Validity of the Center for Epidemiologic Studies Depression Scale as a screening instrument of major depressive disorder among Japanese workers
Abstract
Background: The Center for Epidemiologic Studies Depression Scale (CES‐D) is used at workplaces to screen depressive disorders. The aim of this study was to examine the validity of the CES‐D for depression in a workplace. Methods: The CES‐D was administered to 2,219 workers (84.2% men; age 21–68 years) at a manufacturing company in Japan. Concomitantly all workers had an interview with the Mini International Neuropsychiatric Interview (MINI) as a gold standard for diagnosing major depressive disorder (MDD). The validity was evaluated by a receiver operating characteristic (ROC) curve. Results: The area under the ROC curve of the CES‐D was 0.96 [95% Confidence Interval (CI): 0.94–0.99]. The optimal cut‐off score of MDD was 19 for screening. Conclusions: The validity of CES‐D is confirmed and it is a valid instrument for detecting MDD in working populations in Japan. Am. J. Ind. Med. 50:8–12, 2007. © 2006 Wiley‐Liss, Inc.
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The CES-D has been tested for validity in different populations.
“Its validity has been tested in different populations [48-50].”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [50]
The CES-D cut-off score of 16 has shown good sensitivity (0.95), specificity (0.85), and positive predictive value of major depression (0.11) in a sample of employees.
“This cut-off score is used frequently in studies and has shown to have good sensitivity (0.95), specificity (0.85), and positive predictive value of major depression (0.11) in a sample of employees [50].”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [50]
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“This cut-off score is used frequently in studies and has shown to have good sensitivity (0.95), specificity (0.85), and positive predictive value of major depression (0.11) in a sample of employees [50].”
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Self-citation
- Authors
- Wada, K., Tanaka, K., Theriault, G., Satoh, T., Mimura, M., Miyaoka, H., & Aizawa, Y.
- Affiliations
- McGill University (CA)
- Kitasato University (JP)
- SHOWA Medical University (JP)
- Corresponding author
- Wada, Koji
- Venue
- American Journal of Industrial Medicine
- Publisher
- Wiley
- Published
- 2006-12-11
- Volume
- 50
- Issue
- 1
- Pages
- 8-12
- ISSN
- 0271-3586 (ISSN-L)
- 1097-0274
- OpenAlex
- W2100188512
- Cited by
- 143
- References
- 22
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 9 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 9 · 2019: 12 · 2018: 9 · 2017: 10 · 2016: 7 · 2015: 6 · 2014: 12 · 2013: 8 · 2012: 7
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Industrial Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- CES-D, Center for Epidemiologic Studies Depression Scale, major depressive disorder, depression screening, workplace mental health, Japanese workers, industrial workers, screening instrument validity, cut-off values, MINI interview
- MeSH terms
- Adult, Aged, Depressive Disorder, Female, Humans, Japan, Male, Mass Screening, Middle Aged, Occupational Diseases, Psychological Tests, ROC Curve, Sensitivity and Specificity, Reproducibility of Results, Sex Distribution
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