Korean J Psychosom Med.  2016 Jun;24(1):83-93. 10.0000/kjpm.2016.24.1.83.

Validation of the Korean version of Center for Epidemiologic Studies Depression Scale-Revised(K-CESD-R)

• Lee S
• Oh ST
• Ryu SY
• Jun JY
• Lee K
• Lee E
• Park JY
• Yi SW
• Choi WJ

• KMID: 2321480
• DOI: http://doi.org/10.0000/kjpm.2016.24.1.83

Abstract

OBJECTIVES
The Center for Epidemiologic Studies Depression scale-Revised is a recently revised scale which has been reported as a valid tool for the assessment of depressive symptoms. It encompasses cardinal symptoms of depression described in the Diagnostic and Statistical Manual of Mental disorders, fourth edition. In this study, we assessed the reliability, validity and psychometric properties of the Korean version of the CESD-R(K-CESD-R).
METHODS
Forty-eight patients diagnosed as major depressive disorder, dysthymia, depressive disorder NOS according to the DSM-IV criteria using Mini International Neuropsychiatric Interview and 48 healthy controls were enrolled in this study. They were assessed with K-CESD-R, K-MADRS, PHQ-9, KQIDS-SR, STAI to check cross-validation. Statistical analyses were performed using calculation of Cronbach's alpha, Pearson correlation coefficient, Principal Component Analysis, ROC curve and optimal cut-off value.
RESULTS
The Cronbach's alpha of K-CESD-R was 0.98. The total score of K-CESD-R revealed significantly high correlations with those of K-MADRS, PHQ-9, KQIDS-SR(r=0.910, 0.966 and 0.920, p<0.001, respectively). Factor analysis showed two factors account for 76.29% of total variance. We suggested the optimal cut-off value of K-CESD-R as 13 according to analysis of the ROC curve which value sensitivity and specificity both equally.
CONCLUSIONS
These Results showed that the K-CESD-R could be a reliable and valid scale to assess depressive symptoms. The K-CESD-R is expected as a useful and effective tool for screening and measuring depressive symptoms not only in outpatient clinic but also epidemiologic studies.

Keyword

Korean version of Center for Epidemiologic Studies Depression Scale-Revised(K-CESD-R); Reliability; Validity; Depression; Screening

MeSH Terms

Ambulatory Care Facilities
Depression*
Depressive Disorder
Depressive Disorder, Major
Diagnostic and Statistical Manual of Mental Disorders
Epidemiologic Studies*
Humans
Mass Screening
Principal Component Analysis
Psychometrics
ROC Curve
Sensitivity and Specificity