai, R., Stuart, E. A., Leoutsakos, J-M. S., & Kuramoto, S. J. (2012a). Assessment of distress, disorder, impairment, and need in the population. In W.W. Eaton (Ed.), Public Mental Health (pp. 61-88). New York (NY): Oxford University Press.

Eaton, W. W., Muntaner, C., Smith, C., Tien, A., & Ybarra, M. (2004). Center for Epidemiologic Studies Depression Scale: Review and revision (CESD and CESD–R). In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (Vol. 3, pp. 363-377). Mahwah, NJ: Lawrence Erlbaum Associates Inc.

Eaton, W. W., Ybarra, M., & Schwab, J. (2012b). The CESD-R is available on the web. Psychiatry Research, 196, 161. https://doi.org/10.1016/j.psychres.2011.08.018

Fried, E. I., van Borkulo, C. D., Epskamp, S., Schoevers, R. A., Tuerlinckx, F., & Borsboom, D. (2016). Measuring depression over time… Or not? Lack of unidimensionality and longitudinal measurement invariance in four common rating scales of depression. Psychological Assessment28(11), 1354-1367. https://doi.org/10.1037/pas0000275

Flora, D. B., & Flake, J. K. (2017). The purpose and practice of exploratory and confirmatory factor analysis in psychological research: Decisions for scale development and validation. Canadian Journal of Behavioural Science, 49(2), 78-88. https://doi.org/10.1037/cbs0000069

Glass, O., Dreusicke, M., Evans, J., Bechard, E., & Wolever, R. Q. (2019). Expressive writing to improve resilience to trauma: A clinical feasibility trial. Complementary Therapies in Clinical Practice, 34, 240-246. https://doi.org/10.1016/j.ctcp.2018.12.005

Hair, J., Black, W., Babin, B., Anderson, R., & Tatham, R. (2014). Multivariate data analysis. Upper Saddle River, NJ: Pearson New International Edition/Prentice Hall.

Hancock, G. R., & Mueller, R. O. (2001). Rethinking construct reliability within latent variable systems. In R. Cudeck, S. du Toit & D. Sörbom (Eds.), Structural Equation Modelling: Present and Future (pp. 195-216). Lincolnwood, IL: Scientific Software International, Inc.

Haroz, E. E., Ybarra, M. L., & Eaton, W. W. (2014). Psychometric evaluation of a self-report scale to measure adolescent depression: The CESDR-10 in two representative adolescent samples in the United States. Journal of Affective Disorders, 158, 154-160. https://doi.org/10.1016/j.jad.2014.02.009

Hay, S. I., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd-Allah, F.,… Bryane, C. E. G. (2017). Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the global burden of disease study 2016. The Lancet, 390(10100), 1260-1344. https://doi.org/10.1016/S0140-6736(17)32130-X

Hayward, R. A., & Honegger, L. N. (2018). Perceived barriers to mental health treatment among men enrolled in a responsible fatherhood program. Social Work in Mental Health, 16(6), 693-709. https://doi.org/10.1080/15332985.2018.1483464

Kringlen, E., Torgersen, S., & Cramer, V. (2006). Mental illness in a rural area: A Norwegian psychiatric epidemiological study. Social Psychiatry and Psychiatric Epidemiology, 41, 713-719.

Lorenzo-Seva, U., & Ferrando, P. J. (2006). Factor: A computer program to fit the exploratory factor analysis model. Behaviour Research Methods38(1), 88-91. https://doi.org/10.3758/BF03192753

Milfont, T. L., & Fisher, R. (2010). Testing measurement invariance across groups: Applications in cross-cultural research. International Journal of Psychological Research, 3, 111-121.

Mohebbi, M., Nguyen, V., McNeil, J. J., Woods, R. L., Nelson, M. R., Shah, R. C.,… & Wolfe, R. (2018). Psychometric properties of a short form of the Center for Epidemiologic Studies Depression (CES-D-10) scale for screening depressive symptoms in healthy community dwelling older adults. General Hospital Psychiatry51, 118-125. https://doi.org/10.1016/j.genhosppsych.2017.08.002

Rababah, J., Al-Hammouri, M. M., Drew, B. L., Alawawdeh, A., Dawood, Z., & Jawhar, W. E. (2020). Validation of the Arabic Version of the Center for Epidemiologic Studies Depression-Revised: A Comparison of the CESD-R and CESDR-12. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2020.05.124

Radloff, L. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306

Romans, S., Cohen, M., & Forte, T. (2011). Rates of depression and anxiety in urban and rural Canada. Social Psychiatry and Psychiatric Epidemiology, 46, 567-575. https://doi.org/10.1007/s00127-010-0222-2

Salk, R. H., Hyde, J. S., & Abramson, L. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin Journal, 143, 783-822. https://doi.org/10.1037/bul0000102

Sánchez-García, S., Juárez-Cedillo, T., García-González, J. J., Espinel-Bermúdez, C., Gallo, J. J., Wagner, F. A.,… García-Peña, C. (2008). Usefulness of two instruments in assessing depression among elderly Mexicans in population studies and for primary care. Salud Pública de México, 50(6), 447-456.

Saracino, R. M., Weinberger, M. I., Roth, A. J., Hurria, A., & Nelson, C. J. (2016). Assessing depression in a geriatric cancer population. Psycho-Oncology. https://doi.org/10.1002/pon.4160

Siu, A. L., & US Preventive Services Task Force (2016). Screening for depression in adults: US Preventive Services Task Force Recommendation Statement. JAMA, 315(4), 380-387. https://doi.org/10.1001/jama.2015.18392

Stearns, M., Nadorff, D. K., Lantz, E. D., & McKay, I. T. (2018). Religiosity and depressive symptoms in older adults compared to younger adults: Moderation by age. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2018.05.076

Tran, T. D., Kaligis, F., Wiguna, T., Willenberg, L., Nguyen, H. T. M., Luchters, S.,… Fisher, J. (2019). Screening for depressive and anxiety disorders among adolescents in Indonesia: Formal validation of the Center for epidemiologic studies depression scale – revised and the Kessler psychological distress scale. Journal of Affective Disorders, 246, 189-194. https://doi.org/10.1016/j.jad.2018.12.042

Van Dam, N. T., & Earleywine, M. (2011). Validation of the Center for Epidemiologic Studies Depression Scale—Revised (CESD-R): Pragmatic depression assessment in the general population. Psychiatry Research, 186, 128-132. https://doi.org/10.1016/j.psychres.2010.08.018

Vilagut, G., Forero, C. G., Barbaglia, G., & Alonso, J. (2016). Screening for depression in the general population with the Center for Epidemiologic Studies Depression (CES-D): A systematic review with meta-analysis. PLoS ONE11(5), 513-527.  https://doi.org/10.1371/journal.pone.0155431

World Health Organization (WHO). (2017). Depression and other common mental disorders: Global health estimates. Geneva: author.

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